Outcome after diagnosis of psychogenic XXXX .

@entity1 @entity410 @entity302 @entity146
Information regarding outcome in @entity1 with psychogenic @entity410 (PNES) is limited. We attempted to contact 72 consecutive @entity1 with PNES confirmed by video-EEG monitoring: 51 of 72 (71%) were reached a mean of 15 months (range 12-27 months) after diagnosis and agreed to answer a structured telephone questionnaire. The questionnaire assessed the number of PNES in the last 6 months, antiepileptic drug (AED) use, occupational status, global self-rating, and extent of psychotherapeutic treatments. PNES had ceased in 18 of 51 (35%), decreased > 80% in 21 of 51 (41%), and decreased < 80% in 12 of 51 (24%). Thirty-three of 51 (65%) were not taking AEDs. Occupational status improved in 20% and did not change in 75%. Overall, 29 of 51 (57%) rated themselves markedly improved and 15 of 51 (29%) rated themselves unchanged or worse. Persisting PNES were associated with longer duration of PNES before diagnosis (p < 0.02) and presence of additional @entity146 (p < 0.01). Persisting PNES were not associated with gender, presence of @entity302 , or extent of psychotherapeutic treatments after diagnosis. Placebo saline infusion had been administered in some @entity1 to help precipitate PNES. This did not affect the number of psychotherapy visits or outcome. We conclude that PNES cease or significantly decrease in most @entity1 , but occupational status does not improve as often. Earlier diagnosis may improve outcome.
