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Intubation for psychogenic non-epileptic attacks: Frequency, risk factors, and impact on outcome

Seizure - European Journal of Epilepsy Jan 08, 2020

Viarasilpa T, Panyavachiraporn N, Osman G, et al. - Since patients with psychogenic non-epileptic attacks (PNEA) often undergo aggressive treatment leading to endotracheal intubation, researchers identified the frequency, risk factors, and effect on the outcome of intubation for PNEA. From January 2012 to October 2017, all PNEA patients admitted through the emergency department (ED) who had an episode of PNEA documented by continuous video electroencephalography (vEEG) at Henry Ford Hospital between January 2012 and October 2017 were retrospectively reviewed. Comorbid epileptic patients were excluded. Of the 80 individuals admitted through the ED with vEEG recording PNEA, 12 (15%) were intubated. The authors discovered that intubated patients had longer stay, more in-hospital complications, and a high rate of persistent PNEA symptoms re-hospitalization. Findings suggested an association of prolonged duration of convulsive symptoms, depressed level of consciousness, and aggressive treatment with benzodiazepines with intubation for PNEA.
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