Syncope or epileptic fits? Some examples of diagnostic confounding factors.
نویسندگان
چکیده
Syncope is a condition often misdiagnosed as epileptic seizures. However, the differential diagnosis between both conditions can be quite difficult, even for well-trained physicians. Four cases of epilepsy and/or syncope are reported, to exemplify this situation. Each case is discussed individually, and the confounding factors are analyzed.
منابع مشابه
Over-interpretation of electroclinical and neuroimaging findings in syncopes misdiagnosed as epileptic seizures.
Syncope and epileptic seizures share some common clinical characteristics that may complicate the diagnostic process. In clinical practice, syncope is frequently misdiagnosed as an epileptic seizure and consequently treated with antiepileptic drugs. In this study, we identified 57 patients with syncope (diagnosis based on accepted criteria) who had come to our unit with a previous diagnosis of ...
متن کاملDiagnoses made in a secondary care "fits, faints, and funny turns" clinic.
AIMS To investigate the diagnoses made for children referred to a "fits, faints, and funny turns" clinic. METHODS Prospective study of 380 children referred to a dedicated secondary care clinic over an eight year period. RESULTS Twenty three per cent of children were given a final diagnosis of one of the childhood epilepsies, with 48% of these having a specific epilepsy syndrome. Syncope wa...
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The differentiation of vasovagal syncope and epileptic seizure is sometimes problematic, since vasovagal syncope may mimic epileptic seizures in many ways. The present report describes a patient who had been diagnosed and treated as having epilepsy with medically-refractory sei-zures for 16 years. Often, unlike epileptic seizures, tonic-clonic convulsions and postictal confusion are uncommon fe...
متن کاملLateral tongue biting versus biting at the tip of the tongue in differentiating between epileptic seizures and syncope
We thank Dr. Akor and colleagues for their interest in our work. The main purpose of the systematic review we conducted was to evaluate the diagnostic utility of tongue biting in the differential diagnosis between epileptic seizures and syncope. Such an approach proved useful in providing evidence-based information on the diagnostic role of other clinical findings (tongue biting, urinary incont...
متن کاملValue of tongue biting in differentiating between epileptic seizures and syncope
We read with great interest the recent review article by Brigo and Co workers. The authors are to be praised for their contribution towards understanding the importance of tongue biting (TB) in the differential diagnosis between epileptic seizures and syncope. In their review, the authors concluded that TB could be a valuable diagnostic tool in differentiating between epileptic seizures and syn...
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ورودعنوان ژورنال:
- Arquivos de neuro-psiquiatria
دوره 63 3A شماره
صفحات -
تاریخ انتشار 2005