Psychogenic nonepileptic seizures in Latin America: A survey describing current practices / Lady Diana Ladino Malagón  

Público ISBD Título : Psychogenic nonepileptic seizures in Latin America: A survey describing current practices Tipo de documento : documento electrónico Autores : Lady Diana Ladino Malagón, Fecha de publicación : 2021 Títulos uniformes : Epilepsy & Behavior Idioma : Inglés (eng) Palabras clave : Diagnosis  Barriers  Health services  Nonepileptic seizures  Psychotherapy  Treatment Resumen : Objective: Psychogenic nonepileptic seizures (PNES) are one of the most common differential diagnoses of epilepsy. This study provides an overview of diagnostic and treatment services for patients with PNES across Latin America. Methods: In 2017–2018, clinicians practicing in Latin America with responsibilities for patients with PNES were contacted to respond to a survey regarding the management of this disorder developed by the International League Against Epilepsy (ILAE) PNES Task Force. Results: Three hundred and sixty responses from 17 Latin American countries were analyzed. Most respondents were neurologists (81%) under 40 years of age (61%). Fifty-seven percent of professionals stated that they personally diagnose PNES, but only 33% stated that they provide follow-up, and only 20% that they recommend treatment. Many participants (54%) characterized themselves as either unfamiliar with the diagnosis or inexperienced in arranging treatment. Most respondents reported having access to brain magnetic resonance imaging (MRI; 88%) and routine electroencephalogram (EEG; 71%), 64% have the access to video-EEG longer than 8 h, and 54% of professionals performed video-EEG to confirm PNES diagnoses. Although cognitive–behavioral therapy was recognized as the treatment of choice (by 82% of respondents), there was little access to it (60%). In contrast, a high proportion of respondents reported using antidepressant (67%), antiseizure (57%), and antipsychotic medications (54%) as treatments for PNES. Significance: This study reveals several deficiencies in the diagnosis and treatment of patients with PNES in Latin America. The barriers are reinforced by lack of knowledge among the specialists and poor healthcare system support. There is inadequate access to prolonged video-EEG and psychotherapy. An inappropriate use of antiseizure medicines seems commonplace, and there are low follow-up rates by neurologists after the diagnosis. Multidisciplinary guidelines are required to improve the approach of patients with PNES. Mención de responsabilidad : Lady Diana Ladino, Vanessa Benjumea-Cuartas, Yamile Calle-López, Juan Pablo Orozco-Hernández, Diana Marcela Castrillón-Velilla, Reydmar López-González, Anilu Daza-Restrepo, Mario Alberto Genel Castillo, Markus Reuber, Alyssa Denton, José F Tellez-Zenteno Referencia : Epilepsy Behav. 2021 Jan;114(Pt A):107150. DOI (Digital Object Identifier) : 10.1016/j.yebeh.2020.107150 PMID : 32507294 En línea : https://linkinghub.elsevier.com/retrieve/pii/S1525505020303292 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5117 Psychogenic nonepileptic seizures in Latin America: A survey describing current practices [documento electrónico] / Lady Diana Ladino Malagón,  . - 2021. Obra : Epilepsy & Behavior Idioma : Inglés (eng) Palabras clave : Diagnosis  Barriers  Health services  Nonepileptic seizures  Psychotherapy  Treatment Resumen : Objective: Psychogenic nonepileptic seizures (PNES) are one of the most common differential diagnoses of epilepsy. This study provides an overview of diagnostic and treatment services for patients with PNES across Latin America. Methods: In 2017–2018, clinicians practicing in Latin America with responsibilities for patients with PNES were contacted to respond to a survey regarding the management of this disorder developed by the International League Against Epilepsy (ILAE) PNES Task Force. Results: Three hundred and sixty responses from 17 Latin American countries were analyzed. Most respondents were neurologists (81%) under 40 years of age (61%). Fifty-seven percent of professionals stated that they personally diagnose PNES, but only 33% stated that they provide follow-up, and only 20% that they recommend treatment. Many participants (54%) characterized themselves as either unfamiliar with the diagnosis or inexperienced in arranging treatment. Most respondents reported having access to brain magnetic resonance imaging (MRI; 88%) and routine electroencephalogram (EEG; 71%), 64% have the access to video-EEG longer than 8 h, and 54% of professionals performed video-EEG to confirm PNES diagnoses. Although cognitive–behavioral therapy was recognized as the treatment of choice (by 82% of respondents), there was little access to it (60%). In contrast, a high proportion of respondents reported using antidepressant (67%), antiseizure (57%), and antipsychotic medications (54%) as treatments for PNES. Significance: This study reveals several deficiencies in the diagnosis and treatment of patients with PNES in Latin America. The barriers are reinforced by lack of knowledge among the specialists and poor healthcare system support. There is inadequate access to prolonged video-EEG and psychotherapy. An inappropriate use of antiseizure medicines seems commonplace, and there are low follow-up rates by neurologists after the diagnosis. Multidisciplinary guidelines are required to improve the approach of patients with PNES. Mención de responsabilidad : Lady Diana Ladino, Vanessa Benjumea-Cuartas, Yamile Calle-López, Juan Pablo Orozco-Hernández, Diana Marcela Castrillón-Velilla, Reydmar López-González, Anilu Daza-Restrepo, Mario Alberto Genel Castillo, Markus Reuber, Alyssa Denton, José F Tellez-Zenteno Referencia : Epilepsy Behav. 2021 Jan;114(Pt A):107150. DOI (Digital Object Identifier) : 10.1016/j.yebeh.2020.107150 PMID : 32507294 En línea : https://linkinghub.elsevier.com/retrieve/pii/S1525505020303292 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5117

