PNESの特徴

PNESの特徴についてのまとめ
 
（参考）
  1. Avbersek A, Sisodiya S. Does the primary literature provide support for clinical signs used to distinguish psychogenic nonepileptic seizures from epileptic seizures? J Neurol Neurosurg Psychiatry. 2010 Jul;81(7):719-25.
  1. Lorna Myers 著、兼本 浩祐 監訳：心因性非てんかん性発作へのアプローチ、医学書院、2015.

Pseudoneurologic syndromeの特徴

Pseudoneurologic syndromeの特徴についてまとめの表
 
（参考）
  1. Shaibani A, Sabbagh MN. Pseudoneurologic syndromes: recognition and diagnosis. Am Fam Physician. 1998 May 15;57(10):2485-94. Review. PubMed PMID: 9614416.

Mini-Cog

精神状態の評価のための指標、せん妄の有無の検索などに用いる。
出典
imgimg
1: An evaluation of two screening tools for cognitive impairment in older emergency department patients.
著者: Scott T Wilber, Samuel D Lofgren, Thomas G Mager, Michelle Blanda, Lowell W Gerson
雑誌名: Acad Emerg Med. 2005 Jul;12(7):612-6. doi: 10.1197/j.aem.2005.01.017.
Abstract/Text: OBJECTIVES: Screening for cognitive impairment in older emergency department (ED) patients is recommended to ensure quality care. The Mini-Mental State Examination (MMSE) may be too long for routine ED use. Briefer alternatives include the Six-Item Screener (SIS) and the Mini-Cog. The objective of this study was to describe the test characteristics of the SIS and the Mini-Cog compared with the MMSE when administered to older ED patients.
METHODS: This institutional review board-approved, prospective, randomized study was performed in a university-affiliated teaching hospital ED. Eligible patients were 65 years and older and able to communicate in English. Patients who were unable or unwilling to perform testing, who were medically unstable, or who received medications affecting their mental status were excluded. Patients were randomized to receive the SIS or the Mini-Cog by the treating emergency physician. Investigators administered the MMSE 30 minutes later. An SIS score of RESULTS: A total of 149 of 188 approached patients were enrolled; 74 received the SIS and 75 the Mini-Cog. Fifty-five percent were female, the average age was 75 years, and 23% had an MMSE score of CONCLUSIONS: The SIS, using a cutoff of
Acad Emerg Med. 2005 Jul;12(7):612-6. doi: 10.1197/j.aem.2005.01.017.

Six-Item Screener

精神状態の評価のための指標、せん妄の有無の検索などに用いる。
出典
imgimg
1: An evaluation of two screening tools for cognitive impairment in older emergency department patients.
著者: Scott T Wilber, Samuel D Lofgren, Thomas G Mager, Michelle Blanda, Lowell W Gerson
雑誌名: Acad Emerg Med. 2005 Jul;12(7):612-6. doi: 10.1197/j.aem.2005.01.017.
Abstract/Text: OBJECTIVES: Screening for cognitive impairment in older emergency department (ED) patients is recommended to ensure quality care. The Mini-Mental State Examination (MMSE) may be too long for routine ED use. Briefer alternatives include the Six-Item Screener (SIS) and the Mini-Cog. The objective of this study was to describe the test characteristics of the SIS and the Mini-Cog compared with the MMSE when administered to older ED patients.
METHODS: This institutional review board-approved, prospective, randomized study was performed in a university-affiliated teaching hospital ED. Eligible patients were 65 years and older and able to communicate in English. Patients who were unable or unwilling to perform testing, who were medically unstable, or who received medications affecting their mental status were excluded. Patients were randomized to receive the SIS or the Mini-Cog by the treating emergency physician. Investigators administered the MMSE 30 minutes later. An SIS score of RESULTS: A total of 149 of 188 approached patients were enrolled; 74 received the SIS and 75 the Mini-Cog. Fifty-five percent were female, the average age was 75 years, and 23% had an MMSE score of CONCLUSIONS: The SIS, using a cutoff of
Acad Emerg Med. 2005 Jul;12(7):612-6. doi: 10.1197/j.aem.2005.01.017.

診断のためのアルゴリズム

まずは器質的疾患の有無を検討することが一番で、それに応じて治療を行う。