Dissociative (non-epileptic) seizures: tackling common challenges after the diagnosis.

communication dissociative seizures nonepileptic seizures treatment

Journal

Practical neurology
ISSN: 1474-7766
Titre abrégé: Pract Neurol
Pays: England
ID NLM: 101130961

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 17 12 2018
revised: 17 01 2019
accepted: 28 01 2019
pubmed: 18 3 2019
medline: 4 1 2020
entrez: 18 3 2019
Statut: ppublish

Résumé

Dissociative (non-epileptic) seizures are one of the three major causes of transient loss of consciousness. As such, their treatment cannot be left to superspecialised experts. In this article I draw on personal experience to suggest ways to tackle some challenges that commonly arise after diagnosing dissociative seizures, focusing on three issues: "I want to know what is wrong with me," "I hear what you are saying but it doesn't apply to me" and "What if I have a seizure?" The suggestions detail both actions and words that may help at a crucial point in the patient's journey. If handled well, the process can leave the patient better equipped to understand their seizures and to engage in further treatment; if handled badly, patients may be left more traumatised, angry and with additional disability.

Identifiants

pubmed: 30878972
pii: practneurol-2018-002177
doi: 10.1136/practneurol-2018-002177
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

332-341

Informations de copyright

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Markus Reuber (M)

Royal Hallamshire Hospital, Academic Neurology Unit, University of Sheffield, Sheffield, UK m.reuber@sheffield.ac.uk.

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