Is the first seizure truly epileptic?

Epilepsia
Stephen Perrig, Pierre Jallon

Abstract

Transient loss of consciousness (T-LOC) with abnormal posture or movements reflects a temporary dysfunction of the brain, either primary or secondary. In a period of high technological medical access, patients with T-LOC constitute a challenge to improve the medical "art of listening." The difficulty in dealing with isolated paroxysmal phenomena is associated with the probability of the occurrence of a second event and therefore the entrance of the patient into a chronic disorder. We present a detailed analysis of symptoms that should help the general practitioner in the differential diagnosis among three main entities in the adult populations: syncope, epileptic seizure, and psychogenic seizure (dissociative convulsion).

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Citations

Sep 29, 2011·Rinshō shinkeigaku = Clinical neurology·Hiroshi Shigeto
Dec 4, 2013·Pediatric Annals·A B ChelseSookyong Koh
Feb 14, 2017·Seizure : the Journal of the British Epilepsy Association·Tomasz A Nowacki, Jeffrey D Jirsch
Nov 24, 2011·The Medical Journal of Australia·Melissa A Degruyter, Mark J Cook

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