Authors: Okoli Paul Chibuike, Birinus Adikaibe Ezeala-Adikaibe, Ekochin Fintan Chinweike, Eze Uchenna Gerald, Ezeme Mark Sunday, Chime Peter Ekpunobi, Ozougwu Augustine Obumneme, Nnaemeka Ifeoma Josephine, Okpara Titus Chukwubuzo, Nkiru Abumchukwu Enukora, Ekwo Jude Chukwudi, Chinawa Francis Chukwuemeka.
Functional neurological disorder (FND) occasionally known as dissociative seizure or pseudo-genic non epileptic seizure. It resembles epileptic seizures in symptoms and signs as it is accompanied by transient focal/global neurologic symptoms and signs seen in seizures but lack electrophysiological correlates. The episodes of altered movement, sensation and behavior that resemble epileptic seizures. Functional neurological disorder (FND) seizures episodes involves altered movement, sensation, or behaviour that resemble epileptic seizures which are not caused by abnormal epileptic form electrical activity in the brain but rather often due to intentional deception as in factitious disorder or malingering. In some people with developmental or intellectual disabilities, non- epileptic events are behavioural or attention-seeking. However, PNES is distinctly different in that it is not conscious or intentional. We present case reports of 4 patients: A 24 year old female medical student who presented with recurrent seizure-like episodes, initially misdiagnosed as epilepsy and was treated in a peripheral hospitals until she was presented to a neurologist. Through comprehensive evaluation, including video-electroencephalogram (vEEG), the diagnosis of FND was confirmed. These cases highlights the need for a multidisciplinary approach to diagnosis and management, highlighting impact of psychological intervention in the treatment of FND.
View/Download pdf