Comparing standard medical care for nonepileptic seizures in Chile and the United States

dc.contributor.authorLaFrance, W Curt Jr
dc.contributor.authorde Marinis, Alejandro
dc.contributor.authorFrank Webb, Anne
dc.contributor.authorMarchan, Jason
dc.contributor.authorRusch, Mark
dc.contributor.authorKanner, Andres
dc.date.accessioned2017-05-29T15:59:35Z
dc.date.available2017-05-29T15:59:35Z
dc.date.issued2012
dc.description.abstractObjective: We sought to compare the diagnostic and treatment practices for psychogenic nonepileptic seizures (PNES) in the United States (US) to Chile. Methods: A survey on the diagnostic and treatment practices for PNES was administered to practicing clinicians in Chile. Results from 96 Chilean respondents were compared to results from 307 US clinicians. Type I error (alpha) was set to 0.005 for multiple comparisons. Results: Diagnosis: The diagnosis of PNES is made by inpatient video‐EEG/LTM in 89% of the US respondents compared to 25% of the Chilean respondents (p < 0.0001). The diagnosis of PNES is made by history and exam alone at twice the rate in Chile (38%) than in the US (16%; p < 0.0001). Treatment: A higher proportion of the Chilean respondents (65%) endorsed psychopharmacotherapy as potentially beneficial compared to the US respondents (31%; p < 0.0001). Discussion: This cross-cultural multi‐site survey reveals some differences in PNES evaluation and management between neurologists and other clinicians in the US and in Chile. Access to video EEG may improve PNES diagnosis and treatment.
dc.format.extent6
dc.identifier.citationEpilepsy & Behavior, 2012 Oct;25(2):224-9
dc.identifier.urihttp://hdl.handle.net/11447/1353
dc.identifier.urihttp://dx.doi.org/10.1016/j.yebeh.2012.07.028
dc.language.isoen_US
dc.publisherElsevier
dc.subjectSeizure monitoring
dc.subjectDiagnosis
dc.subjectNonepileptic seizures
dc.subjectCross-cultural
dc.subjectManagement
dc.titleComparing standard medical care for nonepileptic seizures in Chile and the United States
dc.typeArtículo

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