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dc.contributor.author
Lanzillotti, Alejandra Inés
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dc.contributor.author
Sarudiansky, Mercedes
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dc.contributor.author
Lombardi, Nicolás Robertino
dc.contributor.author
Korman, Guido Pablo
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dc.contributor.author
D`alessio, Luciana
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dc.date.available
2021-07-28T14:35:03Z
dc.date.issued
2021-06-04
dc.identifier.citation
Lanzillotti, Alejandra Inés; Sarudiansky, Mercedes; Lombardi, Nicolás Robertino; Korman, Guido Pablo; D`alessio, Luciana; Updated review on the diagnosis and primary management of psychogenic nonepileptic seizure disorders; Dove Press; Neuropsychiatric Disease and Treatment; 17; 4-6-2021; 1825-1838
dc.identifier.issn
1176-6328
dc.identifier.uri
http://hdl.handle.net/11336/137198
dc.description.abstract
Psychogenic nonepileptic seizures (PNES) are paroxystic and episodic events associated with motor, sensory, mental or autonomic manifestations, which resemble epileptic seizures (ES), but are not caused by epileptogenic activity. PNES affect between 20% and 30% of patients attending at epilepsy centers and constitute a serious mental health problem. PNES are often underdiagnosed, undertreated and mistaken with epilepsy. PNES are diagnosed after medical causes (epilepsy, syncope, stroke, etc.) have been ruled out, and psychological mechanisms are involved in their genesis and perpetuation. For psychiatry, there is not a single definition for PNES; the DSM-IV and ICD-10/11 describe the conversion and dissociative disorders, and the DSM-5 describes the functional neurological disorders. However, patients with PNES also have a high frequency of other comorbidities like depression, particularly trauma and post-traumatic stress disorder. It has been postulated that PNES are essentially dissociations that operate as a defensive psychological mechanism that use the mind as a defense to deal with traumas. With the advent of VEEG in the 90s, the recognition of PNES has significantly increased, and several psychological treatments have been developed. In this manuscript, we carried out a state-of-the-art review, with the aim to provide a critical approach to the extensive literature about PNES, focusing on diagnostic aspects, the primary management, and the available treatments that have been shown to be effective for the improvement of PNES.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Dove Press
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc/2.5/ar/
dc.subject
CONVERSION DISORDER
dc.subject
DIAGNOSIS
dc.subject
DISSOCIATIVE DISORDER
dc.subject
PSYCHOGENIC NONEPILEPTIC SEIZURES
dc.subject
TREATMENT
dc.subject.classification
Otras Psicología
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dc.subject.classification
Psicología
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dc.subject.classification
CIENCIAS SOCIALES
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dc.title
Updated review on the diagnosis and primary management of psychogenic nonepileptic seizure disorders
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2021-07-26T17:08:26Z
dc.journal.volume
17
dc.journal.pagination
1825-1838
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Londres
dc.description.fil
Fil: Lanzillotti, Alejandra Inés. Universidad de Buenos Aires. Facultad de Psicología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Sarudiansky, Mercedes. Universidad de Buenos Aires. Facultad de Psicología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Lombardi, Nicolás Robertino. Universidad de Buenos Aires. Facultad de Psicología; Argentina. Universidad de Buenos Aires. Facultad de Medicina. Centro Universitario de Neurologia "dr. Jose Maria Ramos Mejia".; Argentina
dc.description.fil
Fil: Korman, Guido Pablo. Universidad de Buenos Aires. Facultad de Psicología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: D`alessio, Luciana. Universidad de Buenos Aires. Facultad de Medicina. Centro Universitario de Neurologia "dr. Jose Maria Ramos Mejia".; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Biología Celular y Neurociencia "Prof. Eduardo de Robertis". Universidad de Buenos Aires. Facultad de Medicina. Instituto de Biología Celular y Neurociencia; Argentina
dc.journal.title
Neuropsychiatric Disease and Treatment
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.2147/NDT.S286710
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.dovepress.com/updated-review-on-the-diagnosis-and-primary-management-of-psychogenic--peer-reviewed-fulltext-article-NDT
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