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Use of suggestive seizure manipulation methods in the investigation of patients with possible psychogenic nonepileptic seizures—An international ILAE survey / Lady Diana Ladino Malagón    

Público ISBD Título : Use of suggestive seizure manipulation methods in the investigation of patients with possible psychogenic nonepileptic seizures—An international ILAE survey Tipo de documento : documento electrónico Autores : Lady Diana Ladino Malagón, Fecha de publicación : 2021 Títulos uniformes : Epilepsia Open Idioma : Inglés (eng) Palabras clave : Psychogenic nonepileptic seizures (PNES)  dissociative seizures  provocation methods  activation procedures  electroencephalography  suggestion  diagnosis Resumen : Video-encephalographic (vEEG) seizure recordings make essential contributions to the differentiation of epilepsy and psychogenic nonepileptic seizures (PNES). The yield of vEEG examinations can be increased through suggestive seizure manipulation (SSM) (ie, activation/provocation/cessation procedures), but its use has raised ethical concerns. In preparation for guidelines on the investigation of patients with PNES, the ILAE PNES Task Force carried out an international survey to investigate practices of and opinions about SSM. An online questionnaire was developed by the ILAE PNES Task Force. Questions were asked at clinical unit or individual respondent level. All ILAE chapters were encouraged to send questionnaires to their members. The survey was open from July 1, 2019, to August 31, 2019. A total of 487 clinicians from 411 units across 94 countries responded. Some form of SSM was used in 296/411 units (72.0%). Over 90% reported the use of verbal suggestion, over 80% the use of activation procedures also capable of eliciting epileptic activity (hyperventilation or photic stimulation). Only 26.3% of units used techniques specifically intended to provoke PNES (eg, saline injection). Fewer than 10% of units had established protocols for SSM, only 20% of units required written patient consent, in 12.2% of units patients received explicitly false information to provoke seizures. Clinicians using SSM tended to perceive no ethical problems, whereas those not using SSM were likely to have ethical concerns about these methods. We conclude that the use of invasive nocebo techniques intended to provoke PNES in diagnostic settings has declined, but SSM is commonly combined with activation procedures also capable of eliciting epileptic activity. While research suggests that openness about the use of PNES-specific nocebo techniques does not reduce diagnostic yield, very few units have suggestion protocols or seek patient consent. This could be addressed through establishing consensus guidance for the practice of SSM. Mención de responsabilidad : Adrien Gras, Alistair Wardrope, Edouard Hirsch, Ali A Asadi Pooya, Rod Duncan, David Gigineishvili, Coraline Hingray, Kousuke Kanemoto, Lady Ladino, William Curt LaFrance, Aileen McGonigal, Chrisma Pretorius, Paola Valenti Hirsch, Pierre Vidailhet, Dong Zhou, Markus Reuber Referencia : Epilepsia Open. 2021 Sep;6(3):472-482. DOI (Digital Object Identifier) : 10.1002/epi4.12521 PMID : 34288577 Derechos de uso : CC BY En línea : https://onlinelibrary.wiley.com/doi/full/10.1002/epi4.12521 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5811 Use of suggestive seizure manipulation methods in the investigation of patients with possible psychogenic nonepileptic seizures—An international ILAE survey [documento electrónico] / Lady Diana Ladino Malagón,  . - 2021. Obra : Epilepsia Open Idioma : Inglés (eng) Palabras clave : Psychogenic nonepileptic seizures (PNES)  dissociative seizures  provocation methods  activation procedures  electroencephalography  suggestion  diagnosis Resumen : Video-encephalographic (vEEG) seizure recordings make essential contributions to the differentiation of epilepsy and psychogenic nonepileptic seizures (PNES). The yield of vEEG examinations can be increased through suggestive seizure manipulation (SSM) (ie, activation/provocation/cessation procedures), but its use has raised ethical concerns. In preparation for guidelines on the investigation of patients with PNES, the ILAE PNES Task Force carried out an international survey to investigate practices of and opinions about SSM. An online questionnaire was developed by the ILAE PNES Task Force. Questions were asked at clinical unit or individual respondent level. All ILAE chapters were encouraged to send questionnaires to their members. The survey was open from July 1, 2019, to August 31, 2019. A total of 487 clinicians from 411 units across 94 countries responded. Some form of SSM was used in 296/411 units (72.0%). Over 90% reported the use of verbal suggestion, over 80% the use of activation procedures also capable of eliciting epileptic activity (hyperventilation or photic stimulation). Only 26.3% of units used techniques specifically intended to provoke PNES (eg, saline injection). Fewer than 10% of units had established protocols for SSM, only 20% of units required written patient consent, in 12.2% of units patients received explicitly false information to provoke seizures. Clinicians using SSM tended to perceive no ethical problems, whereas those not using SSM were likely to have ethical concerns about these methods. We conclude that the use of invasive nocebo techniques intended to provoke PNES in diagnostic settings has declined, but SSM is commonly combined with activation procedures also capable of eliciting epileptic activity. While research suggests that openness about the use of PNES-specific nocebo techniques does not reduce diagnostic yield, very few units have suggestion protocols or seek patient consent. This could be addressed through establishing consensus guidance for the practice of SSM. Mención de responsabilidad : Adrien Gras, Alistair Wardrope, Edouard Hirsch, Ali A Asadi Pooya, Rod Duncan, David Gigineishvili, Coraline Hingray, Kousuke Kanemoto, Lady Ladino, William Curt LaFrance, Aileen McGonigal, Chrisma Pretorius, Paola Valenti Hirsch, Pierre Vidailhet, Dong Zhou, Markus Reuber Referencia : Epilepsia Open. 2021 Sep;6(3):472-482. DOI (Digital Object Identifier) : 10.1002/epi4.12521 PMID : 34288577 Derechos de uso : CC BY En línea : https://onlinelibrary.wiley.com/doi/full/10.1002/epi4.12521 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5811

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Art and psychogenic nonepileptic seizures / Lady Diana Ladino Malagón  

