| Tilt table testing in patients with suspected epilepsy. | |
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MedLine Citation:
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PMID: 18081916 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Approximately 20-30% of patients with epilepsy are misdiagnosed and syncope often seems to be the mistaken cause. We re-evaluated patients referred to an epilepsy clinic where suspicion of neurally mediated (reflex) syncope were raised using tilt table testing (HUT). METHODS: HUT laboratory results and medical records of 120 consecutive patients were reviewed retrospectively over a period of 27 months. RESULTS: HUT was positive in 59 (49%) patients. Seventeen of 38 (45%) patients previously diagnosed with epilepsy and taking antiepileptic drugs were found to be misdiagnosed. Four of 21 patients with epilepsy (19%) had dual diagnoses of reflex syncope and epilepsy. CONCLUSION: HUT is an informative investigation when suspicions of reflex syncope are raised in patients referred to an epilepsy clinic. Reflex syncope is an important and common differential diagnosis of epilepsy. |
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Authors:
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R Edfors; J Erdal; B A-Rogvi-Hansen |
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Publication Detail:
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Type: Journal Article Date: 2007-12-12 |
Journal Detail:
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Title: Acta neurologica Scandinavica Volume: 117 ISSN: 1600-0404 ISO Abbreviation: Acta Neurol. Scand. Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-04-11 Completed Date: 2008-06-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370336 Medline TA: Acta Neurol Scand Country: Denmark |
Other Details:
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Languages: eng Pagination: 354-8 Citation Subset: IM |
Affiliation:
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Medical Department, Bornholm Hospital, Roenne, Denmark. edfors@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Anticonvulsants / therapeutic use Diagnosis, Differential Epilepsy / diagnosis*, drug therapy, physiopathology Female Follow-Up Studies Humans Male Middle Aged Retrospective Studies Syncope / diagnosis Tilt-Table Test / methods* |
| Chemical | |
Reg. No./Substance:
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0/Anticonvulsants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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