000			02225nam a22002417a 4500
999			_c7945 _d7945
001			4995
003			PILC
005			20240720152606.0
008			160505b2010 xxu||||| |||| 00| 0 eng d
040			_cFEU-NRMF MEDICAL LIBRARY
041			_aEnglish
050			_aRES OB-GYNE 2010 0006
100			_aPromentilla, Sheryll Anne M., M.D.
245			_a"Jerking Mom " Epilepsy vs Psychogenic Non-Epileptic Seizure in Pregnancy
264		0	_c2010
336			_aText
337			_aUnmediated
338			_aVolume
502			_bMEDICINE _gResearch project
520			_aEpilepsy is a recurrent seizure disorder caused by abnormal electrical discharges from brain cells, often in the cerebral cortex. It is not a distinct disease, it is a group of disorders for which recurrent seizures are the main symptom. Different forms of epilepsy are either secondary to a particular brain abnormally or neurological disorder, or are said to be "idiopathic" without any clear cause. On the other hand, Psychogenic nonepileptic (PNES) or pseudoseizures are paroxysmal episodes that resemble and often misdiagnosed as seizure disorder, however, PNES are psychological in origin. Physical and neurological findings are usually normal. Psychological features suggestive of psychogenic episodes include anxiety, depression, inappropriate affect, multiple and vague somatic complaints suggestive of somatization disorder, and abnormal interaction with family members. In this particular case, psychogenic non-epileptic seizures was considered, since this patient ahd previous history of anxiety and depression during her first pregnancy which was terminated due to Abruptio Placenta. On her hospital stay, several seizures attacks were noted however, inconsistencies were noticed. Most of the attacks were precipitated by the presence of an audience, she is unresponsive to a few anti-epileptic drugs, it is usually caused by specific emotional triggers such as stress or when she is upset, and lastly some attacks were associated with chronic back pain she experienced during her present pregnancy. These factors were all related clinically in the diagnosis of Pychogenic Non-epileptic seizure.
887			_aRES RC0021
942			_2lcc _cRE