Pediatric-onset psychogenic nonepileptic seizures: A retrospective international multicenter study

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Citações na Scopus
18
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
W B SAUNDERS CO LTD
Autores
ASADI-POOYA, Ali A.
MYERS, Lorna
SAWCHUK, Tyson
RESTREPO, Anilu Daza
HOMAYOUN, Maryam
BUCHHALTER, Jeffrey
BAHRAMI, Zahra
TAHA, Firas
LAZAR, Lorraine M.
Citação
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, v.71, p.56-59, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose: We compared various clinical characteristics of pediatric-onset psychogenic nonepileptic seizures (PNES) between patients from five countries. The purpose of this study was to advance our understanding of pediatric-onset PNES cross-culturally. Methods: In this retrospective study, we compared consecutive patients with PNES with an age at onset of 16 years and younger from epilepsy monitoring units in Iran, Brazil, the USA, Canada, and Venezuela. Age, gender, age at seizure onset, seizure semiology, predisposing factors, and video-EEG recordings of all patients were extracted. Pearson Chi-Square, one-way ANOVA and Bonferroni correction tests were used for statistical analyses. Results: Two hundred twenty-nine patients were studied (83 from Iran, 50 from Brazil, 39 from Canada, 30 from the USA, and 27 from Venezuela). Mean age at the onset of seizures was 12.1 +/- 3.2 years (range: 4-16 years). The sex ratio of the patients was 1.83: 1 (148 females and 81 males). Clinical characteristics of pediatric-onset PNES showed some significant differences among the nations. However, factors associated with pediatric-onset PNES in these five nations were similar. Conclusion: This study underscores how international cross-cultural studies can make important contributions to our understanding of PNES. Patients with pediatric-onset PNES from different countries were similar on many risk factors associated with PNES. This suggests universality in many features of PNES. However, intriguing differences were also noted with regard to seizure semiology, which might be the result of cultural factors.
Palavras-chave
Psychogenic, Pediatric, Seizure, International, Cross-cultural
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