DANIELA KURCGANT

(Fonte: Lattes)
Índice h a partir de 2011
2
Lattes
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Unidades Organizacionais
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina

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Agora exibindo 1 - 5 de 5
  • bookPart
    Agitação Psicomotora em Emergência
    (2013) MASSONI, Viviane Hyun Mi Myung; COêLHO, Bruno Mendonça; KURCGANT, Daniela
  • article 2 Citação(ões) na Scopus
    Crise não epiléptica psicogênica: história e crítica de um conceito
    (2011) KURCGANT, Daniela; AYRES, Jose Ricardo de Carvalho Mesquita
    This discussion of the evolution of psychiatric knowledge concerning psychogenic non-epileptic seizures (PNES) sheds light on the epistemological assumptions underlying the concept and on its practical implications as well. PNES are defined as repeated seizures or attacks which can be mistaken for epilepsy because of the similar behavioral changes displayed, but which differ in that they are not the result of abnormal electrical activity in the brain and may be psychogenic in origin. The article investigates the historical development of the concept of PNES over the past forty years. The concepts of psychiatric comorbidity, abuse, and dissociation enter the discussion owing to their roles in the checkered development of the concept of PNES.
  • bookPart
    Neuropsiquiatria dos transtornos psicogênicos
    (2021) KURCGANT, Daniela; SILVA, Antonio Cesar Ribeiro Devesa da; PROENçA, Inah Carolina Galatro Faria
  • article 18 Citação(ões) na Scopus
    Immunization stress-related responses presenting as psychogenic non-epileptic seizures following HPV vaccination in Rio Branco, Brazil
    (2020) MARCHETTI, Renato Luiz; GALLUCCI-NETO, Jose; KURCGANT, Daniela; PROENCA, Inah Carolina Galatro Faria; VALIENGO, Leandro da Costa Lane; FIORE, Lia Arno; PINTO, Lecio Figueira; MARANHAO, Ana Goretti Kalume; OLIVEIRA, Maria Tereza da Costa; OLIVEIRA, Lucia Helena de
    Importance: The absence of a positive diagnosis of psychogenic non-epileptic seizures (PNES) in immunization stress-related response (ISRR) clusters may have not only a direct impact on affected patients' health but may also reduce compliance to national vaccination programs. It is therefore crucial to develop efficient diagnostic tools and a feasible proposal for proper communication and treatment of ISRR. Purpose: To explore the psychogenic nature of patients' convulsive seizures in a suspected outbreak of an ISRR cluster following human papillomavirus vaccination in Rio Branco, Brazil. Methods: Twelve patients with convulsive seizures were submitted to prolonged intensive videoelectroencephalography monitoring, brain magnetic resonance imaging, cerebrospinal fluid diagnostic testing, laboratory subsidiary examinations, and complete neurological and psychiatric evaluations. Results: Ten patients received the positive diagnosis of PNES, and two patients received the diagnosis of idiopathic generalized epilepsy. No biological association was found between the HPV vaccine and the clinical problems presented by the patients. Conclusions: Prolonged VEEG monitoring can contribute significantly to the positive diagnosis of PNES in ISRR clusters and to avoid hesitancy to vaccinate.
  • article 21 Citação(ões) na Scopus
    Comorbid epilepsy and psychogenic non-epileptic seizures: How well do patients and caregivers distinguish between the two
    (2014) GORDON, Pedro C.; VALIENGO, Leandro da Costa Lane; PROENCA, Inah C. G. F.; KURCGANT, Daniela; JORGE, Carmen Lisa; CASTRO, Luiz H.; MARCHETTI, Renato L.
    Purpose: To determine whether patients with comorbid epilepsy and psychogenic nonepileptic seizure (PNES) and their caregivers can distinguish between these two events at least one year after initial diagnosis, and to investigate factors associated with correct identification. Methods: Adult patients with at least a one year diagnosis of both epilepsy and PNES, confirmed through video-electroencephalography (VEEG), were selected. Patients and a caregiver of their choice were interviewed and shown videos containing the patients' epileptic and PNES events. Variables associated with correct identification of events by patients and their caregivers were evaluated. Results: Twenty-four patients participated in the study. Mean time between VEEG diagnosis and enrollment in the study was 26.8 months (+/- 12.4). Six of patients correctly distinguished between the events shown. Factors associated with correct identification were the absence of intellectual disability, unremitted PNES, and a degree of preserved awareness during the PNES event. Twelve caregivers correctly distinguished between the events shown. Factors associated with correct identification among caregivers were the presentation of only one epileptic seizure type in the patient, and the participation of the caregiver during VEEG monitoring and communication of PNES diagnosis to the patient. Conclusion: A significant proportion of patients with epilepsy and PNES and their caregivers seem to be unable to discriminate between these events a year after diagnosis. These findings have implications for both clinical follow-up and research involving this population. Future research should further investigate methods that would allow patients and their caregivers to better distinguish between these two events.