Document Detail


Overintepretation of EEGs and misdiagnosis of epilepsy.
MedLine Citation:
PMID:  12684557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The overinterpretation of EEGs is a known problem that has not been reported specifically. The authors report a series of EEGs on patients who were diagnosed eventually with psychogenic nonepileptic seizures and who had an EEG read as epileptiform. Of the 15 actual records available for review, the overread patterns were wicket spikes (n = 1), hypnagogic hypersynchrony (n = 1), and hyperventilation-induced slowing (n = 1). In the other 12 records, the overread patterns were simple fluctuations of sharply contoured background rhythms or fragmented alpha activity. Rather than well-described normal variants, the overinterpreted patterns tend to be normal fluctuations of background activity.
Authors:
Selim R Benbadis; William O Tatum
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society     Volume:  20     ISSN:  0736-0258     ISO Abbreviation:  J Clin Neurophysiol     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-04-09     Completed Date:  2003-05-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8506708     Medline TA:  J Clin Neurophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  42-4     Citation Subset:  IM    
Affiliation:
Departments of Neurology and Neurosugery, University of South Florida and Tampa General Hospital, Florida 33606, USA. sbenbadi@hsc.usf.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Diagnostic Errors*
Electroencephalography*
Epilepsy / diagnosis*
Humans
Middle Aged
Seizures / diagnosis*

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