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Era Catur Prasetya
Universitas Muhammadiyah Surabaya
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Dissociative Convulsions Mimicking Epileptic Seizures: A Diagnostic Challenge in a Patient with Complex Psychosocial Stressors Ardita Da’imah Cahyani; Era Catur Prasetya
Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 2 No. 2 (2026): Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Bulan Oktober
Publisher : PT Pustaka Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71417/galen.v2i2.229

Abstract

Dissociative convulsions are paroxysmal events resembling epileptic seizures yet occurring without ictal epileptiform activity, and they are frequently misdiagnosed or delayed, especially in resource‑limited settings. This study aims to describe the diagnostic process, clinical course, and psychosocial context of dissociative convulsions in a 29‑year‑old woman with complex psychosocial stressors, and to illustrate a structured management approach. The research adopted a qualitative case study design, employing a descriptive‑analytic paradigm and inductive analysis. Data were collected from a single case meeting the criteria for dissociative convulsions (F44.5), evaluated in a psychiatric outpatient setting, through comprehensive clinical interviews, mental status examination, behavioral observations, and documentation of semiotic seizure features, alongside routine EEG, CT head, and laboratory tests. Data were analyzed thematically by identifying patterns of semiotics, psychosocial triggers, and treatment response. The result shows that seizure‑like episodes emerged in close temporal relation to interpersonal conflict and reproductive losses, were accompanied by prominent autonomic symptoms, and occurred against a background of adverse childhood experiences and borderline‑type personality traits. The conclusion highlights that a careful semiotic assessment, normal ancillary investigations, and thorough psychosocial evaluation support the diagnosis of dissociative convulsions, even without video‑EEG monitoring, and that a multimodal biopsychosocial strategy combining psychoeducation, cognitive‑behavioral therapy, grounding techniques, and pharmacotherapy effectively reduces seizure frequency and psychosocial impairment.
Co-Authors Abiola, Tajudeen Achmada Nadia Shobrina Adi Satria Nugraha Ahmad Firdaus, Ahmad Ahmad Mawardi Hussain Al Hamdani Aisah Ibrahimiyah, Nur Akil, Syafarinah Nurhidayah Al Qassam, Izzuddin Ali Mustofa Alwi, Muhammad Najib Mohamad Amandya, Ajeng Khalisyah Putri Anisatul Hamida Anisatul Hamida Annas Adimara Aqila, Putri Ardita Da’imah Cahyani Arif Gunawan Atsira, Olga Ayu Tsalis Saputri Azalika Kansa Namira Bela Auliya Puspita Ningrum Chintya Rosalina Damba Bestari Dinata, M. Thoriq Satria Dwi ariningtyas, Ninuk Dwiputri, Adelita Vega Faadhilah, Aisyah Florensia, Rifka Gina Noor Djalilah Hamida, Anisatul Haniifah, Ulaa Hapsari, Ainun Nadya Iffah Nabila Iftitah Niza Apandi Indrawati, Nina Devi Intan Afifah Irkadiratna, Aderisti Kamila Aisyah Khadijah Hasanah Abang Abdullah Kharisma Sukma Nanda Khofifah Dwi Oktaviana Laily Irfana, Laily Lens Hanin Herda Zhafirah Lestari , Rizky Dwi Lestari Basoeki Lia Lisa Arista Lucky Dyah Oktaviyanti M Dedi Dermawan Mahyuddin, Muhammad Hanun Marlina, Uning Maya Rafida Maya Rafida Meilaniwati Sarfa Melati Wahyurini Mohammad Muslih Muhammad Anas Muhammad Anas Muhammad Hanun Mahyuddin Muhammad Rafi Zufar Priyambodo Muhammad Ramzi Muhammad Ramzy Muhammad Tegar Nugraha Muhammad Tegar Prasetya Mundakir Nabiila, Alyaa Nadia Tazky Nur Izzatul Ulya Narulitia, Adinda Nerly, Wichda Shirosa Nina Devi Indrawati Ninuk Dwi Ariningtyas Nova Primadina Nugraha, Adi Satria Nugraha, Muhammad Tegar Nur Azizah, Feelinda Nur Mujaddidah Mochtar Nurissyita, Al Mas Oktaviyanti, Lucky Dyah Prastya, Aldo Dwi Putri Aqila Rafida, Maya Ramzi, Muhammad Reliani Reliani, Reliani Rianto, Chintya Rosalina Allodya Rini Kusumawardhany, Rini Rohmah, Lina Nur Hidayahtur Roni Subagyo Roni Subagyo Salsabil Khalizah Ramadhan Secka, Absa Setiobudi, Karen Delicia Shelly Oktifani Rahmasita Sihombing, Linda Agustina Sobirin, Burhansyah SOETJIPTO . Subagyo , Roni Subagyo, Roni Suci Arofa, Erliza Sudirman, Choiros Sirli Tanzilia Haqi Tjatur Prijambodo Ulaa Haniifah Ulaa Haniifah Yelvi Levani Yumna, Insira Yustika Izziyatu Anindita Yustika Izziyatu Anindita Yustin, Annisa Zuhrina Irma A’tiana