Epilepsy differential diagnosis: Difference between revisions
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== Differentiating [Disease name] from other Diseases == | == Differentiating [Disease name] from other Diseases == | ||
Epilepsy must be differentiated from: | Epilepsy must be differentiated from: | ||
* Psychogenic nonepileptic attacks: | * Psychogenic nonepileptic attacks (PNEAs): | ||
** Psychogenic nonepileptic attacks most commonly happens in young women and is the most common disease misdiagnosed with epilepsy.<ref name="pmid15329081">{{cite journal |vauthors=Benbadis SR, O'Neill E, Tatum WO, Heriaud L |title=Outcome of prolonged video-EEG monitoring at a typical referral epilepsy center |journal=Epilepsia |volume=45 |issue=9 |pages=1150–3 |date=September 2004 |pmid=15329081 |doi=10.1111/j.0013-9580.2004.14504.x |url=}}</ref><ref name="pmid16531122">{{cite journal |vauthors=Behrouz R, Heriaud L, Benbadis SR |title=Late-onset psychogenic nonepileptic seizures |journal=Epilepsy Behav |volume=8 |issue=3 |pages=649–50 |date=May 2006 |pmid=16531122 |doi=10.1016/j.yebeh.2006.02.003 |url=}}</ref><ref name="pmid16769934">{{cite journal |vauthors=Duncan R, Oto M, Martin E, Pelosi A |title=Late onset psychogenic nonepileptic attacks |journal=Neurology |volume=66 |issue=11 |pages=1644–7 |date=June 2006 |pmid=16769934 |doi=10.1212/01.wnl.0000223320.94812.7a |url=}}</ref> | ** Psychogenic nonepileptic attacks most commonly happens in young women and is the most common disease misdiagnosed with epilepsy.<ref name="pmid15329081">{{cite journal |vauthors=Benbadis SR, O'Neill E, Tatum WO, Heriaud L |title=Outcome of prolonged video-EEG monitoring at a typical referral epilepsy center |journal=Epilepsia |volume=45 |issue=9 |pages=1150–3 |date=September 2004 |pmid=15329081 |doi=10.1111/j.0013-9580.2004.14504.x |url=}}</ref><ref name="pmid16531122">{{cite journal |vauthors=Behrouz R, Heriaud L, Benbadis SR |title=Late-onset psychogenic nonepileptic seizures |journal=Epilepsy Behav |volume=8 |issue=3 |pages=649–50 |date=May 2006 |pmid=16531122 |doi=10.1016/j.yebeh.2006.02.003 |url=}}</ref><ref name="pmid16769934">{{cite journal |vauthors=Duncan R, Oto M, Martin E, Pelosi A |title=Late onset psychogenic nonepileptic attacks |journal=Neurology |volume=66 |issue=11 |pages=1644–7 |date=June 2006 |pmid=16769934 |doi=10.1212/01.wnl.0000223320.94812.7a |url=}}</ref> | ||
** There are some features which can help us differentiate PNEAs from epilepsy: | |||
# These patients are resistance to antiepileptic drugs. (14) | |||
# PNEAs rarely happens in sleep and mostly happens in the present of an audience. (15,16) | |||
# In physical examination of PNEAs patients we can observe histrionic features. (18) | |||
# tongue biting, urine incontinence and postictal confusion are in favor of epilepsy. (18) | |||
* Syncope: | |||
* | |||
==References== | ==References== | ||
Revision as of 19:28, 30 November 2018
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Overview
Differentiating [Disease name] from other Diseases
Epilepsy must be differentiated from:
- Psychogenic nonepileptic attacks (PNEAs):
- These patients are resistance to antiepileptic drugs. (14)
- PNEAs rarely happens in sleep and mostly happens in the present of an audience. (15,16)
- In physical examination of PNEAs patients we can observe histrionic features. (18)
- tongue biting, urine incontinence and postictal confusion are in favor of epilepsy. (18)
- Syncope:
References
- ↑ Benbadis SR, O'Neill E, Tatum WO, Heriaud L (September 2004). "Outcome of prolonged video-EEG monitoring at a typical referral epilepsy center". Epilepsia. 45 (9): 1150–3. doi:10.1111/j.0013-9580.2004.14504.x. PMID 15329081.
- ↑ Behrouz R, Heriaud L, Benbadis SR (May 2006). "Late-onset psychogenic nonepileptic seizures". Epilepsy Behav. 8 (3): 649–50. doi:10.1016/j.yebeh.2006.02.003. PMID 16531122.
- ↑ Duncan R, Oto M, Martin E, Pelosi A (June 2006). "Late onset psychogenic nonepileptic attacks". Neurology. 66 (11): 1644–7. doi:10.1212/01.wnl.0000223320.94812.7a. PMID 16769934.