Anion gap can differentiate between psychogenic and epileptic seizures in the emergency setting.

Abstract:

:Differentiation between psychogenic nonepileptic seizures (PNES) and generalized convulsive epileptic seizures (ES) is important for appropriate triaging in the emergency department (ED). This can be difficult in the ED, as the event is often not witnessed by a medical professional. In the current study, we investigated whether anion gap (AG), bicarbonate, and the Denver Seizure Score (DSS) could differentiate between PNES and ES. Of a total of 1,354 subjects reviewed from a tertiary care medical center, 27 PNES and 27 ES patients were identified based on clinical description and subsequent electroencephalogram. Multivariate logistic regression analysis and receiver operating characteristic curves were used to determine whether there was an association between seizure type and AG, bicarbonate, or DSS (24-bicarbonate + 2 × [AG-12]) when samples were drawn within 24 h of the concerning event. The result showed that sensitivity and negative predictive value dropped markedly for all measures if samples were drawn >2 h after the event; the sensitivity was similar for AG and DSS and higher than for bicarbonate. We propose that AG > 10 (sensitivity of 81.8%, specificity of 100%) in the first 2 h after the event could be used as a potential tool in the ED to help differentiate between PNES and ES.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Li Y,Matzka L,Maranda L,Weber D

doi

10.1111/epi.13840

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

e132-e135

issue

9

eissn

0013-9580

issn

1528-1167

journal_volume

58

pub_type

杂志文章
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    abstract:PURPOSE:The study was conducted to determine the familiarity with, knowledge of, misunderstandings, and attitudes toward epilepsy among the Kuwaiti population. METHODS:A pretested questionnaire was used to collect data from a sample of 784 Kuwaiti individuals, selected from five governorates in Kuwait using a multista...

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    doi:10.1111/j.1528-1167.2007.01433.x

    authors: Awad A,Sarkhoo F

    更新日期:2008-04-01 00:00:00

  • Anticonvulsant profile of valrocemide (TV1901): a new antiepileptic drug.

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    doi:10.1046/j.1528-1157.2001.042007831.x

    authors: Isoherranen N,Woodhead JH,White HS,Bialer M

    更新日期:2001-07-01 00:00:00

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    doi:10.1111/j.1528-1157.1994.tb02918.x

    authors: Beran RG,Tilley M

    更新日期:1994-01-01 00:00:00

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    journal_title:Epilepsia

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    doi:10.1111/epi.14578

    authors: Augustin K,Williams S,Cunningham M,Devlin AM,Friedrich M,Jayasekera A,Hussain MA,Holliman D,Mitchell P,Jenkins A,Chen PE,Walker MC,Williams RSB

    更新日期:2018-11-01 00:00:00

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    authors: Lee CY,Tabesh A,Benitez A,Helpern JA,Jensen JH,Bonilha L

    更新日期:2013-10-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02147.x

    authors: Mulzac D,Scott KR

    更新日期:1993-11-01 00:00:00

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    doi:10.1111/j.1528-1157.2000.tb00176.x

    authors: Reissmüller E,Ebert U,Löscher W

    更新日期:2000-04-01 00:00:00

  • Current treatment of myoclonic astatic epilepsy: clinical experience at the Children's Hospital of Philadelphia.

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    doi:10.1111/j.1528-1167.2007.01186.x

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    更新日期:2007-09-01 00:00:00

  • Laser interstitial thermal therapy: A first line treatment for seizures due to hypothalamic hamartoma?

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    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/epi.13751

    authors: Du VX,Gandhi SV,Rekate HL,Mehta AD

    更新日期:2017-06-01 00:00:00

  • Brain amines and convulsions in four strains of parathyroidectomized, pinealectomized rat.

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    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1978.tb05023.x

    authors: Philo R,Reiter RJ

    更新日期:1978-04-01 00:00:00

  • Generalized convulsive status epilepticus management in adults: a cohort study with evaluation of professional practice.

