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Unexplained somatic complaints in relation to paroxysmal EEG phenomena and localised abnormalities in the electroencephalogram

Published online by Cambridge University Press:  18 September 2015

J.J. Van Bork*
Affiliation:
voorheen zenuwarts in de polikliniek van het Willem Arntsz Huis, thans zelfstandig werkend zenuwarts te Utrecht
E.H.J.F. Boezeman
Affiliation:
neuroloog, afd. Neurofysiologie St. Antonius Ziekenhuis te Nieuwegein
H.J. Duivenvoorden
Affiliation:
methodoloog-statisticus, Erasmus Universiteit, Faculteit, Geneeskunde te Rotterdam
*
Cornells Houtmanstraat 13, 3572 LT Utrecht

Summary

A positive significant relationship (p<0,01) is found between a psychiatric judgement on autonomic nervous system complaints and a “blind” neurological judgement on paroxysmal EEG phenomena. Classification: Somatization Disorder (DSM-III-R; IV 300.81). Diagnoses: nervous functional complaints, hyperventilation syndrome, Da Costa's disease (irritable heart syndrome, neurocirculatory asthenia) and irritable bowel syndrome. A positive significant relationship (p<0,001) is found between a diagnosis of “Da Costa's disease” and a “blind” neurological judgement on PEF. A positive significant relationship (p<0,001) is found between a psychiatric judgement on neurasthenia (atypical headache and atypical tiredness) classified as dysthymia DSM-IH-R 300.40 and a neurological judgement on localised (cortical) abnormalities by “blind” EEG evaluation. No medication in the last half year. Logistic regression analysis (n=116) revealed that sex and age are of no importance. No medication in the last half year before EEG registration.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1996

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