Epilepsy diagnostic study of choice: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Epilepsy}} | {{Epilepsy}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{Fs}} | ||
== Overview == | == Overview == | ||
There is no single diagnostic study of choice for the diagnosis of epilepsy, but epilepsy can be diagnosed based on history, [[Symptom|symptoms]] and [[physical examination]] of a patient with [[seizure]] complain. Among the patients who present with clinical signs of [[seizure]], the [[Electroencephalography|EEG]] is the most efficient test for diagnosis. Video-EEG monitoring is a combination of recording [[EEG]] and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if [[Seizure|seizures]]. With the first [[seizure]], we should perform | There is no single diagnostic study of choice for the diagnosis of epilepsy, but epilepsy can be diagnosed based on history, [[Symptom|symptoms]] and [[physical examination]] of a patient with [[seizure]] complain. Among the patients who present with clinical signs of [[seizure]], the [[Electroencephalography|EEG]] is the most efficient test for diagnosis. Video-[[EEG]] monitoring is a combination of recording [[EEG]] and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if [[Seizure|seizures]]. With the first [[seizure]], we should perform laboratory study, imaging study ([[MRI]], [[CT Scan]]), [[EEG]], video-[[EEG]] monitoring and [[Lumbar puncture]]. | ||
== Diagnostic Study of Choice == | == Diagnostic Study of Choice == | ||
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* There is no single diagnostic study of choice for the diagnosis of epilepsy, but epilepsy can be diagnosed based on history, [[Symptom|symptoms]] and [[physical examination]] of a patient with [[seizure]] complain.<ref name=":0">{{cite book | last = Mattle | first = Heinrich | title = Fundamentals of neurology : an illustrated guide | publisher = Thieme | location = Stuttgart New York | year = 2017 | isbn = 9783131364524 }}</ref> | * There is no single diagnostic study of choice for the diagnosis of epilepsy, but epilepsy can be diagnosed based on history, [[Symptom|symptoms]] and [[physical examination]] of a patient with [[seizure]] complain.<ref name=":0">{{cite book | last = Mattle | first = Heinrich | title = Fundamentals of neurology : an illustrated guide | publisher = Thieme | location = Stuttgart New York | year = 2017 | isbn = 9783131364524 }}</ref> | ||
* Among the patients who present with clinical signs of [[seizure]], the [[Electroencephalography|EEG]] is the most efficient test for diagnosis. | * Among the patients who present with clinical signs of [[seizure]], the [[Electroencephalography|EEG]] is the most efficient test for diagnosis. | ||
* Video-EEG monitoring is a combination of recording [[EEG]] and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if [[Seizure|seizures]].<ref name="pmid12233935">{{cite journal |vauthors=Worrell GA, Lagerlund TD, Buchhalter JR |title=Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures |journal=Mayo Clin. Proc. |volume=77 |issue=9 |pages=991–8 |date=September 2002 |pmid=12233935 |doi=10.4065/77.9.991 |url=}}</ref> | * Video-[[EEG]] monitoring is a combination of recording [[EEG]] and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if [[Seizure|seizures]].<ref name="pmid12233935">{{cite journal |vauthors=Worrell GA, Lagerlund TD, Buchhalter JR |title=Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures |journal=Mayo Clin. Proc. |volume=77 |issue=9 |pages=991–8 |date=September 2002 |pmid=12233935 |doi=10.4065/77.9.991 |url=}}</ref> | ||
* With the first [[seizure]], in order to reach a diagnosis and find out the [[etiology]] of [[seizure]], we should perform ancillary testing such as: | * With the first [[seizure]], in order to reach a diagnosis and find out the [[etiology]] of [[seizure]], we should perform ancillary testing such as: | ||
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*** [[CT Scan]] | *** [[CT Scan]] | ||
** [[EEG]] | ** [[EEG]] | ||
** Video-EEG monitoring | ** Video-[[EEG]] monitoring | ||
** [[Lumbar puncture]]<ref name="pmid180253942">{{cite journal |vauthors=Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J |title=Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society |journal=Neurology |volume=69 |issue=21 |pages=1996–2007 |date=November 2007 |pmid=18025394 |doi=10.1212/01.wnl.0000285084.93652.43 |url=}}</ref> | ** [[Lumbar puncture]]<ref name="pmid180253942">{{cite journal |vauthors=Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J |title=Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society |journal=Neurology |volume=69 |issue=21 |pages=1996–2007 |date=November 2007 |pmid=18025394 |doi=10.1212/01.wnl.0000285084.93652.43 |url=}}</ref> | ||
Latest revision as of 16:54, 18 April 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
There is no single diagnostic study of choice for the diagnosis of epilepsy, but epilepsy can be diagnosed based on history, symptoms and physical examination of a patient with seizure complain. Among the patients who present with clinical signs of seizure, the EEG is the most efficient test for diagnosis. Video-EEG monitoring is a combination of recording EEG and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if seizures. With the first seizure, we should perform laboratory study, imaging study (MRI, CT Scan), EEG, video-EEG monitoring and Lumbar puncture.
Diagnostic Study of Choice
Study of choice
- There is no single diagnostic study of choice for the diagnosis of epilepsy, but epilepsy can be diagnosed based on history, symptoms and physical examination of a patient with seizure complain.[1]
- Among the patients who present with clinical signs of seizure, the EEG is the most efficient test for diagnosis.
- Video-EEG monitoring is a combination of recording EEG and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if seizures.[2]
- With the first seizure, in order to reach a diagnosis and find out the etiology of seizure, we should perform ancillary testing such as:
References
- ↑ 1.0 1.1 Mattle, Heinrich (2017). Fundamentals of neurology : an illustrated guide. Stuttgart New York: Thieme. ISBN 9783131364524.
- ↑ Worrell GA, Lagerlund TD, Buchhalter JR (September 2002). "Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures". Mayo Clin. Proc. 77 (9): 991–8. doi:10.4065/77.9.991. PMID 12233935.
- ↑ Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J (November 2007). "Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society". Neurology. 69 (21): 1996–2007. doi:10.1212/01.wnl.0000285084.93652.43. PMID 18025394.
- ↑ Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J (November 2007). "Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society". Neurology. 69 (21): 1996–2007. doi:10.1212/01.wnl.0000285084.93652.43. PMID 18025394.