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  • Title: [Assessment and treatment of patients with nonepileptic dissociative seizures in a department of epileptology].
    Author: Uhlmann C, Eisele F, Flammer E.
    Journal: Z Psychosom Med Psychother; 2011; 57(3):288-94. PubMed ID: 21971696.
    Abstract:
    OBJECTIVES: We examined the frequency of dissociative seizures in inpatients of a specialized ward for epilepsy as well as their diagnostic and therapeutic course. The basic principle of the latter is the therapeutic triad of value-free communication of the diagnosis, training of techniques for seizure interruption and problem solving of inner conflicts. METHODS: All inpatients in a department of epileptology with a diagnosis of dissociative seizures were examined retrospectively for the year 2009. RESULTS: 65 patients (11 %) were diagnosed with dissociative seizures, 23 patients with a primary diagnosis of epilepsy and 42 with a secondary diagnosis, epilepsy being the primary diagnosis. Symptoms occurred in the 23 patients with dissociative seizures as primary diagnosis between 2 weeks and 40 years. Possible predisposing factors and psychological comorbidities for the development of dissociative seizures were manifold. A psychopharmacological medication was established in 9 patients (39 %), and psychotherapy was recommended explicitly in all patients. CONCLUSIONS: There is a great heterogeneity in patients with dissociative seizures with a sometimes long course of the disorder.
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