| The misdiagnosis of epilepsy in people with intellectual disabilities: A systematic review. | |
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MedLine Citation:
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PMID: 21123090 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: Epilepsy is common in people with intellectual disabilities. Epilepsy can be difficult to diagnose and may be misdiagnosed in around 25% of cases. A systematic review was conducted to explore: METHODS: Primary studies and systematic reviews published in the English language between 1998 and 2008 were identified from electronic databases, experts, the Internet, grey literature, and citation tracking. Included studies were critically appraised by team members using the appraisal tools produced by the Critical Appraisal Skills Programme (CASP) at the Public Health Resource Unit, Oxford. RESULTS: Eight studies were included in the review and critically appraised: six cohort studies and two case studies. Where data was provided in the cohort studies between 32% and 38% of people with intellectual disabilities were diagnosed as not having epilepsy or as having nonepileptic events. The main reason for misdiagnosis was the misinterpretation of behavioural, physiological, syndrome related, medication related or psychological events by parents, paid carers and health professionals. CONCLUSIONS: Those working in epilepsy and intellectual disability services and families must be made more aware of the possibility of misdiagnosis. Future research is needed about the misdiagnosis of epilepsy amongst people with intellectual disabilities and carer knowledge. |
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Authors:
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Melanie Chapman; Pam Iddon; Kathy Atkinson; Colin Brodie; Duncan Mitchell; Garry Parvin; Steve Willis |
Publication Detail:
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Type: Journal Article Date: 2010-11-30 |
Journal Detail:
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Title: Seizure : the journal of the British Epilepsy Association Volume: 20 ISSN: 1532-2688 ISO Abbreviation: Seizure Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9306979 Medline TA: Seizure Country: England |
Other Details:
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Languages: eng Pagination: 101-6 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Manchester Learning Disability Partnership, Quality Research & Service Development Team, Mauldeth House, Mauldeth Road West, Manchester M21 7RL, United Kingdom. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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