Document Detail


Tilt table testing in patients with suspected epilepsy.
MedLine Citation:
PMID:  18081916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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    
Affiliation:
Medical Department, Bornholm Hospital, Roenne, Denmark. edfors@gmail.com
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MeSH Terms
Descriptor/Qualifier:
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:
0/Anticonvulsants

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


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