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- Publisher
- American Medical Association
- Copyright
- Copyright © 1982 American Medical Association. All Rights Reserved.
- ISSN
- 0003-9942
- eISSN
- 1538-3687
- DOI
- 10.1001/archneur.1982.00510140012003
- Publisher site
- See Article on Publisher Site
Abstract
Abstract • Intensive behavioral psychotherapy for hysterical seizures was carried out in nine epileptic patients, after video-EEG confirmation of diagnosis, during four to nine weeks of hospitalization in a specialized seizure unit. During a four-year follow-up, a significant reduction in hysterical seizures was noted in seven patients. Only one patient remained refractory to treatment and was hospitalized a number of times for hysterical seizures. One patient was lost to follow-up. Four patients showed significant and two patients showed slight improvement in psychosocial status. There was no behavioral improvement in one patient while another patient, who was severely retarded, showed temporary worsening of behavior, with decrease in frequency of hysterical seizures. Principles of managing hysterical seizures emphasize early diagnosis and vigorous supportive-reeducative psychotherapy. References 1. Gowers WR: Epilepsy and Other Chronic Convulsive Diseases . London, J&A Churchill, 1901, pp 229-247. 2. Lennox WG, Lennox MA: Epilepsy and Related Disorders . Boston, Little Brown & Co, 1960, vol 1, pp 479-493. 3. Ramani V, Quesney LF, Olson D, et al: Diagnosis of hysterical seizures in epileptic patients . Am J Psychiatry 1980;137:705-709. 4. Mattson RH: Value of intensive monitoring , in Wada JA, Penry JK (eds): Advances in Epileptology . New York, Raven Press, 1980, pp 43-51. 5. Porter RJ, Penry JK, Lacy JR: Diagnostic and therapeutic reevaluation of patients with intractable epilepsy . Neurology 1977;27:1006-1011.Crossref 6. Gastaut H, Tassinari CA: The ictal and interictal EEG in different types of epilepsy, in Remond A (ed): Epilepsies , vol 13, in Handbook of Electroencephalography and Clinical Neurophysiology . Amsterdam, Elsevier Scientific Publishing Co, 1975, pp 46-64. 7. Porter RJ, Penry JR, Wolf AA Jr: Simultaneous documentation of clinical and electroencephalographic manifestations of epileptic seizures , in Kellaway P, Petersen I (eds): Quantitative Analytic Studies in Epilepsy . New York, Raven Press, 1976, pp 253-268. 8. Ramani V, Olson D, Gumnit RJ: Hysterical seizures in epileptic patients , in Wada JA, Penry JK (eds): Advances in Epileptology . New York, Raven Press, 1980, p 131. 9. American Psychiatric Association, Committee on Nomenclature and Statistics: Diagnostic and Statistical Manual of Mental Disorders , ed 2. Washington, DC, American Psychiatric Association, 1968. 10. Karasu TB: Psychotherapies: An overview . Am J Psychiatry 1977;134:851-863. 11. Laidlaw JP: Psychiatry , in Laidlaw JP, Richens A (eds): A Textbook of Epilepsy . Edinburgh, Churchill Livingstone, 1976, p 161. 12. Liske E, Forster FM: Pseudoseizures: A problem in the diagnosis and management of epileptic patients . Neurology 1964;14:41-49.Crossref 13. Rodin EA: Psychosocial management of patients with complex partial seizures , in Penry JK, Daly DD (eds): Advances in Neurology . New York, Raven Press, 1975, vol 11, pp 383-414. 14. Niedermeyer E, Blumer D, Holscher E, et al: Classical hysterical seizures facilitated by anticonvulsant toxicity . Psychiatr Clin 1970;3:71-80. 15. Rodin EA: Medical and social prognosis in epilepsy . Epilepsia 1972;13:121-131.Crossref 16. Reynolds EA: Unsatisfactory aspects of the drug treatment of epilepsy . Epilepsia 1976;17( (3) ):13-15. 17. Gumnit RJ, Jacome D, Ramani V, et al: Comprehensive treatment of intractable seizures , in Wada JA, Penry JK (eds): Advances in Epileptology . New York, Raven Press, 1980, pp 385-388.
Journal
Archives of Neurology – American Medical Association
Published: Feb 1, 1982
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