scholarly journals Which patients with epilepsy are at risk for psychogenic nonepileptic seizures (PNES)? A multicenter case–control study

2016 ◽  
Vol 61 ◽  
pp. 180-184 ◽  
Author(s):  
Benjamin D. Wissel ◽  
Alok K. Dwivedi ◽  
Tyler E. Gaston ◽  
Federico J. Rodriguez-Porcel ◽  
Danah Aljaafari ◽  
...  
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mintao Lin ◽  
Jiani Chen ◽  
Sisi Li ◽  
Yingjie Qin ◽  
Xuruan Wang ◽  
...  

AbstractPeople with epilepsy (PWE) have an increased suicide prevalence. This study aimed to identify the risk factors for suicidal tendency among PWE in West China. A nested case–control study was designed in a cohort of patients with epilepsy (n = 2087). In total, 28 variates were calculated. In the univariate analysis, unemployment, low income, seizure frequency, seizure-free time, infectious or structural etiology, levetiracetam or phenobarbital use, anxiety, depression, and stigma were associated with suicidal tendency. A multivariate analysis indicated that unemployment (odds ratio [OR] 5.74, 95% confidence interval [CI] 2.13–15.48), levetiracetam use (OR 2.80, 95%CI 1.11–7.05), depression (C-NDDI-E score ≥ 13; OR 3.21, 95%CI 1.26–8.21), and stigma (SSCI score ≥ 16; OR 6.67, 95%CI 1.80–24.69) were independently associated with suicidal tendency. Conditional inference tree analysis indicated that SSCI and C-NDDI-E scores could effectively identify patients with suicidal tendency. Thus, this study suggests that unemployment, levetiracetam use, depression, and stigma are independent risk factors for suicidal tendency in PWE in China.


2015 ◽  
Vol 214 (1-2) ◽  
pp. 187-191 ◽  
Author(s):  
Uffe Christian Braae ◽  
Wendy Harrison ◽  
Faustin Lekule ◽  
Pascal Magnussen ◽  
Maria Vang Johansen

2020 ◽  
pp. 107655
Author(s):  
Juliana Ben ◽  
Arthur Goulart Pagani ◽  
Bruna Souza Marques ◽  
Guilherme Loureiro Fialho ◽  
Peter Wolf ◽  
...  

2018 ◽  
Vol 9 (6) ◽  
pp. 607-612
Author(s):  
Kaku Barkoh ◽  
Ifije E. Ohiorhenuan ◽  
Larry Lee ◽  
Joshua Lucas ◽  
Anush Arakelyan ◽  
...  

Study Design: Case-control study. Objectives: Cervical spondylotic myelopathy (CSM) is the most common cause of spinal cord injury in adults aged over 55 years. However, since the onset is typically insidious, accurately diagnosing CSM can be challenging, often requiring referral to a subspecialist and advanced imaging. To help identify patients at risk for CSM, this case-control study compared responses to a series of 4 questions (DOWN questionnaire) in myelopathic and non-myelopathic patients. Methods: Ninety-two patients, 46 with and 46 without myelopathy, were recruited for the study. Each patient answered 4 questions encompassing common symptoms associated with CSM. Responses between patient groups were compared, and Cohen’s κ was used to assess for agreement between responses and the diagnosis of myelopathy. Results: We found a sensitivity of 91% and a κ of 0.54 to 3 positive responses and a sensitivity of 72% and a κ of 0.61 to 4 positive responses. Conclusions: Positive responses to 3 or more DOWN questions has high sensitivity and moderate agreement with the diagnosis of myelopathy based on history, physical exam, and review of advanced imaging by an orthopedic or neurological surgeon. The DOWN questionnaire is a potentially useful screening tool to identify patients at risk for CSM.


Neurology ◽  
2006 ◽  
Vol 66 (9) ◽  
pp. 1318-1324 ◽  
Author(s):  
P. C. Souverein ◽  
D. J. Webb ◽  
J. G. Weil ◽  
T. P. Van Staa ◽  
A.C.G. Egberts

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