Common imitators of epilepsy

@article{Brodtkorb2013CommonIO,
  title={Common imitators of epilepsy},
  author={Eylert Brodtkorb},
  journal={Acta Neurologica Scandinavica},
  year={2013},
  volume={127}
}
  • E. Brodtkorb
  • Published 1 January 2013
  • Psychology, Medicine
  • Acta Neurologica Scandinavica
Many episodic phenomena involving motor, sensory, autonomic, and behavioral functions may imitate epilepsy. The aim of this article is to focus on the various manifestations and the diagnostic and therapeutic challenges of the most common of these disorders, as well as their relationship to emotional aspects. Syncope is caused by reduced global cerebral perfusion. Convulsive movements are sometimes released from subcortical structures, but do not follow the characteristic sequence of tonic… 

[First generalized tonic-clonic seizure].

TLDR
Patients who experience a first generalized tonic-clonic seizure are a heterogenous group, and a thorough diagnostic assessment is necessary in order to provide tailored treatment and a reliable prognosis.

An Overview of Psychogenic Non-Epileptic Seizures: Etiology, Diagnosis and Management

TLDR
A diagnostic and treatment algorithm for PNES is proposed and a national registry of patients suffering from this condition is suggested and suggested to aid in the understanding of this entity.

Asystole in the epilepsy unit

TLDR
Seizure-induced asystole is a rare complication of epilepsy and asYstole may clinically mimic epileptic seizures, and a high level of suspicion and thorough prolonged cardiac and EEG monitoring are mandatory for reaching the right diagnosis.

Seizure aesthetics: Temporal regimes and medical technology in epilepsy diagnosis

TLDR
It is argued that the aesthetics of medical technology are fundamental to clinical care, thereby opening up new directions for research at the intersection of critical time studies and disability studies.

Gender differences in manifestations of psychogenic non-epileptic seizures in Iran

Psychogenic seizures: long‐term outcome in patients with and without epilepsy

TLDR
Evaluated the long‐term outcome of psychogenic events in patients with PNES alone and those with both PNES and epilepsy (PNES + EPI) as diagnosed by video‐EEG (vEEG) monitoring.

Epilepsy and other seizure disorders in acute psychiatric inpatients

TLDR
The life-time prevalence of epilepsy in this cohort of patients is five – six times as high as reports in the general population, and underscores the need for the clinical psychiatrist to have comprehensive knowledge on the interface between epileptology and psychiatry.

Treatment for psychogenic non-epileptic seizures.

The main differential diagnosis of epilepsy among young adults is psychogenic non-epileptic seizures. Such seizures may manifest themselves in very different ways and usually have complex root

Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology

TLDR
The International League Against Epilepsy presents a revised operational classification of seizure types to recognize that some seizure types can have either a focal or generalized onset, to allow classification when the onset is unobserved, to include some missing seizure types, and to adopt more transparent names.

Epilepsy Surgery in Children.

References

SHOWING 1-10 OF 29 REFERENCES

Hyperventilation syndrome: clinical, ventilatory, and personality characteristics as observed in neurological practice

The symptoms of the hyperventilation syndrome (HVS) are sometimes diffuse, and HVS may resemble other clinical conditions. A diagnosis of HVS was made in 25 patients referred for neurological

Recognizing Syncope: Pitfalls and Surprises

  • T. Lempert
  • Psychology
    Journal of the Royal Society of Medicine
  • 1996
TLDR
Investigations such as electroencephalogram, tilt testing and postictal prolactin or creatine kinase levels may be helpful but are never diagnostic in isolation.

Psychogenic nonepileptic seizures: diagnosis and initial management

  • R. Duncan
  • Medicine, Psychology
    Expert review of neurotherapeutics
  • 2010
TLDR
Initial management consists of communicating the diagnosis to the patient and carers in a clear and nonpejorative way, as well as withdrawing anticonvulsant medication with appropriate monitoring in patients with no evidence of epilepsy.

Clinical classification of psychogenic non-epileptic seizures based on video-EEG analysis and automatic clustering

TLDR
This study proposes an objective clinical classification of PNES based on automatic clustering of clinical signs observed on video-EEG and suggests that PNES are stereotyped in the same patient.

Recent progress in the understanding and treatment of nonepileptic seizures

TLDR
Recent research has improved the understanding of NES as a biopsychosocial disorder and clear diagnostic and management pathways for patients with NES are likely to emerge in the near future.

Psychogenic nonepileptic seizure manifestations reported by patients and witnesses

TLDR
The range of PNES manifestations as they are reported by patients or seizure witnesses is described, although many diagnoses in seizure clinics are made on the basis of self‐reported information rather than video‐EEG observations.

Late onset psychogenic nonepileptic attacks

TLDR
The data suggest a distinct subgroup of patients with late onset psychogenic nonepileptic attacks, in whom psychological trauma related to poor physical health plays a prominent role.

Hyperventilation during migraine attacks.

TLDR
A 24-year-old film projectionist (case 1) had had common migraine from the age of 10 and had had four severe attacks with additional features during the past two years, in two of which he was taken to hospital by ambulance.

The hyperventilation syndrome: a syndrome under threat?

TLDR
The HVPT is invalid as a diagnostic test for HVS and the term HVS should be avoided, as hyperventilation seems a negligible factor in the experience of spontaneous symptom attacks.