Seizure other diagnostic studies: Difference between revisions
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{{CMG}} {{AE}} {{SHA}} | {{CMG}} {{AE}} {{SHA}} | ||
==Overview== | ==Overview== | ||
[[EEG]] with [[sleep deprivation]] is helpful when standard [[EEG]] does not detect any epileptiform changes. | [[EEG]] with [[sleep deprivation]] is helpful when standard [[EEG]] does not detect any epileptiform changes. [[Lumbar puncture |Lumbar puncture (LP)]] should be considered in those patients suggesting [[meningitis]], [[encephalitis]], or [[subarachnoid hemorrhage]]. | ||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
[[EEG]] with [[sleep deprivation]] is helpful when standard [[EEG]] does not detect any epileptiform changes.<ref name="pmid14521275">{{cite journal| author=Schreiner A, Pohlmann-Eden B| title=Value of the early electroencephalogram after a first unprovoked seizure. | journal=Clin Electroencephalogr | year= 2003 | volume= 34 | issue= 3 | pages= 140-4 | pmid=14521275 | doi=10.1177/155005940303400307 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14521275 }} </ref> | *[[EEG]] with [[sleep deprivation]] is helpful when standard [[EEG]] does not detect any epileptiform changes.<ref name="pmid14521275">{{cite journal| author=Schreiner A, Pohlmann-Eden B| title=Value of the early electroencephalogram after a first unprovoked seizure. | journal=Clin Electroencephalogr | year= 2003 | volume= 34 | issue= 3 | pages= 140-4 | pmid=14521275 | doi=10.1177/155005940303400307 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14521275 }} </ref> [[EEG]] should be performed as soon as possible and can detect:<ref name="pmid30704683">{{cite journal| author=Johnson EL| title=Seizures and Epilepsy. | journal=Med Clin North Am | year= 2019 | volume= 103 | issue= 2 | pages= 309-324 | pmid=30704683 | doi=10.1016/j.mcna.2018.10.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30704683 }} </ref> | ||
** Focal sharp waves or spikes ([[focal epilepsy]]) | |||
** Bilateral/generalized epileptiform activity (generalized [[epilepsy]]) | |||
*[[Lumbar puncture |Lumbar puncture (LP)]] should be considered in those patients suggesting the following causes:<ref name="pmid28027373">{{cite journal| author=Gavvala JR, Schuele SU| title=New-Onset Seizure in Adults and Adolescents: A Review. | journal=JAMA | year= 2016 | volume= 316 | issue= 24 | pages= 2657-2668 | pmid=28027373 | doi=10.1001/jama.2016.18625 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28027373 }} </ref> | |||
**[[Meningitis]] | |||
**[[Encephalitis]] | |||
**[[Subarachnoid hemorrhage]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Epilepsy]] | [[Category:Epilepsy]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Disease]] | [[Category:Disease]] |
Latest revision as of 14:49, 20 April 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
Overview
EEG with sleep deprivation is helpful when standard EEG does not detect any epileptiform changes. Lumbar puncture (LP) should be considered in those patients suggesting meningitis, encephalitis, or subarachnoid hemorrhage.
Other Diagnostic Studies
- EEG with sleep deprivation is helpful when standard EEG does not detect any epileptiform changes.[1] EEG should be performed as soon as possible and can detect:[2]
- Focal sharp waves or spikes (focal epilepsy)
- Bilateral/generalized epileptiform activity (generalized epilepsy)
- Lumbar puncture (LP) should be considered in those patients suggesting the following causes:[3]
References
- ↑ Schreiner A, Pohlmann-Eden B (2003). "Value of the early electroencephalogram after a first unprovoked seizure". Clin Electroencephalogr. 34 (3): 140–4. doi:10.1177/155005940303400307. PMID 14521275.
- ↑ Johnson EL (2019). "Seizures and Epilepsy". Med Clin North Am. 103 (2): 309–324. doi:10.1016/j.mcna.2018.10.002. PMID 30704683.
- ↑ Gavvala JR, Schuele SU (2016). "New-Onset Seizure in Adults and Adolescents: A Review". JAMA. 316 (24): 2657–2668. doi:10.1001/jama.2016.18625. PMID 28027373.