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    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02688.x

    authors: Aranda A,Foucart G,Ducassé JL,Grolleau S,McGonigal A,Valton L

    更新日期:2010-10-01 00:00:00

  • The topography and significance of extratemporal hypometabolism in refractory mesial temporal lobe epilepsy examined by FDG-PET.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02552.x

    authors: Wong CH,Bleasel A,Wen L,Eberl S,Byth K,Fulham M,Somerville E,Mohamed A

    更新日期:2010-08-01 00:00:00

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1992.tb02290.x

    authors: Spitz MC

    更新日期:1992-01-01 00:00:00

  • A procedure for developing a quality-of-life measure for epilepsy surgery patients.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb05912.x

    authors: Vickrey BG

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  • Psychologic adaptation of children to epilepsy in a parent.

    abstract::A prospective study of the children in 12 families examined the impact of and adjustments to epilepsy in one of the parents. Young children allowed to see the parent's seizures and the treatment for those seizures adapted to the threat of illness in a parent by becoming involved in the care and supervision of the affe...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1984.tb04153.x

    authors: Lechtenberg R,Akner L

    更新日期:1984-02-01 00:00:00

  • Hyperexcitability of CA3 pyramidal cells in mice lacking the potassium channel subunit Kv1.1.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2003.44602.x

    authors: Lopantsev V,Tempel BL,Schwartzkroin PA

    更新日期:2003-12-01 00:00:00

  • Oligodendrocyte lineage and myelination are compromised in the gray matter of focal cortical dysplasia type IIa.

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    journal_title:Epilepsia

    pub_type: 杂志文章

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    更新日期:2020-01-01 00:00:00

  • Screening for major depression in epilepsy with common self-report depression inventories.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.49704.x

    authors: Jones JE,Hermann BP,Woodard JL,Barry JJ,Gilliam F,Kanner AM,Meador KJ

    更新日期:2005-05-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2005.30304.x

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02494.x

    authors: Azar NJ,Lagrange AH,Wang L,Song Y,Abou-Khalil BW

    更新日期:2010-05-01 00:00:00

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1989.tb05274.x

    authors: Shouse MN,Stroh PJ,Vreeken T

    更新日期:1989-01-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1111/epi.13851

    authors: Martin P,Winston GP,Bartlett P,de Tisi J,Duncan JS,Focke NK

    更新日期:2017-09-01 00:00:00

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    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1111/j.1528-1157.2000.tb00239.x

    authors: Vickrey BG,Berg AT,Sperling MR,Shinnar S,Langfitt JT,Bazil CW,Walczak TS,Pacia S,Kim S,Spencer SS

    更新日期:2000-06-01 00:00:00

  • sec-Butyl-propylacetamide (SPD) and two of its stereoisomers rapidly terminate paraoxon-induced status epilepticus in rats.

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    更新日期:2014-12-01 00:00:00

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    doi:10.1111/j.1528-1157.1986.tb03513.x

    authors: Hurst R,Lenn NJ

    更新日期:1986-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1111/epi.14595

    authors: Couturier NH,Durand DM

    更新日期:2018-12-01 00:00:00

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    abstract:OBJECTIVE:Common data elements (CDEs) are currently unavailable for mobile health (mHealth) in epilepsy devices and related applications. As a result, despite expansive growth of new digital services for people with epilepsy, information collected is often not interoperable or directly comparable. We aim to correct thi...

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    pub_type: 共识发展会议,杂志文章

    doi:10.1111/epi.14066

    authors: Goldenholz DM,Moss R,Jost DA,Crone NE,Krauss G,Picard R,Caborni C,Cavazos JE,Hixson J,Loddenkemper T,Salazar TD,Lubbers L,Harte-Hargrove LC,Whittemore V,Duun-Henriksen J,Dolan E,Kasturia N,Oberemk M,Cook MJ,Lehmkuhl

    更新日期:2018-05-01 00:00:00

  • Clinical and neurophysiologic features of progressive myoclonus epilepsy without renal failure caused by SCARB2 mutations.

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    更新日期:2011-12-01 00:00:00