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2019
- handle: 10670/1.zzze9e
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self-stimulation epilepsy psychogenicSujets proches
Therapy Eyesight Seeing Sight Treatments for diseases Medical treatment Therapy Treatment of diseases Semiology (Medicine) Diseases--Symptoms Symptomatology Signs, Clinical Clinical signs Semiology Symptomology Signs and symptoms Disease symptoms Psychagogy Therapy (Psychotherapy) Impoverished people Disadvantaged, Economically Low-income people Poor people Pauperism Poor--Economic conditions Poor, The Economically disadvantaged Nurture and nature Nature versus nurture Genetics and environment Nature--Nurture Environment Heredity and environment Factors Agents, Manufacturers' Manufacturers' representatives Environment Ecological science Environmental biology Bionomics Ecological sciences Environment Balance of nature Oecology Biology--Ecology Ecological processes Differential diagnosis Medical examinations (Diagnosis) Diseases--Diagnosis Diseases--Testing Examinations, Medical (Diagnosis) Medical diagnosis Medical tests (Diagnosis) Factors Childhood Youngsters Pedology (Child study) Kids (Children) Grown-ups Adults Grownups Environment Mistrust MisgivingCiter ce document
Pedro Correia et al., « Self-stimulation in an adult misdiagnosed with focal epilepsy », Epileptic Disorders, ID : 10670/1.zzze9e
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Self-stimulation is a normal part of development and a common behaviour in children before puberty, but very rare in adults. The stereotyped semiology can sometimes raise the suspicion of epilepsy. We present a 30-year-old patient who came to our epilepsy monitoring unit for differential diagnosis of nocturnal episodes, interpreted elsewhere as hypermotor status epilepticus associated with a known diagnosis of focal epilepsy and septo-optic dysplasia. The recorded events during video-EEG were consistent with psychogenic self-stimulating behaviour, which improved with psychotherapy. Disturbed sexual development with hypopituitarism and poor eyesight, androgen replacement therapy, alongside a protective environment provided by her parents, were the identified predisposing factors for this uncommon entity in an adult. [ Published with video sequence].