Document Detail

Difficulties in diagnosis of solitary and sporadic epileptic seizures.
MedLine Citation:
PMID:  21196928     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Authors warn of difficulties in diagnostic of solitary epileptic seizure and epilepsy.
MATERIAL AND METHODS: Our groups have been made up of patients, who have been dismissed from our clinic in the period from January 1997 to January 2007 with diagnosis of solitary unprovoked epileptic seizure (n=84) and epilepsy with sporadic epileptic seizure (n=179). We have evaluated the clinical typology of epileptic seizure, EEG findings and results of imaging methods and we determined the part of patients with complete diagnostic concordance between clinical image of epileptic seizure and results of auxiliary diagnostic methods.
RESULTS: We have denoted the complete diagnostic concordance among the clinical image, EEG findings and results of imaging methods only in 13.1% of patients after solitary unprovoked epileptic seizure and in 24.02% of patients with diagnosis of epilepsy with sporadic epileptic seizures. The receiving diagnosis of unclear seizure status was determined at 49.14% of patients dismissed with diagnosis of solitary epileptic seizure and at 40.78% of patients dismissed with diagnosis of epilepsy with sporadic epileptic seizures in 10 year time period.
CONCLUSION: Our results repeat the confirmation that the diagnostic of seizure disorders, with and without disturbance of consciousness, belong to the difficult part in the clinical praxis.
Branislav Kollar; Katarina Klobucnikova; Anna Fecikova; Jana Borovska
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neuro endocrinology letters     Volume:  31     ISSN:  0172-780X     ISO Abbreviation:  Neuro Endocrinol. Lett.     Publication Date:  2010  
Date Detail:
Created Date:  2011-01-18     Completed Date:  2011-03-16     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  8008373     Medline TA:  Neuro Endocrinol Lett     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  814-7     Citation Subset:  IM    
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MeSH Terms
Diagnosis, Differential
Epilepsy / diagnosis*,  pathology,  physiopathology,  radiography
Magnetic Resonance Imaging*
Middle Aged
Reproducibility of Results
Retrospective Studies
Seizures / diagnosis
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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