Paroxysmal Neurobehavioral Disorder (Neppe, JPCPY 3:5, 2015, September)

We greatly acknowledge the Journal of Psychology and Clinical Psychiatry for permission to republish. We also acknowledge the Exceptional Creative Achievement Organization (ECAO.us) who hold the copyright on this article.

Principles of prescribing (Neppe, JPCPY 5:6, 2016, April)

We greatly acknowledge the Journal of Psychology and Clinical Psychiatry for permission to republish. We also acknowledge the Exceptional Creative Achievement Organization (ECAO.us) who hold the copyright on this article.

The Paroxysmal Disorders: Insights into the controversy of medical diagnosis and terminologies

Neppe, V. M. with Blumer D. The paroxysmal disorders: insights into the controversy of medical diagnosis and terminologies. (8 parts). Telicom. 2008; 21: 2, March-April, 16-40.

Dr Vernon Neppe discusses his pioneering work on a series of symptoms and conditions relating to episodic abnormal behaviors manifesting from higher brain functioning in an eight part series.

These Paroxysmal Disorders are not well recognized in medicine and have often not been adequately defined which means treatments were lacking or limited. Because of the lack of awareness of such conditions Professor Neppe has included it in his feature column on medical controversies. With his colleague, Dr Dietrich  Blumer, Vernon pioneered this area. He describes for the first time in print, the  new disorder of Paroxysmal Neurobehavioral Disorder, develops a non-prejudicial way  of what was before described as hysterical seizures (Paroxysmal Somatoform Disorder) and differentiates them from real seizures and shows how the "startle mechanism" may be important. He also demonstrates how sensitivity to flashing lights may cause related conditions like epileptic seizures, irritability and headache suggesting the term Paroxysmal Photosensitive Disorder. Finally he discusses two clinical evaluations  (INSET, SOBIN) that he has developed to apply to this area and how monitoring brain waves at home via sophisticated computer apparatus (Home Ambulatory EEG) can assist in the delineation of these paroxysmal disorders. Finally he discusses this in the context of the multisystem, ethicobiopsychofamiliosociocultural framework.

This paper is a composite of eight articles, some of which are co-authored by Dr Dietrich Blumer,  on this topic namely:

 Neppe, V. M., Paroxysmal disorders: A Historical and Terminological

Perspective (Part 1) Telicom. 2008; 21: 2, March-April, 17-20

 Neppe, V. M., Blumer, D. Paroxysmal neurobehavioral disorder—a new

syndrome (Part 2) Telicom. 2008; 21: 2, March-April, 20-22

 Neppe, V. M. Paroxysmal disorders: Home ambulatory EEG as objective

screening (Part 3) Telicom. 2008; 21: 2, March-April, 22-24

 Neppe, V. M., Paroxysmal disorders: The INSET as a subjective screen: (Part 4)

Telicom. 2008; 21: 2, March-April, 24-28.

 Neppe, V. M., . Paroxysmal disorders: A summary differential diagnosis of

epileptic seizures, non-epileptic seizures and syncope. (Part 5). Telicom.

2008; 21: 2, March-April, 28-30

 Neppe, V. M., Blumer, D. Pseudoseizures—the misdiagnosed label; a new

terminology: Paroxysmal somatoform disorder (Part 6).. Telicom. 2008; 21:

2, March-April, 31-34.

 Neppe, V. M., Paroxysmal Photosensitive Syndrome: Photic stimulation, the

EEG and environmental ethics (Part 7). Telicom. 2008; 21: 2, March-April,

34-36.

 Neppe, V. M., Paroxysmal disorders; a brain firing perspective to terminology

and diagnosis The ethicobiopsychofamiliosociocultural approach. (Part 8).

Telicom. 2008; 21: 2, March-April, 36-40.

Our grateful thanks to Dr Vernon Neppe who holds the copyright on this article and Telicom, journal of the International Society for Philosophical Enquiry (www.thethousand.com)

Relevant Links: