Factors affecting long-term prognosis in adult patients with psychogenic non-epileptic seizures

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dc.contributor.authorTurksever, Meliha
dc.contributor.authorGuldiken, Baburhan
dc.contributor.authorOzkan, Hulya
dc.contributor.authorCakar, Merve Melodi
dc.date.accessioned2024-06-12T11:13:06Z
dc.date.available2024-06-12T11:13:06Z
dc.date.issued2024
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground and purpose - Among epileptic patients who are monitored using the video-electroencephalography monitoring (VEM) technique, in some patients a psychogenic non-epileptic seizure (PNES) can be identified as a definitive diagnosis. The long-term prognosis of these patients is not well known. In this study, we aimed to determine the factors that affect the prognosis of PNES. Methods - Forty-one PNES patients diagnosed using VEM between 2012 and 2022 were questioned about their PNES frequencies in the last 12 months. According to their semiological characteristics, PNES types were divided into motor and non-motor seizures. The effects of clinical characteristics (e.g. age, gender, marital status, education level and PNES type) on the prognoses were identified. Results - Twenty-one PNES patients (51.2%) had long-term seizure freedom after VEM. Thirteen of them (31.7%) entered the seizure-free period immediately after VEM, and the other eight (19.5%) continued suffering from PNES for several years and became seizure free in the last 12 months. In the poor-prognosis group, female cases showed worse prognoses than male cases. The prognoses of motor and non-motor PNES types did not show significant differences. Conclusion - This study showed that 51.2% of the PNES patients examined had long-term seizure freedom and that female patients had worse prognoses than male patients.en_US
dc.identifier.doi10.18071/isz.77.0021
dc.identifier.endpage26en_US
dc.identifier.issn0019-1442
dc.identifier.issn2498-6208
dc.identifier.issue1-2en_US
dc.identifier.pmid38321857en_US
dc.identifier.scopus2-s2.0-85184540995en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage21en_US
dc.identifier.urihttps://doi.org/10.18071/isz.77.0021
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23418
dc.identifier.volume77en_US
dc.identifier.wosWOS:001190359900003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLiteratura Medicaen_US
dc.relation.ispartofIdeggyogyaszati Szemle-Clinical Neuroscienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPsychogenic Non-Epileptic Seizuresen_US
dc.subjectLong-Term Prognosisen_US
dc.subjectVideo-EEG Monitoringen_US
dc.subjectEpilepsyen_US
dc.subjectVideo-Eegen_US
dc.subjectFollow-Upen_US
dc.subjectPredictorsen_US
dc.subjectDiagnosisen_US
dc.subjectRemissionen_US
dc.subjectOutcomesen_US
dc.subjectChildrenen_US
dc.subjectPnesen_US
dc.titleFactors affecting long-term prognosis in adult patients with psychogenic non-epileptic seizuresen_US
dc.typeArticleen_US

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