Psychogenic non-epileptic seizures (PNES) are epileptic events that are easily misdiagnosed as epilepsy, but lack associated EEG changes. The incorrect diagnosis of PNES as epileptic seizures can result in diagnostic delays, unnecessary treatment with anti-seizure medication (ASM), and unnecessary investigations. This can expose children to potential iatrogenic adverse reactions and pressure of repeated visits to hospital. At present, there is a lack of assessment and management guidelines for children's PNES. To fill this gap, the Pediatric Psychiatric Issues Task Force of the International League Against Epilepsy published "Consensus Recommendations for Assessment and Management of Psychogenic non-epileptic (functional) seizures (PNES) in Children" in 2023. It provides 22 recommendations from three aspects: assessment of PNES, management of PNES, assessment and management of psychopathology in children with PNES. In this paper, the main points of this consensus are interpreted to improve the ability of identifying and managing children's PENS.
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孙秀凤,王保刚.《儿童心因性(功能性)非痫性发作的评估和管理共识(2023)》要点解读[J].神经疾病与精神卫生,2024,24(11):832-836 DOI :10.3969/j. issn.1009-6574.2024.11.012.