Público ISBD Título : Art and psychogenic nonepileptic seizures Tipo de documento : documento electrónico Autores : Lady Diana Ladino Malagón, Fecha de publicación : 2020 Títulos uniformes : Epilepsy & Behavior Idioma : Inglés (eng) Palabras clave : Psychogenic nonepileptic seizures  Epilepsy  Art  Opisthotonos  Charcot Resumen : Psychogenic nonepileptic seizures (PNES) are episodes of seizure-like symptoms that are not associated with epileptiform discharges on electroencephalogram (EEG). They can be remarkably difficult to distinguish from epileptic seizures: both may involve alterations in mental status and behavior, sensory or perceptual disturbances, as well as simple or complex motor patterns. Pictorial expressions of PNES have always attracted attention from the lay public and medical practitioners alike, by showing the rich variety of semiologies seen in the condition and its differences with epileptic seizures. In this article, we present two new contemporary artistic descriptions by the Canadian artist Iris Hauser about PNES. The depictions highlight key signs seen in PNES such as “eyes closed during events”, “the hyperextension of the back and limbs”, and the “claw-like finger posturing”. We believe that the drawings can provide a valuable educational component in the initial assessment of patients suspected of having PNES as a training tool to identify and refer patients for more advanced testing. Mención de responsabilidad : Lady Diana Ladino, Yamile Calle-López, Alexandra Carter, José Francisco Tellez-Zenteno Referencia : Epilepsy Behav. 2020 Nov;112:107344. DOI (Digital Object Identifier) : 10.1016/j.yebeh.2020.107344 PMID : 32759027 En línea : https://linkinghub.elsevier.com/retrieve/pii/S1525505020305230 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5122 Art and psychogenic nonepileptic seizures [documento electrónico] / Lady Diana Ladino Malagón,  . - 2020. Obra : Epilepsy & Behavior Idioma : Inglés (eng) Palabras clave : Psychogenic nonepileptic seizures  Epilepsy  Art  Opisthotonos  Charcot Resumen : Psychogenic nonepileptic seizures (PNES) are episodes of seizure-like symptoms that are not associated with epileptiform discharges on electroencephalogram (EEG). They can be remarkably difficult to distinguish from epileptic seizures: both may involve alterations in mental status and behavior, sensory or perceptual disturbances, as well as simple or complex motor patterns. Pictorial expressions of PNES have always attracted attention from the lay public and medical practitioners alike, by showing the rich variety of semiologies seen in the condition and its differences with epileptic seizures. In this article, we present two new contemporary artistic descriptions by the Canadian artist Iris Hauser about PNES. The depictions highlight key signs seen in PNES such as “eyes closed during events”, “the hyperextension of the back and limbs”, and the “claw-like finger posturing”. We believe that the drawings can provide a valuable educational component in the initial assessment of patients suspected of having PNES as a training tool to identify and refer patients for more advanced testing. Mención de responsabilidad : Lady Diana Ladino, Yamile Calle-López, Alexandra Carter, José Francisco Tellez-Zenteno Referencia : Epilepsy Behav. 2020 Nov;112:107344. DOI (Digital Object Identifier) : 10.1016/j.yebeh.2020.107344 PMID : 32759027 En línea : https://linkinghub.elsevier.com/retrieve/pii/S1525505020305230 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5122

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El ejercicio como estrategia terapeútica en la epilepsia: revisión bibliográfica / Lady Diana Ladino Malagón  

