Document Detail

Tilt table testing in patients with suspected epilepsy.
MedLine Citation:
PMID:  18081916     Owner:  NLM     Status:  MEDLINE    
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.
R Edfors; J Erdal; B A-Rogvi-Hansen
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Publication Detail:
Type:  Journal Article     Date:  2007-12-12
Journal Detail:
Title:  Acta neurologica Scandinavica     Volume:  117     ISSN:  1600-0404     ISO Abbreviation:  Acta Neurol. Scand.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-11     Completed Date:  2008-06-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370336     Medline TA:  Acta Neurol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  354-8     Citation Subset:  IM    
Medical Department, Bornholm Hospital, Roenne, Denmark.
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MeSH Terms
Aged, 80 and over
Anticonvulsants / therapeutic use
Diagnosis, Differential
Epilepsy / diagnosis*,  drug therapy,  physiopathology
Follow-Up Studies
Middle Aged
Retrospective Studies
Syncope / diagnosis
Tilt-Table Test / methods*
Reg. No./Substance:

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