Work

Status non‐epilepticus

Year: 2025

Type: article

Abstract: OBJECTIVE: Status non-epilepticus is characterized by recurrent or prolonged psychogenic non-epileptic seizures (PNES), which are often mistaken for status epilepticus (SE). This study focuses on the misdiagnosis of convulsive SE in patients whose seizures were of psychogenic origin. METHODS: We analyzed 13 events of 8 patients initially misdiagnosed as having convulsive SE. The diagnostic evaluation included a review of their clinical presentation, treatment, and treatment response. RESULTS: The patients in this study were predominantly treated with benzodiazepines (BZD). However, this treatment, together with anti-seizure medications (ASM) was mostly ineffective, leading to tracheal intubation in eight of the cases. SIGNIFICANCE: When a convulsive event does not cease with BZD and ASM, we suggest considering a differential diagnosis of PNES. The poor response to BZD raises several hypotheses regarding the origin of PNES.

Source: Epileptic Disorders

DOI: 10.1002/epd2.70051

Authors: Ronen Spierer, Moshe Herskovitz

Institutions: Technion – Israel Institute of Technology, Rambam Health Care Campus

Language: English

Topic: Psychosomatic Disorders and Their Treatments

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $2,430