Despite a proliferation in functional seizure (FS) studies over recent years, there remains no gold standard of treatment, and this is especially so for children [
]. The study that follows is important for two main reasons. First, it raises the possibility of a targeted intervention for FS that addresses specific neurophysiologic onset and maintenance factors. The second reason is that it suggests a delineation in the treatment of FS, whereby FS events are targeted independent of common psychiatric comorbidities such as anxiety and depression.
- Sawchuk T.
- Buchhalter J.
- Senft B.
Psychogenic nonepileptic seizures in children-Prospective validation of a clinical care pathway & risk factors for treatment outcome.
Epilepsy Behav. 2020; 105106971
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- Psychogenic nonepileptic seizures in children-Prospective validation of a clinical care pathway & risk factors for treatment outcome.Epilepsy Behav. 2020; 105106971
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- Psychogenic Nonepileptic Seizures (PNES) as a Network Disorder - Evidence From Neuroimaging of Functional (Psychogenic) Neurological Disorders.Epilepsy Curr. 2018; 18: 211-216
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- Aberrant supplementary motor complex and limbic activity during motor preparation in motor conversion disorder.Mov Disord. 2011; 26: 2396-2403
- Psychogenic non-epileptic seizures in children - psychophysiology & dissociative characteristics.Psychiatry Res. 2020; 294113544
Published online: March 26, 2023
Accepted: March 14, 2023
Received: March 13, 2023
© 2023 Elsevier Inc. All rights reserved.
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- Sense of control, selective attention, cognitive inhibition, and psychosocial outcomes after Retraining and Control Therapy (ReACT) in pediatric functional seizuresEpilepsy & BehaviorVol. 142
- PreviewFunctional seizures (FS, also known as psychogenic nonepileptic seizures or PNES) are a type of functional neurological disorder (FND) characterized by seizure-like events without epileptiform changes in the brain. Functional seizures affect approximately 400,000 children in the United States . While abuse and psychiatric illnesses are well-known risk factors for adult FS, research suggests these relationships are not as common in children [2–6]. Further, even in adults, treatment of comorbid psychiatric symptoms alone does not alleviate FS [7,8].