Differential diagnosis of staring spells in children: A video-EEG study

被引:49
作者
Carmant, L [1 ]
Kramer, U [1 ]
Holmes, GL [1 ]
Mikati, MA [1 ]
Riviello, JJ [1 ]
Helmers, SL [1 ]
机构
[1] HARVARD UNIV,CHILDRENS HOSP,SCH MED,DEPT NEUROL,BOSTON,MA 02115
关键词
D O I
10.1016/0887-8994(96)00080-X
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Staring is frequently a nonepileptic manifestation in children. To differentiate epileptic versus nonepileptic staring, we reviewed clinical and video-EEG findings in 143 patients, aged 5 months to 43 years, monitored for staring episodes, In 79 patients staring was of epileptic origin; 46 had partial seizures and 33 atypical absence, Thirty-five had behavioral staring, 8 psychogenic seizures, 1 a migraine equivalent, and in 20 no staring spells were recorded, In all patients with epileptic staring, epilepsy was suspected clinically. Only 22 of the admissions for behavioral staring and 3 for pseudoseizures were to exclude a possible nonepileptic phenomenon, Review of their clinical histories revealed that certain findings strongly support a nonepileptic origin. In conclusion, a careful clinical history will differentiate between epileptic and nonepileptic staring episodes in most patients, Video-monitoring is helpful to adjust treatment or to exclude nonepileptic events in patients with refractory staring spells.
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收藏
页码:199 / 202
页数:4
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