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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Azar, Nabil J. Pitiyanuvath, Nataria Vittal, Nandakumar Bangalore Wang, Lily Shi, Yaping Abou-Khalil, Bassel W. |
| Description | Country affiliation: United States Author Affiliation: Azar NJ ( Department of Neurology, Vanderbilt University Medical Center, Nashville, TN 37232-2551, USA. nabil.azar@vanderbilt.edu) |
| Abstract | OBJECTIVE: Therapy for convulsive seizures is usually initiated on the basis of clinical assessment, without video/EEG confirmation, but a nonepileptic origin may eventually be demonstrated. This study evaluates the diagnostic value of a witness-questionnaire in distinguishing between convulsive epileptic seizures (CES) and convulsive nonepileptic seizures (CNES). METHODS: We prospectively identified all adult patients admitted for video/EEG evaluation of convulsive attacks and interviewed the 'best' witness using 12 questions on ictal and postictal features. RESULTS: Video/EEG diagnosed CES in 19 and CNES in 26 patients. The predictive accuracy of the questionnaire was 84.4%. Six features were strong predictors of CNES diagnosis: ictal eye closure, presence of side-to-side movements, prolonged seizure duration, and three postictal breathing features (not loud, shallow, no snoring). CONCLUSION: A structured witness questionnaire distinguishes CES and CNES and will help in selecting patients for early video/EEG evaluation and rapid initiation of appropriate therapy. |
| File Format | HTM / HTML |
| ISSN | 15255050 |
| Issue Number | 3 |
| Volume Number | 19 |
| e-ISSN | 15255069 |
| Journal | Epilepsy & Behavior |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2010-11-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Epilepsy Seizures Diagnosis Questionnaires Adolescent Adult Analysis Of Variance Chi-square Distribution Electroencephalography Statistics & Numerical Data Female Humans Interview, Psychological Male Middle Aged Predictive Value Of Tests Prospective Studies Classification Videotape Recording Methods Young Adult Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology Behavioral Neuroscience Neurology (clinical) |
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