The usefulness of the head-up tilt test in patients with suspected epilepsy

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The usefulness of the head-up tilt test in patients with suspected epilepsy

PURPOSE It is estimated that approximately 20-30% of patients diagnosed with epilepsy have been misdiagnosed, and neurocardiogenic syncope (NCS) might frequently be the real cause of transient loss of consciousness (TLOC) episodes. We assessed the role of the head-up tilt test (HUTT) in patients previously diagnosed with refractory epilepsy to evaluate the ability of this test to correctly diag...

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Clinical usefulness of head-up tilt test in patients with syncope and intraventricular conduction defect.

Head-up tilt test was performed in 99 patients with syncope of unknown origin and intraventricular conduction defect. Twenty-five per cent had a positive response to tilt with reproduction of spontaneous clinical symptoms. Holter recording revealed paroxysmal atrioventricular (AV) block in three patients. Carotid sinus massage was positive in four patients. An electrophysiological study was per...

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Diagnostic value of the head-up tilt test and the R-test in patients with syncope

The diagnostic value of the head-up tilt test (HUTT) in discovering vasovagal syndrome depends on the pre-test probability. An accurate anamnesis and clinical examination screens the patients indicated for the HUTT. In patients with unexplained syncope, the R-test is an alternative procedure to discover its cause. In our study, we evaluated the diagnostic significance of the HUTT in a group of ...

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Usefulness of head up tilt test in the diagnosis of neurocardiogenic syncope.

Sir, I read with interest the article published by Udani V et al, which is a retrospective and part prospective study, evaluating the usefulness of head up tilt test in the diagnosis of neurocardiogenic syncope. The authors have made a good attempt to analyze the significance of HUTT in ruling out other perturbing causes of syncope in children and adolescents such as seizure disorders and verti...

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age and the head-up tilt test outcome in syncope patients

conclusions hemodynamic response to the hutt was associated with age. cardioinhibitory response became less frequent with age due to exaggerated vagal activity in the younger patients as compared with the older subjects. background the head-up tilt test (hutt) is a useful diagnostic tool for syncope. objectives we sought to investigate the outcome of the hutt in syncope patients and identify th...

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ژورنال

عنوان ژورنال: Seizure

سال: 2014

ISSN: 1059-1311

DOI: 10.1016/j.seizure.2014.02.004