EPILEPSY!! MALINGERING! DISSOCIATIVE CONVULSIONS? A CASE STUDY

Authors

  • Dr. Jayashree Janagam
  • Dr Lalitha. K. S.

Abstract

Dissociative convulsions, a prominent form of dissociative (conversion) disorder, formerly known as hysteria, are a common and elusive differential diagnosis of epilepsy. The aim of the present case report is to present the difficulties of differential diagnosis between epilepsy, malingering and pseudoseizures. This case study was explored from the psychosocial stressors and based upon patients’ disposition, characteristic expressions,calcareasulphuricum was given. Patient was followed nearly for 2 years, the given homoeopathic remedy brought improvement at the disorder level, andpatient was able to lead a normal life and delivered a healthy baby. This case report emphasizes the role of homoeopathy in treating psychiatric illnesses, especially dissociative convulsions. It also demonstrates the importance of characteristic mental state and expressions when selecting a similimum using Kent’s approach.

Keywords: Dissociative convulsions, epilepsy, malingering, psychogenic non-epileptic seizures, pseudoseizures, homoeopathy.

References

Chaturvedi SK, Desai G, Shaligram D. Dissociative Disorders in a Psychiatric Institute in India - A Selected Review and Patterns Over a Decade. International Journal of Social Psychiatry. 2010;56(5):533-539. doi:10.1177/0020764009347335

Khattri JB, Goit BK, Thakur RK. Prevalence of Dissociative Convulsions in Patients with Dissociative Disorder in a Tertiary Care Hospital: A Descriptive Cross-sectional Study. JNMA J Nepal Med Assoc. 2019;57(219):320-322. doi:10.31729/jnma.4640

Mellers JD. The approach to patients with "non-epileptic seizures". Postgrad Med J. 2005;81(958):498-504. doi:10.1136/pgmj.2004.029785

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Published

2022-03-25

Issue

Section

Original Research Article