Abstract:
Introduction
According to the ICD-10, psychogenic non-epileptic
seizures (PNES) are classified as dissociative
disorders [1]. Patients with drug-resistant epilepsy are
at higher risk of developing PNES, which are
diagnosed in 20-30% of patients with drug-resistant
epilepsy [2].
Aim
To make differential diagnosis
between epileptic seizures and
PNES, and to demonstrate the
combination of those in “dual
diagnosis”.
Material and methods
Case of a 42-year-old patient, with epilepsy from the age of 13,
suspected of being drug-resistant on polytherapy with Carbamazepine
1200 mg/day, Levetiracetam 3000 mg/day and Topiramate 50 mg/day.
Conclusions
In the management of epilepsy, suspected of
being drug-resistant, it is necessary to
consider the possibility of the presence of
epileptic seizures and PNES, the importance
of multidisciplinary team collaboration and
electrographic correlations on EEG.
Description:
Nicolae Testemitanu State University of
Medicine and Pharmacy, Department of
neurology no.2, Chisinau, Republic of
Moldova, Institute of Emergency Medicine, Clinical
Department of Neurology, Epileptology and
Internal Disease, Chisinau, Republic of
Moldova
