Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Psychiatry


Answer 5
  1. Unknown. Whereas NES have been documented in the medical literature for over a century, no randomized controlled trial of treatment for NES has been conducted. Anecdotal reports reveal that antiepileptic drugs may actually worsen NES, yielding the recommendation to taper administration of antiepileptic drugs in patients with NES and no evidence of epilepsy. Patients with NES have a high prevalence rate of comorbid psychiatric illness (eg, major depressive disorder, posttraumatic stress disorder, cluster B personality disorders). As many as 60% of patients with NES also have a history of childhood or current trauma or abuse. Numerous case reports of psychotropic medications and uncontrolled psychotherapy trials have yielded consensus statements that a combination of medications and psychotherapy may be the best approach to treating patients with NES.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj