NDLI: The Use of Placebo as a Provocative Test in the Diagnosis of Psychogenic Non Epileptic Seizures

Please wait, while we are loading the content...

The Use of Placebo as a Provocative Test in the Diagnosis of Psychogenic Non Epileptic Seizures

Content Provider	Springer Nature Link
Author	Foreid, Henda Bentes, Carla Pimentel, José
Copyright Year	2010
Abstract	Psychogenic non epileptic seizures (PNES) are clinical events of psychological nature. Video-electroencephalography monitoring (V-EEGM) is a valuable method for the diagnosis of PNES and may be combined with provocative tests to induce seizures. The use of placebo in provocative tests for the diagnosis of PNES is controversial because of associated deception, and contrasts with the use of truly decreasing epileptogenic threshold techniques such as hyperventilation and photo stimulation. We present a clinical case of a pregnant woman with a past history of refractory epilepsy, admitted in the obstetric department due to unremitting seizures. In this clinical context, non-deceiving provocative tests such as hyperventilation and photo stimulation could be potentially harmful, nevertheless, the use of intravenous saline injection presented as a safer alternative to diagnose PNES and hence obviate an urgent caesarean. This case illustrates a disproportionate risk of causing harm when telling the truth, in comparison with the benefit of avoiding such risk, although deceiving the patient. This is a clinical example of how considerations concerning the use of placebo must be evaluated in an individual basis.
Starting Page	95
Ending Page	98
Page Count	4
File Format	PDF
ISSN	18745490
Journal	Neuroethics
Volume Number	3
Issue Number	2
e-ISSN	18745504
Language	English
Publisher	Springer Netherlands
Publisher Date	2010-03-06
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Psychogenic non epileptic seizures Video-electroencephalography monitoring Provocative tests Neuroradiology Neuropsychology Neurosurgery Neurobiology Neurology Ethics
Content Type	Text
Resource Type	Article
Subject	Philosophy Neurology Health Policy Psychiatry and Mental Health

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Introducing Neuroethics

Introduction: Appiah’s Experiments in Ethics

The Ethics of Neuroeducation: Research, Practice and Policy

Neuroscience and Sex/Gender

Erlebnis, Erwartung und Ethik (Experience, Expectation, and Ethics)

“The Neuroscience of Responsibility”—Workshop Report

Autonomy and Enhancement

Brain Imaging and Privacy

The Myth of Cognitive Enhancement Drugs

The Use of Placebo as a Provocative Test in the Diagnosis of Psychogenic Non Epileptic Seizures

Similar Documents

Introducing Neuroethics

Introduction: Appiah’s Experiments in Ethics

The Ethics of Neuroeducation: Research, Practice and Policy

Neuroscience and Sex/Gender

Erlebnis, Erwartung und Ethik (Experience, Expectation, and Ethics)

“The Neuroscience of Responsibility”—Workshop Report

Autonomy and Enhancement

Brain Imaging and Privacy

The Myth of Cognitive Enhancement Drugs

The Use of Placebo as a Provocative Test in the Diagnosis of Psychogenic Non Epileptic Seizures