Table of Contents
To view the fulltext, log-in or choose pay-per-view options:
Get Access

Predicting Nonepileptic Seizures Utilizing Seizure Frequency, EEG, and Response to Medication

Davis B.J.
Montana Epilepsy Program, Great Falls, Mont., USA Eur Neurol 2004;51:153–156 (DOI:10.1159/000077287)


The objective was to develop criteria that would prompt evaluation with video EEG monitoring in order to shorten the time to diagnosis of nonepileptic seizures. Over a period of 3 consecutive years, all patients being seen for seizures or the consideration of seizures meeting the following criteria were admitted for video EEG monitoring: (1) at least two events per week, (2) refractory to at least two medications, and (3) no prior EEG studies with epileptiform abnormalities after at least two attempts. A total of 13 patients met all three criteria, 11 of these patients had nonepileptic seizures, yielding a positive predictive value of 0.85. The median time from onset of symptoms until referral to the study institution was 3 years, with a range of 0–15 years. The median time from the first patient visit to a definitive diagnosis on video EEG monitoring was 1 month, with a range of 0–7 months. Patients meeting these three criteria frequently have nonepileptic seizures. These patients should undergo video EEG monitoring in a timely fashion to clarify the diagnosis.


Individual Users: Register with Karger Login Information

Please create your User ID & Password

Contact Information

I have read the Karger Terms and Conditions and agree.

Pay-per-View Options
Direct payment This item at the regular price: USD 33.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 23.00