Epilepsy is a very complex disorder of the central nervous system. It is characterized\nby a sudden, disordered and excessive neuronal shock that causes different clinical\nevidences with specific related electroencephalogram (EEG). Psychogenic Non-Epileptic\nSeizures (PNES) can seriously complicate the diagnosis of epilepsy. The separoxysmal\nevents have the same clinical evidences of epilepsy, such as an impairment\nof the self-control and a range of sensory, motor and mental manifestations, without\nthe typical related electroencephalogram (EEG) because of the absence of an organic\ncause. The overwhelming majority of Psychogenic Non-Epileptic Seizures are related\nto psychological factors like dissociation. This is a defense mechanism used to cope\nstressful events or emotional conflicts. Psychological or psychiatric disorders, like\nPost Traumatic Stress Disorder (PTSD), are frequently associated to Psychogenic\nNon-Epileptic Seizures. In this article, we present a case report of epilepsy combined\nwith Psychogenic Non-Epileptic Seizures. A joint intervention is of great significance\nin this occurrence. The subject received a psychological assessment including psychometric\nand projective tools. He stood MMPI-2, Wais-R, SCL-90, Rorschach test\nand graphic tests. A psychological disorder related to defense mechanisms was identified.\nThe subject presents a tendency to convert his fears and emotive pains in rational\nand more socially acceptable problems, using his body to express his discomfort.\nPatient with epileptic seizures should receive a psychological assessment to exclude\nPsychogenic Non-Epileptic Seizures. Further studies should propose guidelines\nto integrate neurological, psychiatric and psychological intervention.
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