Epilepsy diagnostic study of choice: Difference between revisions
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=== Study of choice === | === Study of choice === | ||
* There is no single diagnostic study of choice for the diagnosis of epilepsy, but epilepsy can be diagnosed based on history, symptoms and physical examination of a patient with seizure complain. | * There is no single diagnostic study of choice for the diagnosis of epilepsy, but epilepsy can be diagnosed based on history, symptoms and physical examination of a patient with seizure complain.<ref name=":0">{{cite book | last = Mattle | first = Heinrich | title = Fundamentals of neurology : an illustrated guide | publisher = Thieme | location = Stuttgart New York | year = 2017 | isbn = 9783131364524 }}</ref> | ||
* Among the patients who present with clinical signs of seizure, the EGG is the most efficient test for diagnosis. | * Among the patients who present with clinical signs of seizure, the EGG is the most efficient test for diagnosis. | ||
* Video-EEG monitoring is a combination of recording EEG and clinical behavior of the patient. Although | * Video-EEG monitoring is a combination of recording EEG and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if seizures.<ref name="pmid12233935">{{cite journal |vauthors=Worrell GA, Lagerlund TD, Buchhalter JR |title=Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures |journal=Mayo Clin. Proc. |volume=77 |issue=9 |pages=991–8 |date=September 2002 |pmid=12233935 |doi=10.4065/77.9.991 |url=}}</ref> | ||
* With the first seizure, in order to reach a diagnosis and find out the etiology of seizure, we should perform ancillary testing such as: | * With the first seizure, in order to reach a diagnosis and find out the etiology of seizure, we should perform ancillary testing such as: | ||
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*** Urinalysis | *** Urinalysis | ||
*** Toxicology screens | *** Toxicology screens | ||
** Imaging study including: | ** Imaging study including:<ref name=":0" /> | ||
*** MRI | *** MRI | ||
*** CT Scan | *** CT Scan | ||
** EEG | |||
=== | ** Video-EEG monitoring | ||
** Lumbar puncture<ref name="pmid180253942">{{cite journal |vauthors=Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J |title=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 |journal=Neurology |volume=69 |issue=21 |pages=1996–2007 |date=November 2007 |pmid=18025394 |doi=10.1212/01.wnl.0000285084.93652.43 |url=}}</ref> | |||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Diagnostic Study of Choice
Study of choice
- There is no single diagnostic study of choice for the diagnosis of epilepsy, but epilepsy can be diagnosed based on history, symptoms and physical examination of a patient with seizure complain.[1]
- Among the patients who present with clinical signs of seizure, the EGG is the most efficient test for diagnosis.
- Video-EEG monitoring is a combination of recording EEG and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if seizures.[2]
- With the first seizure, in order to reach a diagnosis and find out the etiology of seizure, we should perform ancillary testing such as:
References
- ↑ 1.0 1.1 Mattle, Heinrich (2017). Fundamentals of neurology : an illustrated guide. Stuttgart New York: Thieme. ISBN 9783131364524.
- ↑ Worrell GA, Lagerlund TD, Buchhalter JR (September 2002). "Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures". Mayo Clin. Proc. 77 (9): 991–8. doi:10.4065/77.9.991. PMID 12233935.
- ↑ Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J (November 2007). "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. 69 (21): 1996–2007. doi:10.1212/01.wnl.0000285084.93652.43. PMID 18025394.
- ↑ Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J (November 2007). "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. 69 (21): 1996–2007. doi:10.1212/01.wnl.0000285084.93652.43. PMID 18025394.