Epilepsy diagnostic study of choice

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

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.
  • Among the patients who present with clinical signs of seizure, the EGG is the most efficient test for diagnosis.
  • With the first seizure, in order to reach a diagnosis and find out the etiology of seizure, we should perform ancillary testing such as:
    • Laboratory study including:[1]
      • Electrolytes
      • Glucose
      • Calcium
      • Magnesium
      • Complete blood count
      • Renal function tests
      • Liver function tests
      • Urinalysis
      • Toxicology screens
    • Imaging study including:
      • MRI
      • CT Scan

Name of Diagnostic Criteria

There are no established criteria for the diagnosis of epilepsy.

References

  1. 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.

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