Seizure differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
==Differentiating Seizure from other Conditions== | ==Differentiating Seizure from other Conditions== | ||
It can be difficult to distinguish a seizure from other conditions causing a collapse, abnormal movements or other seizure manifestations. A 2007 [[Evidence based medicine|evidence-based]] review from the [[American Academy of Neurology]] and the American Epilepsy Society recommends an [[electroencephalogram]] (EEG, brain wave activity) and brain imaging with [[CT scan]] or [[MRI scan]] in the work-up of adults presenting with a first apparently unprovoked seizure. [[Blood tests]], [[lumbar puncture]] or toxicology screening can be helpful in specific circumstances suggestive of an underlying cause like [[meningitis]] or [[drug overdose]], but there is insufficient evidence to support their routine use in the work-up of an adult with an apparently unprovoked first seizure.<ref name="AAS2007">Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J; Quality Standards Subcommittee of the American Academy of Neurology; American Epilepsy Society. Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society. ''Neurology'' 2007; '''69(21)''': 1996-2007. PMID 18025394</ref> | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 15:41, 29 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Differentiating Seizure from other Conditions
It can be difficult to distinguish a seizure from other conditions causing a collapse, abnormal movements or other seizure manifestations. A 2007 evidence-based review from the American Academy of Neurology and the American Epilepsy Society recommends an electroencephalogram (EEG, brain wave activity) and brain imaging with CT scan or MRI scan in the work-up of adults presenting with a first apparently unprovoked seizure. Blood tests, lumbar puncture or toxicology screening can be helpful in specific circumstances suggestive of an underlying cause like meningitis or drug overdose, but there is insufficient evidence to support their routine use in the work-up of an adult with an apparently unprovoked first seizure.[1]
References
- ↑ Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J; Quality Standards Subcommittee of the American Academy of Neurology; American Epilepsy Society. Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology 2007; 69(21): 1996-2007. PMID 18025394