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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_dis 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_dis

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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  

Público ISBD Título : Experience of psychogenic nonepileptic seizures in the Canadian league against epilepsy: A survey describing current practices by neurologists and epileptologists Tipo de documento : documento electrónico Autores : Lady Diana Ladino Malagón, Fecha de publicación : 2018 Títulos uniformes : Seizure Idioma : Inglés (eng) Palabras clave : Conversion disorder  Functional seizures  Nonepileptic attacks  Pseudoseizures  Psychotherapy Resumen : Purpose: Psychogenic nonepileptic seizures (PNES) are one of the most common differential diagnoses of epilepsy. Our objective is to describe current medical care in Canada and identify patterns of practice and service gaps. Methods: In 2015, a 36-question survey was sent via email to the 131 members of the Canadian League Against Epilepsy. The questions were designed after literature review and discussion with the ILAE PNES Task Force. Questions were separated into 5 sections: 1) the role of the respondent and their exposure to PNES, 2) diagnostic methods, 3) management of PNES, 4) etiological factors, and 5) problems accessing health care. Results: Sixty-two questionnaires were analyzed (response rate: 47%). Most respondents were epileptologists (76%). The majority of respondents personally diagnosed PNES and communicated the diagnosis to the patient, but only 55% provided follow-up within their practice and only 50% recommended or arranged treatment. Many (35%) were either unfamiliar with the diagnosis of PNES or inexperienced in arranging or offering treatment. Most (79%) provided follow-up to patients with concomitant epilepsy, but when PNES was the sole diagnosis follow-up rates were low. Although 84% of respondents felt that individualized psychological therapy was the most effective treatment, 40% of patients were not referred to psychotherapy and in most cases availability such therapy was low (30–60%). Conclusions: Canadian health professionals’ understanding of PNES mostly reflects current international expert opinion. Once diagnosis is made however, the majority of patients are discharged from neurological services without appropriate psychological care. Mención de responsabilidad : Alexandra Carter, Alyssa Denton, Lady D Ladino, Islam Hassan, Tyson Sawchuk, Thomas Snyder, Mirna Vrbancic, Markus Reuber, Richard Huntsman, Jose F Tellez-Zenteno, PNES Canada Group Referencia : Seizure. 2018 Oct;61:227-233. DOI (Digital Object Identifier) : 10.1016/j.seizure.2018.08.025 PMID : 30227342 En línea : https://linkinghub.elsevier.com/retrieve/pii/S1059-1311(18)30315-7 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Experience of psychogenic nonepileptic seizures in the Canadian league against epilepsy: A survey describing current practices by neurologists and epileptologists [documento electrónico] / Lady Diana Ladino Malagón,  . - 2018. Obra : Seizure Idioma : Inglés (eng) Palabras clave : Conversion disorder  Functional seizures  Nonepileptic attacks  Pseudoseizures  Psychotherapy Resumen : Purpose: Psychogenic nonepileptic seizures (PNES) are one of the most common differential diagnoses of epilepsy. Our objective is to describe current medical care in Canada and identify patterns of practice and service gaps. Methods: In 2015, a 36-question survey was sent via email to the 131 members of the Canadian League Against Epilepsy. The questions were designed after literature review and discussion with the ILAE PNES Task Force. Questions were separated into 5 sections: 1) the role of the respondent and their exposure to PNES, 2) diagnostic methods, 3) management of PNES, 4) etiological factors, and 5) problems accessing health care. Results: Sixty-two questionnaires were analyzed (response rate: 47%). Most respondents were epileptologists (76%). The majority of respondents personally diagnosed PNES and communicated the diagnosis to the patient, but only 55% provided follow-up within their practice and only 50% recommended or arranged treatment. Many (35%) were either unfamiliar with the diagnosis of PNES or inexperienced in arranging or offering treatment. Most (79%) provided follow-up to patients with concomitant epilepsy, but when PNES was the sole diagnosis follow-up rates were low. Although 84% of respondents felt that individualized psychological therapy was the most effective treatment, 40% of patients were not referred to psychotherapy and in most cases availability such therapy was low (30–60%). Conclusions: Canadian health professionals’ understanding of PNES mostly reflects current international expert opinion. Once diagnosis is made however, the majority of patients are discharged from neurological services without appropriate psychological care. Mención de responsabilidad : Alexandra Carter, Alyssa Denton, Lady D Ladino, Islam Hassan, Tyson Sawchuk, Thomas Snyder, Mirna Vrbancic, Markus Reuber, Richard Huntsman, Jose F Tellez-Zenteno, PNES Canada Group Referencia : Seizure. 2018 Oct;61:227-233. DOI (Digital Object Identifier) : 10.1016/j.seizure.2018.08.025 PMID : 30227342 En línea : https://linkinghub.elsevier.com/retrieve/pii/S1059-1311(18)30315-7 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis

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DD000765	AC-2018-052	Archivo digital	Producción Científica	Artículos científicos	Disponible