The EEG and neuroimaging in the management of the epilepsies

  • Published 2006

Abstract

Diagnosis Lennox wrote that 'every fresh case of epilepsy is an undiagnosed one'.1 Epilepsy is a recurring disorder of brain function in which seizures, which may be convulsive or non-convulsive, partial or generalised, are the presenting symptoms. The diagnostic pathway from the complaint of seizures to the verification of epilepsy may be a difficult one. It is essential that misdiagnosis be avoided, recognising that by no means all children with paroxysmal events, spells, or 'funny turns' are suffering from epilepsy.2 3 Apart from the need of a correct diagnosis, the other important diagnostic considerations are seizure diagnosis, that is categorisation of the type or types of seizures occurring; aetiological diagnosis, recognising that it is now possible to identify pathological, genetic, and biochemical abnormalities in a growing number of cases; and syndrome diagnosis, which consists of the identification of a particular epileptic syndrome, if one can be delineated.4 The cornerstones of diagnosis in all instances reside, as they have always done, in careful history taking and physical examination.5 One might add that the widespread availability of the hand held camcorder provides us with a new and convenient method for recording clinical seizures on videotape, either at home or in the clinic.

Cite this paper

@inproceedings{2006TheEA, title={The EEG and neuroimaging in the management of the epilepsies}, author={}, year={2006} }