Epilepsy versus non-epileptic attack disorder: A diagnostic and therapeutic challenge

• 作者: Catherine Smith Jason Ramtahal
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: EPILEPSY NON-EPILEPTIC ATTACK DISORDER NEAD SEIZURE VIDEO-EEG
• 年，卷（期）: 2013,（1）
• 页码范围: 1-4
• 页数: 4页
• 分类号: R73

摘要

Epilepsy and non-epileptic attack disorder (NEAD) share a vast number of clinical features, however the aetiology and management are very different. Video-EEG is the gold standard diagnostic tool and relies on the occurrence of seizure activity during assessment to make a diagnosis. Added complexity arises from the co-existence of epilepsy and NEAD, occurring in a significant proportion of patients. Comprehensive assessment and investigation is therefore required to prevent gross mistreatment in this diagnostically difficult subgroup. We present a case of NEAD with co-existing epilepsy and the challenges that this may present in clinical practice.