Reliability of semiology description

The Neurologist
Jae-Hyeok HeoHyunwoo Nam

Abstract

Seizure semiology is important for classifying patients' epilepsy. Physicians usually get most of the seizure information from observers though there have been few reports on the reliability of the observers' description. This study aims at determining the reliability of observers' description of the semiology. We included 92 patients who had their habitual seizures recorded during video-EEG monitoring. We compared the semiology described by the observers with that recorded on the videotape, and reviewed which characteristics of the observers affected the reliability of their reported data. The classification of seizures and the individual components of the semiology based only on the observer-description was somewhat discordant compared with the findings from the videotape (correct classification, 85%). The descriptions of some ictal behaviors such as oroalimentary automatism, tonic/dystonic limb posturing, and head versions were relatively accurate, but those of motionless staring and hand automatism were less accurate. The specified directions by the observers were relatively correct. The accuracy of the description was related to the educational level of the observers. Much of the information described by well-educated obse...Continue Reading

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Citations

Sep 12, 2012·Nature Reviews. Neurology·Samuel Wiebe, Nathalie Jette
Nov 9, 2011·Seminars in Pediatric Neurology·Karen L Skjei, Dennis J Dlugos
Oct 17, 2009·Epilepsy & Behavior : E&B·Ana Gabriela BesockeMaría del Carmen Garcia
Apr 19, 2016·Neurologic Clinics·Nathalie Jetté, Samuel Wiebe
Apr 25, 2013·Seizure : the Journal of the British Epilepsy Association·Gulcin BenbirNaz Yeni
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Nov 4, 2017·The Veterinary Record·Arlette Cornelia SzelecsenyiFrank Steffen
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Aug 18, 2018·Frontiers in Neurology·Wenke GrönheitJörg Wellmer
Sep 3, 2018·BMC Neurology·Taim A MuayqilBandar N Aljafen
Sep 17, 2020·Journal of Environmental and Public Health·Joseph O Yaria, Adesola Ogunniyi
Nov 29, 2020·Epilepsy & Behavior : E&B·Soumya V ChandrasekharanAshalatha Radhakrishnan
Feb 22, 2021·Epilepsy & Behavior : E&B·Cemal KarakasZulfi Haneef

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