Diagnoses made in a secondary care "fits, faints, and funny turns" clinic |
| |
Authors: | Hindley D Ali A Robson C |
| |
Institution: | Fairfield General Hospital, Bury, UK. dthindley@doctors.org.uk |
| |
Abstract: | AimsTo investigate the diagnoses made for children referred to a “fits, faints, and funny turns” clinic.MethodsProspective study of 380 children referred to a dedicated secondary care clinic over an eight year period.ResultsTwenty three per cent of children were given a final diagnosis of one of the childhood epilepsies, with 48% of these having a specific epilepsy syndrome. Syncope was the commonest cause of a non‐epileptic event (syncope and reflex anoxic seizures comprised 100/238, 42%) but there were a wide variety of other causes. Fifty three events (14%) were unclassified and managed without a diagnostic label or treatment.ConclusionsIn children with funny turns referred to secondary care, the diagnostic possibilities are numerous; among non‐epileptic events, syncopes predominate. The majority do not have epilepsy. Unclassifiable events with no clear epileptic or non‐epileptic cause are common and can be safely managed expectantly. |
| |
Keywords: | diagnosis epilepsy non‐epileptic events |
本文献已被 PubMed 等数据库收录! |
|