Epilepsy differential diagnosis: Difference between revisions
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** Syncope is another misdiagnosed disease with epilepsy. The reason for this misdiagnosis is that syncope attacks happens in a convulsive manner and patients may have body jerks and clonic movement.<ref name="pmid3369769">{{cite journal |vauthors=Aminoff MJ, Scheinman MM, Griffin JC, Herre JM |title=Electrocerebral accompaniments of syncope associated with malignant ventricular arrhythmias |journal=Ann. Intern. Med. |volume=108 |issue=6 |pages=791–6 |date=June 1988 |pmid=3369769 |doi= |url=}}</ref> | ** Syncope is another misdiagnosed disease with epilepsy. The reason for this misdiagnosis is that syncope attacks happens in a convulsive manner and patients may have body jerks and clonic movement.<ref name="pmid3369769">{{cite journal |vauthors=Aminoff MJ, Scheinman MM, Griffin JC, Herre JM |title=Electrocerebral accompaniments of syncope associated with malignant ventricular arrhythmias |journal=Ann. Intern. Med. |volume=108 |issue=6 |pages=791–6 |date=June 1988 |pmid=3369769 |doi= |url=}}</ref> | ||
** Syncope also cause EEG changes and make it more difficult to differentiate it from epilepsy.<ref name="pmid9676166">{{cite journal |vauthors=Sheldon RS, Koshman ML, Murphy WF |title=Electroencephalographic findings during presyncope and syncope induced by tilt table testing |journal=Can J Cardiol |volume=14 |issue=6 |pages=811–6 |date=June 1998 |pmid=9676166 |doi= |url=}}</ref> | ** Syncope also cause EEG changes and make it more difficult to differentiate it from epilepsy.<ref name="pmid9676166">{{cite journal |vauthors=Sheldon RS, Koshman ML, Murphy WF |title=Electroencephalographic findings during presyncope and syncope induced by tilt table testing |journal=Can J Cardiol |volume=14 |issue=6 |pages=811–6 |date=June 1998 |pmid=9676166 |doi= |url=}}</ref> | ||
** There are some presyncope symptoms such as sweating, dizziness, nausea and malaise which helps us differentiate it from epilepsy. | |||
* Organic conditions: | |||
** Hypoglycemia: | |||
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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.[4]
- PNEAs rarely happens in sleep and mostly happens in the present of an audience.[5]
- In physical examination of PNEAs patients we can observe histrionic features.[6]
- Tongue biting, urine incontinence and postictal confusion are in favor of epilepsy.[6]
- In PNEAs we have normal EEGs.[7]
- Syncope:
- Syncope is another misdiagnosed disease with epilepsy. The reason for this misdiagnosis is that syncope attacks happens in a convulsive manner and patients may have body jerks and clonic movement.[8]
- Syncope also cause EEG changes and make it more difficult to differentiate it from epilepsy.[9]
- There are some presyncope symptoms such as sweating, dizziness, nausea and malaise which helps us differentiate it from epilepsy.
- Organic conditions:
- Hypoglycemia:
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.
- ↑ Benbadis SR (1999). "How many patients with pseudoseizures receive antiepileptic drugs prior to diagnosis?". Eur. Neurol. 41 (2): 114–5. doi:10.1159/000008015. PMID 10023117.
- ↑ Benbadis SR, Lancman ME, King LM, Swanson SJ (July 1996). "Preictal pseudosleep: a new finding in psychogenic seizures". Neurology. 47 (1): 63–7. PMID 8710126.
- ↑ 6.0 6.1 Benbadis SR, Wolgamuth BR, Goren H, Brener S, Fouad-Tarazi F (November 1995). "Value of tongue biting in the diagnosis of seizures". Arch. Intern. Med. 155 (21): 2346–9. PMID 7487261.
- ↑ Davis BJ (2004). "Predicting nonepileptic seizures utilizing seizure frequency, EEG, and response to medication". Eur. Neurol. 51 (3): 153–6. doi:10.1159/000077287. PMID 15017116.
- ↑ Aminoff MJ, Scheinman MM, Griffin JC, Herre JM (June 1988). "Electrocerebral accompaniments of syncope associated with malignant ventricular arrhythmias". Ann. Intern. Med. 108 (6): 791–6. PMID 3369769.
- ↑ Sheldon RS, Koshman ML, Murphy WF (June 1998). "Electroencephalographic findings during presyncope and syncope induced by tilt table testing". Can J Cardiol. 14 (6): 811–6. PMID 9676166.