Dissociative neurological symptom disorder with non-epileptic seizures

Zaburzenie charakteryzuje się epizodami drgawkowymi: ruchami ciała, utratą kontroli lub zaburzeniami świadomości, bez aktywności padaczkowej w EEG. Epizody mogą wyglądać jak napady padaczki, jednak badania neurologiczne nie potwierdzają przyczyny organicznej. Mogą pojawiać się lub nasilać w sytuacjach stresowych. Epizody powodują realny dyskomfort i utrudniają codzienne funkcjonowanie.

Symptoms

• Seizures without tongue biting, cyanosis, or injury on falling (also: PNES – psychogenic non-epileptic seizures, pseudo-seizures, seizures without loss of sphincter control, no tongue biting, normal EEG)
• Motor symptoms inconsistent with neurological damage (also: functional seizures, conversion seizures, non-epileptic attack disorder)
• Symptoms appearing or worsening after stress (also: stress triggers seizures, psychogenic onset of seizures)
• Symptoms variable and inconsistent with neurological pattern (also: inconsistent seizure pattern)

How to recognise

In the ICD-11 framework, the core symptoms taken into account when recognising Dissociative neurological symptom disorder with non-epileptic seizures are:

• napady drgawek bez aktywności padaczkowej

Differential diagnosis

When diagnosing Dissociative neurological symptom disorder with non-epileptic seizures, the following ICD-11 disorders should be considered in the differential diagnosis:

• Amnezja dysocjacyjna (6B61)
• Zaburzenie depersonalizacyjno-derealizacyjne (6B66)

Synonyms and related terms

PNES – psychogenic non-epileptic seizures, pseudo-seizures, seizures without loss of sphincter control, no tongue biting, normal EEG, functional seizures, conversion seizures, non-epileptic attack disorder, stress triggers seizures, psychogenic onset of seizures, inconsistent seizure pattern

Frequently asked questions

What are the symptoms of Dissociative neurological symptom disorder with non-epileptic seizures?

Symptoms associated with Dissociative neurological symptom disorder with non-epileptic seizures (ICD-11 6B60.4) include: Seizures without tongue biting, cyanosis, or injury on falling, Motor symptoms inconsistent with neurological damage, Symptoms appearing or worsening after stress, Symptoms variable and inconsistent with neurological pattern.

What disorders are in the differential diagnosis of Dissociative neurological symptom disorder with non-epileptic seizures?

The differential diagnosis of Dissociative neurological symptom disorder with non-epileptic seizures (6B60.4) includes: Amnezja dysocjacyjna (6B61), Zaburzenie depersonalizacyjno-derealizacyjne (6B66).

WHO ICD-11 source

View this entry in the official WHO ICD-11 browser: 6B60.4 – WHO ICD-11