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This completed retrospective observational study evaluated adult patients diagnosed with psychogenic nonepileptic seizures (PNES) who underwent video-EEG monitoring. Video-EEG records and clinical data of 50 adult patients were reviewed to describe semiological, electroclinical, and demographic characteristics of PNES. The study aimed to improve the understanding of video-EEG findings in PNES and to support accurate diagnosis in clinical practice.
Psychogenic nonepileptic seizures (PNES) are paroxysmal events that resemble epileptic seizures but are not associated with ictal epileptiform activity on EEG. Video-EEG monitoring is considered the reference standard for diagnosis. In this retrospective observational study, video-EEG recordings and clinical files of 50 adult patients with PNES were reviewed after completion of clinical care. Demographic data, clinical presentation, and video-EEG characteristics were analyzed descriptively. No intervention was assigned as part of the study. The purpose was to characterize the video-EEG and clinical profile of adult PNES patients evaluated in routine practice.
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| Measure | Description | Time Frame |
|---|---|---|
| Semiological subtype of PNES events | Classification of PNES events recorded during video-EEG monitoring into semiological clusters (pauci-kinetic, hyperkinetic, hyperventilation-eye closure) based on ictal features. | Baseline retrospective chart and video-EEG review |
| Measure | Description | Time Frame |
|---|---|---|
| Presence/absence of some events during PNES events | Eye closure during PNES events Hyperventilation during PNES events Hyperkinetic motor activity Axial extension Pelvic thrusting | Baseline |
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Inclusion Criteria:
Diagnosis of psychogenic nonepileptic seizures based on video-EEG evaluation
Availability of complete video-EEG recordings and relevant clinical records for review
Exclusion Criteria:
Inadequate or incomplete video-EEG data
Patients with insufficient clinical documentation for retrospective evaluation
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Adult patients diagnosed with psychogenic nonepileptic seizures (PNES) who underwent video-EEG monitoring.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saglik Bilimleri University Izmir Faculty of Medicine Department of Neurology | Izmir | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D000091323 | Psychogenic Nonepileptic Seizures |
| ID | Term |
|---|---|
| D012640 | Seizures |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |