NEAD

Question 0

Name four other names for NEAD

Answer 0

Pseudo seizures
Hysterical seizures
Psychogenic seizures (PNES)
Functional seizures

Question 1

Define NEAD

Answer 1

Episodes of altered movement, sensation or experience resembling epileptic seizures

That is
not associated with abnormal electrical discharges in the brain

Question 2

Describe the three typologies for NEAD

Answer 2

1) clonic limb movements, hyper motor limb movements, pelvic thrusting, tonic head posturing, side to side head movements
2) limb trembling
3) atonic collapse

Question 3

What percentage of patients were aware of triggers?

Answer 3

79%

Question 4

What percentage were aware of warnings

Answer 4

69%

Question 5

What percentage of patients were aware of ictal symptoms during seizures
What percent were aware/responsiveness

Answer 5

17%

5%

Question 6

What percentage were aware of post ictal symptoms

Answer 6

74

Question 7

There is a higher incidence of what three qualities amongst NEAD than epilepsy

Answer 7

Psychopathology
Somatization
Dissociation
(Reuben et al 2003)

Question 8

What are the commonest psychiatric comorbidities

Answer 8

Somatoform disorders 
Dissociative disorder
Depressive disorders
Personality disorders 
Anxiety disorders 
PTSD

Question 9

What is the incidence of sexual abuse amongst those with NEAD compared to epilepsy

Answer 9

28vs 14

Question 10

What is the incence of neglect vs epilepsy

Answer 10

40vs 11.5

Question 11

What four attachment styles are associated with NEAD

Answer 11

Secure
Dismissive
Insecure
Preoccupied

Question 12

What percentage become, seizure free upon diagnosis and what percent show some improvement

Answer 12

14% and 63 (>50% NEA reduction) hall patch et al 2010

Question 13

What treatments are available to treat NEAD

Answer 13

Internet resources
Psychoeducation
Psychotherapy (CBT)

Question 14

Mayor et al found that psychoeducation produced a ….. Seizure free and ….. With >50% improvement

Answer 14

30.7%

23%