Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Management of Hysterical Seizures in Epileptic Patients

Management of Hysterical Seizures in Epileptic Patients 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Management of Hysterical Seizures in Epileptic Patients

Archives of Neurology , Volume 39 (2) – Feb 1, 1982

Loading next page...
 
/lp/american-medical-association/management-of-hysterical-seizures-in-epileptic-patients-xNtDWKPy0Q
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 NeurologyAmerican Medical Association

Published: Feb 1, 1982

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month