Público ISBD Título : El ejercicio como estrategia terapeútica en la epilepsia: revisión bibliográfica Otros títulos : Exercise as a therapeutic strategy in epilepsy: a literature review Tipo de documento : documento electrónico Autores : Lady Diana Ladino Malagón, Fecha de publicación : 2020 Títulos uniformes : Revista de Neurología Idioma : Español (spa) Palabras clave : Actividad física  Barreras  Deportes  Ejercicio físico  Epilepsia  Obesidad Resumen : Introducción. La epilepsia es una enfermedad neurológica común con consecuencias emocionales y físicas significativas. Hasta el 30% de los pacientes son refractarios a los fármacos antiepilépticos, por lo que se han planteado terapias no farmacológicas coadyuvantes, como la actividad física. Objetivo. Realizar una búsqueda en la bibliografía sobre actividad física en personas con epilepsia, con el fi n de evaluar los beneficios, los posibles efectos secundarios, los efectos en las comorbilidades, la clasificación de los deportes con respecto al riesgo y las barreras existentes para su práctica. Desarrollo. Múltiples modelos en animales y en humanos evalúan los beneficios del ejercicio en la epilepsia, explicados por efectos en neurotransmisores, hormonas y factores neurotróficos; además, demuestran efectos positivos en comorbilidades como la obesidad, las enfermedades cardiovasculares, la depresión y la osteoporosis. A pesar de ser una práctica que ha mostrado ser segura, las personas con epilepsia son menos activas físicamente debido a barreras que limitan su práctica. Conclusiones. La actividad física es beneficiosa y segura para las personas con epilepsia. La bibliografía sugiere un mejor control de las crisis epilépticas, además de beneficios psicosociales y sobre las comorbilidades. Hay un bajo riesgo de lesiones asociadas con esta práctica. Debería promoverse después de una evaluación clínica cuidadosa, considerando la probabilidad de crisis convulsivas, el control de crisis en el último año, posibles factores precipitantes y, finalmente, el deporte que se va a practicar, con el fin de calcular el riesgo de muerte o lesión en caso de ocurrir una crisis convulsiva. Mención de responsabilidad : Y. Cartagena, D.C. Cardona-Gallón, S.P. Isaza, L.D. Ladino Referencia : Rev Neurol ; 71(1): 31-37, 2020 Jul 01. DOI (Digital Object Identifier) : 10.33588/rn.7101.2020028 En línea : https://www.neurologia.com/articulo/2020028 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5094 El ejercicio como estrategia terapeútica en la epilepsia: revisión bibliográfica = Exercise as a therapeutic strategy in epilepsy: a literature review [documento electrónico] / Lady Diana Ladino Malagón,  . - 2020. Obra : Revista de Neurología Idioma : Español (spa) Palabras clave : Actividad física  Barreras  Deportes  Ejercicio físico  Epilepsia  Obesidad Resumen : Introducción. La epilepsia es una enfermedad neurológica común con consecuencias emocionales y físicas significativas. Hasta el 30% de los pacientes son refractarios a los fármacos antiepilépticos, por lo que se han planteado terapias no farmacológicas coadyuvantes, como la actividad física. Objetivo. Realizar una búsqueda en la bibliografía sobre actividad física en personas con epilepsia, con el fi n de evaluar los beneficios, los posibles efectos secundarios, los efectos en las comorbilidades, la clasificación de los deportes con respecto al riesgo y las barreras existentes para su práctica. Desarrollo. Múltiples modelos en animales y en humanos evalúan los beneficios del ejercicio en la epilepsia, explicados por efectos en neurotransmisores, hormonas y factores neurotróficos; además, demuestran efectos positivos en comorbilidades como la obesidad, las enfermedades cardiovasculares, la depresión y la osteoporosis. A pesar de ser una práctica que ha mostrado ser segura, las personas con epilepsia son menos activas físicamente debido a barreras que limitan su práctica. Conclusiones. La actividad física es beneficiosa y segura para las personas con epilepsia. La bibliografía sugiere un mejor control de las crisis epilépticas, además de beneficios psicosociales y sobre las comorbilidades. Hay un bajo riesgo de lesiones asociadas con esta práctica. Debería promoverse después de una evaluación clínica cuidadosa, considerando la probabilidad de crisis convulsivas, el control de crisis en el último año, posibles factores precipitantes y, finalmente, el deporte que se va a practicar, con el fin de calcular el riesgo de muerte o lesión en caso de ocurrir una crisis convulsiva. Mención de responsabilidad : Y. Cartagena, D.C. Cardona-Gallón, S.P. Isaza, L.D. Ladino Referencia : Rev Neurol ; 71(1): 31-37, 2020 Jul 01. DOI (Digital Object Identifier) : 10.33588/rn.7101.2020028 En línea : https://www.neurologia.com/articulo/2020028 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5094

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The use of cannabis as a treatment for epilepsy in adult patients: are side effects a limitation of use? / Lady Diana Ladino Malagón  

