BIOMAT Database Logo BIOMAT Database Logo

Pitfalls in diagnosing psychogenic nonepileptic seizures in a sexually abused child. 2011

Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Department of Pediatrics and Child Health, Kurume University School of Medicine, Japan. kaoru@med.kurume-u.ac.jp

A six-year-old girl living in a residential care facility because of previous sexual abuse at home showed intractable seizures with epileptic discharges on interictal EEG. The features of the attacks were sudden impaired consciousness, only in daytime while eating, studying, and walking, with no motor acts and continuing for several minutes to one hour. She could not recall the attacks, and anticonvulsants showed no effects. She gradually became irritated and antisocial, exhibiting impulsive and hyperactive behavior. Interictal EEG repeatedly showed diffuse irregular spikes and wave complexes. The attacks continued sporadically for more than two years and ceased after disclosure of repeated sexual abuse by a boy at the residential care facility. In this case, delayed diagnosis of psychogenic nonepileptic seizures was associated with diagnostic difficulty of dissociative symptoms in a child, the presence of epileptiform EEG in an abused child, and undetected sexual abuse in a residential care facility, the potential for which pediatric neurologists should be aware. These pitfalls are discussed in the context of previous related literature.

UI MeSH Term Description Entries
D008297 Male Males
D011602 Psychophysiologic Disorders A group of disorders characterized by physical symptoms that are affected by emotional factors and involve a single organ system, usually under AUTONOMIC NERVOUS SYSTEM control. (American Psychiatric Glossary, 1988) Psychosomatic Disorders,Psychophysiological Disorders,Psychophysiologic Disorder,Psychophysiological Disorder,Psychosomatic Disorder
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002650 Child Abuse, Sexual Sexual maltreatment of the child or minor. Child Molestation,Child Molestation, Sexual,Molestation, Sexual, Child,Sexual Abuse of Child,Sexual Abuse, Child,Abuse, Child Sexual,Child Sexual Abuse,Molestation, Child,Sexual Child Abuse,Sexual Child Molestation
D004569 Electroencephalography Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain. EEG,Electroencephalogram,Electroencephalograms
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012640 Seizures Clinical or subclinical disturbances of cortical function due to a sudden, abnormal, excessive, and disorganized discharge of brain cells. Clinical manifestations include abnormal motor, sensory and psychic phenomena. Recurrent seizures are usually referred to as EPILEPSY or "seizure disorder." Absence Seizure,Absence Seizures,Atonic Absence Seizure,Atonic Seizure,Clonic Seizure,Complex Partial Seizure,Convulsion,Convulsions,Convulsive Seizure,Convulsive Seizures,Epileptic Seizure,Epileptic Seizures,Generalized Absence Seizure,Generalized Tonic-Clonic Seizures,Jacksonian Seizure,Myoclonic Seizure,Non-Epileptic Seizure,Nonepileptic Seizure,Partial Seizure,Seizure,Seizures, Convulsive,Seizures, Focal,Seizures, Generalized,Seizures, Motor,Seizures, Sensory,Tonic Clonic Seizure,Tonic Seizure,Tonic-Clonic Seizure,Atonic Absence Seizures,Atonic Seizures,Clonic Seizures,Complex Partial Seizures,Convulsion, Non-Epileptic,Generalized Absence Seizures,Myoclonic Seizures,Non-Epileptic Seizures,Nonepileptic Seizures,Partial Seizures,Petit Mal Convulsion,Seizures, Auditory,Seizures, Clonic,Seizures, Epileptic,Seizures, Gustatory,Seizures, Olfactory,Seizures, Somatosensory,Seizures, Tonic,Seizures, Tonic-Clonic,Seizures, Vertiginous,Seizures, Vestibular,Seizures, Visual,Single Seizure,Tonic Seizures,Tonic-Clonic Seizures,Absence Seizure, Atonic,Absence Seizure, Generalized,Absence Seizures, Atonic,Absence Seizures, Generalized,Auditory Seizure,Auditory Seizures,Clonic Seizure, Tonic,Clonic Seizures, Tonic,Convulsion, Non Epileptic,Convulsion, Petit Mal,Convulsions, Non-Epileptic,Focal Seizure,Focal Seizures,Generalized Seizure,Generalized Seizures,Generalized Tonic Clonic Seizures,Generalized Tonic-Clonic Seizure,Gustatory Seizure,Gustatory Seizures,Motor Seizure,Motor Seizures,Non Epileptic Seizure,Non Epileptic Seizures,Non-Epileptic Convulsion,Non-Epileptic Convulsions,Olfactory Seizure,Olfactory Seizures,Partial Seizure, Complex,Partial Seizures, Complex,Seizure, Absence,Seizure, Atonic,Seizure, Atonic Absence,Seizure, Auditory,Seizure, Clonic,Seizure, Complex Partial,Seizure, Convulsive,Seizure, Epileptic,Seizure, Focal,Seizure, Generalized,Seizure, Generalized Absence,Seizure, Generalized Tonic-Clonic,Seizure, Gustatory,Seizure, Jacksonian,Seizure, Motor,Seizure, Myoclonic,Seizure, Non-Epileptic,Seizure, Nonepileptic,Seizure, Olfactory,Seizure, Partial,Seizure, Sensory,Seizure, Single,Seizure, Somatosensory,Seizure, Tonic,Seizure, Tonic Clonic,Seizure, Tonic-Clonic,Seizure, Vertiginous,Seizure, Vestibular,Seizure, Visual,Seizures, Generalized Tonic-Clonic,Seizures, Nonepileptic,Sensory Seizure,Sensory Seizures,Single Seizures,Somatosensory Seizure,Somatosensory Seizures,Tonic Clonic Seizures,Tonic-Clonic Seizure, Generalized,Tonic-Clonic Seizures, Generalized,Vertiginous Seizure,Vertiginous Seizures,Vestibular Seizure,Vestibular Seizures,Visual Seizure,Visual Seizures

Related Publications

Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Psychogenic (nonepileptic) seizures.
July 2006, Seminars in neurology,
Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Psychogenic nonepileptic seizures.
May 1996, Mayo Clinic proceedings,
Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Psychogenic nonepileptic seizures.
April 2008, Current opinion in neurology,
Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Psychogenic nonepileptic seizures.
September 2011, Epilepsy & behavior : E&B,
Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Psychogenic nonepileptic seizures.
January 2012, Handbook of clinical neurology,
Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Psychogenic nonepileptic seizures.
March 2007, American journal of electroneurodiagnostic technology,
Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Psychogenic nonepileptic seizures.
January 2013, Handbook of clinical neurology,
Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Psychogenic nonepileptic seizures.
September 2005, American family physician,
Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Psychogenic nonepileptic seizures.
November 2013, Innovations in clinical neuroscience,
Shinichiro Nagamitsu, and Yushiro Yamashita, and Takashi Ohya, and Ikuhiko Shibuya, and Hiroko Komatsu, and Michiko Matsuoka, and Shuichi Ohzono, and Toyojiro Matsuishi
Psychogenic nonepileptic seizures.
December 2007, Neuropsychology review,
Copied contents to your clipboard!