The Spectrum of Nonepileptic Events in Children
| Autor: | Juliann Paolicchi |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Myoclonus Pediatrics medicine.medical_specialty Adolescent Child Behavior Disorders Comorbidity Neurological disorder Diagnosis Differential Epilepsy Seizures Intellectual Disability Convulsion medicine Humans Telemetry Child Psychiatry Dyskinesias Movement Disorders Cognitive disorder Age Factors Infant Newborn Infant Videotape Recording Electroencephalography Cognition medicine.disease Developmental disorder Neurology El Niño Child Preschool Female Neurology (clinical) medicine.symptom Cognition Disorders Psychology |
| Zdroj: | Epilepsia. 43:60-64 |
| ISSN: | 1528-1167 0013-9580 |
| Popis: | Nonepileptic events (NEE) are common in children, and can be difficult to distinguish from epileptic events. Several strategies can assist in differentiation. The first is an age-based approach to the differential of commonly presenting EEs in neonates, infants, and adolescents. The next strategy is to identify key elements of the patient's history to narrow the possibilities, and third is a rational approach to ancillary testing. There are additional challenges to the diagnosis and evaluation of NEEs in patients with cognitive impairments or mental retardation (MR). Twenty to 25% of neurologically normal patients (34), and up to 60% of children with MR (35) referred for an evaluation of seizures, have NEE. In most instances, the clinical history leads to the diagnosis, and ancillary testing serves as confirmation. But in certain populations, neonates, children with concurrent epilepsy, children in whom pseudoseizures are suspected, and children with MR, early use of video-EEG telemetry is indicated to establish the diagnosis and avoid overtreatment with antiepileptic drugs (AEDs). |
| Databáze: | OpenAIRE |
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