Pseudocrisis en niños y adolescentes: una revisión
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2011-09-30
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Muñoz García-Largo, L., Gordillo Urbano, R. M., & de Burgos Marín, R. (2011). Pseudocrisis en niños y adolescentes: una revisión. Revista De Psiquiatría Infanto-Juvenil, 28(3), 12–36. Recuperado a partir de https://www.aepnya.eu/index.php/revistaaepnya/article/view/187
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Artículo de revisión
Palabras clave:
Epilepsia, histeria, trastorno conversivo, psiquiatría de enlace, interconsultaResumen
Las pseudocrisis epilépticas (fenómenos convulsivos de origen psicógeno y no epiléptico) son un motivo relativamente frecuente de interconsulta en psiquiatría. Cuando están ausentes los indicios que pudieran orientar a una etiología psicógena (desencadenantes vitales, personalidad de base, teatralidad de la presentación clínica…), suponen con frecuencia un autentico reto diagnóstico. El diagnóstico debe basarse no sólo en la ausencia de hallazgos en las diferentes exploraciones físicas efectuadas, sino también en la presencia de alteraciones psicopatológicas que confirmen el diagnóstico psiquiátrico. El abordaje inicial y la relación que se establezca con el niño y su familia son de extraordinaria importancia en la evolución posterior.
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5. American Psychiatric Association: DSM-IV-TR. Manual diagnóstico y estadístico de los trastornos mentales. Mas-son, Barcelona, 2,002.
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16. Forcadas Berdusan M. I. Gac Med Bilbao 2003; 100: 105-107.
17. Zarranz JJ. Neurología 2ª ed. Hartcourt-Brace. Madrid. 1998
18. GonzálezGoizueta E, MartínezPérez B, MauriLlerda JA. Crisis psicógenas no epilépticas. Rev Neurol 2002; 19: 595-7.
19. Reuber M, Elger CE. Psychogenic nonepileptic seizures: review and update. Epilepsy Behav. 2003; 4 (3): 205-
16. Kotagal P, Costa M, Wyllie E, Wolgamuth B. Paroxysmal nonepileptic events in children and adolescents. Pediatrics 2002; 110: e46.
20. Reuber M, Fernandez G, Bauer J, Helmstaedter C, Elger C. Diagnostic delay in psychogenic nonepileptic seizures. Neurology 2002; 58: 493-495.
21. Silva W, Giagante, Saizar R, D´Alessio L , Oddo S, Consalvo D, Saidón P, Kochen S. Clinical features and prognosis of nonepileptic seizures in a developing country . Epilepsia 2001, 42 (3): 398-401.
22. Bhatia MS. Pseudoseizures. Indian Pediatrics. 2004; 41(7): 673-9.
23. Tomasson K, Kent D, Coryell W. Somatization and conversion disorders: comorbidity and demographics at presentation. Acta Psychiatr Scand 1991: 84: 288-293.
24. Valente, K D. Psychogenic nonepileptic seizures in children and adolescents with epilepsy. Journal of epilepsy and clinical neurophysiology 2007; 13 (4, Suppl 1): 10-14.
25. Cano Plasencia R., GómezMarcos AM, Cano Sánchez R. Inducción de pseudocrisis mediante la colocación de electrodos inactivos en las regiones malares. Rev Neurol 2006; 43: 662-666.
26. Wyllie E, Friedman D, Luders H, Morris H, Rothner D, Turnbull J. Outcome of psychogenic seizures in children and adolescents compared with adults. Neurology 1991; 41: 742-744.
27. Lancman ME, Lambrakis CC, Steinhardt MI. Psychogenic pseudoseizures: a general overview. In: Ettinger AB, Kanner AM, editors. Psychiatric issues in epilepsy. Philadelphia: Lippincott, Williams & Wilkins; 2001. p. 341-54.
28. Fossas P, Floriach-Robert M, Cano A, Palomeras E, SanzCartagena P. Utilidad clínica del videoelectroencefalograma en régimen ambulatorio. Rev Neurol. 2005; 40:25765.
29. Holmes JL, Sackllares JC, MC Kieran K, Reglandd M, Dreifuss FE. Evaluation of childhodd pseudoseizures using EEG telemetry and video tape monitoring. J Pediatr 1980; 97: 554-8.
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