Epilepsy differential diagnosis: Difference between revisions
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** 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: | ** There are some features which can help us differentiate PNEAs from epilepsy: | ||
# These patients are resistance to antiepileptic drugs. | # These patients are resistance to antiepileptic drugs.<ref name="pmid10023117">{{cite journal |vauthors=Benbadis SR |title=How many patients with pseudoseizures receive antiepileptic drugs prior to diagnosis? |journal=Eur. Neurol. |volume=41 |issue=2 |pages=114–5 |date=1999 |pmid=10023117 |doi=10.1159/000008015 |url=}}</ref> | ||
# PNEAs rarely happens in sleep and mostly happens in the present of an audience. | # PNEAs rarely happens in sleep and mostly happens in the present of an audience.<ref name="pmid8710126">{{cite journal |vauthors=Benbadis SR, Lancman ME, King LM, Swanson SJ |title=Preictal pseudosleep: a new finding in psychogenic seizures |journal=Neurology |volume=47 |issue=1 |pages=63–7 |date=July 1996 |pmid=8710126 |doi= |url=}}</ref> | ||
# In physical examination of PNEAs patients we can observe histrionic features. | # In physical examination of PNEAs patients we can observe histrionic features.<ref name="pmid7487261">{{cite journal |vauthors=Benbadis SR, Wolgamuth BR, Goren H, Brener S, Fouad-Tarazi F |title=Value of tongue biting in the diagnosis of seizures |journal=Arch. Intern. Med. |volume=155 |issue=21 |pages=2346–9 |date=November 1995 |pmid=7487261 |doi= |url=}}</ref> | ||
# tongue biting, urine incontinence and postictal confusion are in favor of epilepsy. | # tongue biting, urine incontinence and postictal confusion are in favor of epilepsy.<ref name="pmid7487261">{{cite journal |vauthors=Benbadis SR, Wolgamuth BR, Goren H, Brener S, Fouad-Tarazi F |title=Value of tongue biting in the diagnosis of seizures |journal=Arch. Intern. Med. |volume=155 |issue=21 |pages=2346–9 |date=November 1995 |pmid=7487261 |doi= |url=}}</ref> | ||
* Syncope: | * Syncope: | ||
* | * | ||
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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]
- 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.
- ↑ 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.