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Non-epileptic attack disorder: the importance of diagnosis and treatment

机译:非癫痫发作障碍:诊断和治疗的重要性

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摘要

A 50-year-old woman was taken to hospital by emergency ambulance during her first seizure. She was admitted to hospital, treated with intravenous diazepam, diagnosed with epilepsy and started on antiepileptic drug (AED) therapy. This was ineffective so she was referred to a tertiary centre where she underwent video EEG and was diagnosed with non-epileptic attack disorder. Her experience of the diagnosis was positive; it allowed her to understand what was happening to her and to understand the link between her seizures, adverse childhood experiences and the death of her mother. She stopped taking AEDs and she was referred to a psychologist which led to a significant improvement in her functioning and quality of life. We present this case as a good example of the benefits of accurate diagnosis, clear explanation and access to specialist care
机译:一名50岁的妇女在第一次癫痫发作时被急救车送往医院。她入院,接受静脉注射地西intravenous治疗,被诊断患有癫痫病,并开始接受抗癫痫药物(AED)治疗。这是无效的,因此她被转诊到第三级中心,在那里她接受了视频脑电图检查,并被诊断出患有非癫痫发作性疾病。她的诊断经验很积极。它使她能够了解发生了什么事,并了解癫痫发作,童年不良经历和母亲去世之间的联系。她停止服用AED,并转诊给心理学家,这极大地改善了她的功能和生活质量。我们将这个案例作为准确诊断,明确解释和获得专科医生护理的好处的一个很好的例子

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