Document Detail

The diagnostic utility of the ictal cry.
MedLine Citation:
PMID:  20627816     Owner:  NLM     Status:  MEDLINE    
Epileptic generalized tonic-clonic (GTC) seizures are differentiated from nonepileptic spells primarily by history. The historical features that can aid in making a diagnosis, such as urinary incontinence and tongue biting, are few. One additional piece of information we propose may be of clinical value is the stereotypical "ictal cry." We reviewed audio from 20 consecutive GTC seizures and 20 consecutive psychogenic convulsive nonepileptic spells recorded in our epilepsy monitoring unit. The audio components of the recordings from each group were compared. The typical laryngeal sound was found to have both high sensitivity (85%) and specificity (100%) for epileptic GTC seizures. In none of the 20 psychogenic cases was the typical epileptic vocalization expressed; these cases were mostly associated with other utterances such as weeping, moaning, and coughing. The ictal cry is strongly associated with epileptic GTC seizures and, thus, warrants inquiry when obtaining the history from witnesses of a patient's seizure.
H Elzawahry; Chen S Do; K Lin; S R Benbadis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Epilepsy & behavior : E&B     Volume:  18     ISSN:  1525-5069     ISO Abbreviation:  Epilepsy Behav     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-16     Completed Date:  2010-10-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892858     Medline TA:  Epilepsy Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  306-7     Citation Subset:  IM    
Department of Neurology, College of Medicine, University of South Florida, Tampa, FL, USA.
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MeSH Terms
Electroencephalography / methods
Epilepsy, Tonic-Clonic / complications*,  diagnosis*
Middle Aged
Monitoring, Physiologic / methods
Psychophysiologic Disorders / etiology
Young Adult

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