A simple clinical score for prediction of nonepileptic seizures
| Autor: | Giridhar P. Kalamangalam, Sindhu R. Rao, Jeremy D. Slater |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Counseling
medicine.medical_specialty Pediatrics Group ii Psychological intervention Physical trauma 03 medical and health sciences Behavioral Neuroscience Epilepsy 0302 clinical medicine Seizures medicine Humans Psychogenic disease Medical history Psychiatry Retrospective Studies business.industry Electroencephalography medicine.disease Triage 030227 psychiatry Neurology Cohort Neurology (clinical) Symptom Assessment business 030217 neurology & neurosurgery |
| Zdroj: | Epilepsy & Behavior. 77:50-52 |
| ISSN: | 1525-5050 |
| DOI: | 10.1016/j.yebeh.2017.09.005 |
| Popis: | Psychogenic nonepileptic seizures (PNES), often mistaken for epilepsy in community practice, require inpatient video-EEG (VEEG) monitoring for diagnostic confirmation. We developed a simple score designed for use in an outpatient setting to predict the subsequent VEEG diagnosis of PNES. We retrospectively compared fifty-five consecutive patients with VEEG-proven PNES (N1=55) with a group of randomly selected patients with VEEG-proven epilepsy (N2=55). Patients were divided into two groups: I) a 'truly retrospective' group of 27 patients with PNES and 27 patients with epilepsy whose data served to develop the score, and II) a 'pseudoprospective' group of 28 patients each with PNES and epilepsy to whom the score was applied. Six features in the history of the Group I cohort appeared more prominent in patients with PNES than patients with epilepsy and were assigned escalating numerical values as follows: number of declared drug allergies (0, 0.5, 1), number of declared comorbidities (0, 0.5, 1), number of previous invasive medical interventions of any type (0, 0.5, 1), and a history of significant psychological or physical trauma (0 or 1). In addition, a score was assigned to verbal description of the seizures themselves as being consistent (=0), atypical (=1), or indeterminate (=0.5) for epilepsy. The values were added to yield an omnibus score ranging from 0 to 6. Scoring of Group II subjects in a blinded fashion revealed that in general patients with PNES had higher scores, and the majority obtained a score >2; most patients with epilepsy scored |
| Databáze: | OpenAIRE |
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