Público ISBD Título : The use of cannabis as a treatment for epilepsy in adult patients: are side effects a limitation of use? Tipo de documento : documento electrónico Autores : Lady Diana Ladino Malagón, Fecha de publicación : 2020 Títulos uniformes : Journal of Clinical Neurophysiology Idioma : Inglés (eng) Palabras clave : Cannabis  CBD  Epilepsy  Treatment  Adults Resumen : Marijuana is the dried leaves, stems, and flowers of a 1- to 5-m weed originating from Central Asia. The most common varieties are Cannabis sativa and Cannabis indica. It is usually inhaled as smoke but can also be used as a vapor, taken by mouth as a spray, ingested in tea or as butter in baked goods, or in capsule form and used as an oil. Cannabis has been widely used to treat many medical conditions such as multiple sclerosis symptoms, mood disorders, pain, sleep disorders, and seizures among others. Preclinical and clinical studies have been done over the past decade, among them there are few randomized placebo-controlled trials. In the last few years, Cannabis has been proposed as a potential therapy for patients with drug-resistant epilepsy. This review analyzes the best information about the use of cannabis in adult patients, reviewing aspects of efficacy and safety. Mención de responsabilidad : Jose F Téllez-Zenteno, Lady D Ladino, Lizbeth Hernández-Ronquillo Referencia : J Clin Neurophysiol. 2020;37(1):9–14. DOI (Digital Object Identifier) : 10.1097/WNP.0000000000000637 PMID : 31895185 En línea : https://journals.lww.com/clinicalneurophys/Abstract/2020/01000/The_Use_of_Cannab [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5075 The use of cannabis as a treatment for epilepsy in adult patients: are side effects a limitation of use? [documento electrónico] / Lady Diana Ladino Malagón,  . - 2020. Obra : Journal of Clinical Neurophysiology Idioma : Inglés (eng) Palabras clave : Cannabis  CBD  Epilepsy  Treatment  Adults Resumen : Marijuana is the dried leaves, stems, and flowers of a 1- to 5-m weed originating from Central Asia. The most common varieties are Cannabis sativa and Cannabis indica. It is usually inhaled as smoke but can also be used as a vapor, taken by mouth as a spray, ingested in tea or as butter in baked goods, or in capsule form and used as an oil. Cannabis has been widely used to treat many medical conditions such as multiple sclerosis symptoms, mood disorders, pain, sleep disorders, and seizures among others. Preclinical and clinical studies have been done over the past decade, among them there are few randomized placebo-controlled trials. In the last few years, Cannabis has been proposed as a potential therapy for patients with drug-resistant epilepsy. This review analyzes the best information about the use of cannabis in adult patients, reviewing aspects of efficacy and safety. Mención de responsabilidad : Jose F Téllez-Zenteno, Lady D Ladino, Lizbeth Hernández-Ronquillo Referencia : J Clin Neurophysiol. 2020;37(1):9–14. DOI (Digital Object Identifier) : 10.1097/WNP.0000000000000637 PMID : 31895185 En línea : https://journals.lww.com/clinicalneurophys/Abstract/2020/01000/The_Use_of_Cannab [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5075

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Validation of the Status epilepticus severity score (STESS) at high-complexity hospitals in Medellín, Colombia / Lady Diana Ladino Malagón  

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Deep Brain Stimulation and Drug-Resistant Epilepsy: A Review of the Literature / Lady Diana Ladino Malagón    

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Forced normalization after turning off vagus nerve stimulation in Lennox-Gastaut syndrome / Lady Diana Ladino Malagón    

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Forced normalization: A systematic review / Lady Diana Ladino Malagón  

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Risk factors associated with drug resistant focal epilepsy in adults: A case control study / Lady Diana Ladino Malagón  

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Tratamiento del estado epiléptico, consenso de expertos. Asociación Colombiana de Neurología, Comité de Epilepsia / Lady Diana Ladino Malagón    

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Efficacy of lacosamide in children and adolescents with drug-resistant epilepsy and refractory status epilepticus: A systematic review / Lady Diana Ladino Malagón  

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Epilepsy for primary health care: a cost-effective Latin American E-learning initiative. A report from the Education Commission of the International League Against Epilepsy / Lady Diana Ladino Malagón  

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Epilepsy, Physical Activity and Sports: A Narrative Review / Lady Diana Ladino Malagón  

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Experience of psychogenic nonepileptic seizures in the Canadian league against epilepsy: A survey describing current practices by neurologists and epileptologists / Lady Diana Ladino Malagón  

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