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<p>Dissociative seizures are a&#xa0;frequent diagnosis in the emergency department; however, the rate of misdiagnosis and incorrect treatment of dissociative seizures is high. Precise documentation of the seizure semiology is crucial for the diagnosis, as the identification of specific clinical feature constellations enables a&#xa0;reliable diagnosis even without electroencephalography (EEG). Laboratory analyses, EEG and magnetic resonance imaging (MRI) can be helpful when a&#xa0;diagnosis based on seizure semiology is not possible. Unlike status epilepticus, a&#xa0;prolonged dissociative seizure is not a&#xa0;life-threatening condition so that no pharmacological side effects and risks are to be expected on termination of the seizure. Seizure management consists of a&#xa0;reassuring and present-oriented interaction. Patient-oriented communication of the diagnosis is essential for acceptance of the diagnosis and the first step in curative treatment.</p>

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Dissoziative Anfälle in der Notaufnahme – Diagnosestellung und Behandlung

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月12日

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  • Rosa Michaelis,
  • Stoyan Popkirov,
  • Eva Breuer

摘要

Dissociative seizures are a frequent diagnosis in the emergency department; however, the rate of misdiagnosis and incorrect treatment of dissociative seizures is high. Precise documentation of the seizure semiology is crucial for the diagnosis, as the identification of specific clinical feature constellations enables a reliable diagnosis even without electroencephalography (EEG). Laboratory analyses, EEG and magnetic resonance imaging (MRI) can be helpful when a diagnosis based on seizure semiology is not possible. Unlike status epilepticus, a prolonged dissociative seizure is not a life-threatening condition so that no pharmacological side effects and risks are to be expected on termination of the seizure. Seizure management consists of a reassuring and present-oriented interaction. Patient-oriented communication of the diagnosis is essential for acceptance of the diagnosis and the first step in curative treatment.