Abstracts

Rationale: Treatment of the Non-epileptic seizure patient (NES) post diagnosis is a challenge for the epilepsy treatment team. In our program, NES patients are typically recommended for follow-up with both a neurologist and psychologist post inpatient diagnosis and discharge. The purpose of this study was to determine the rate of return to follow-up clinic appointments in this population.Methods: The sample consisted of 57 patients discharged from the adult inpatient epilepsy unit with the diagnosis of NES over a 2 year period. A psychogenic etiology for their seizure events was determined after ruling out physiological causes, and conducting a thorough psychological assessment. Follow-up record review identified those patients who returned to the clinic at least one time for an appointment with the neurologist and/or psychologist.Results: Of the 57 patients reviewed 27 (47 %) returned to the clinic to meet with the neurologist. Of that group 12 (20%) also met with the psychologist. There was a cancellation rate of 12% and 4% of the patients failed their scheduled appointment. The remaining 21 patients (37%) were lost to follow up. Results will be considered in relation to demographic variables and personality characteristics.Conclusions: These findings indicate that a significant number (52%) of NES patients do not return to meet with the Epilepsy Center neurologist or psychologist following discharge, despite specific recommendations to do so. Our program believes that outpatient follow up of these patients is crucial for resolution of psychogenic seizures and improved well-being. The discharge conference may be a critical opportunity to emphasize the importance of such follow through. Further research is needed to determine the reasons for lack of compliance with discharge recommendations.