[idiopathic Generalized Epilepsies Misdiagnosed As Partial Epilepsies].

dc.creatorMory, Susana B
dc.creatorGuerreiro, Carlos A M
dc.creatorLi, Li M
dc.creatorTeixeira, Ricardo A
dc.creatorCosta, Alberto L C
dc.creatorCardoso, Tânia A M
dc.creatorCendes, Fernando
dc.date2002-Sep
dc.date2015-11-27T12:49:19Z
dc.date2015-11-27T12:49:19Z
dc.date.accessioned2018-03-29T00:56:34Z
dc.date.available2018-03-29T00:56:34Z
dc.identifierArquivos De Neuro-psiquiatria. v. 60, n. 3-B, p. 788-96, 2002-Sep.
dc.identifier0004-282X
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/12364950
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/195160
dc.identifier12364950
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1295393
dc.descriptionIdiopathic generalized epilepsy (IGE) is often not recognized with serious consequences on the sufferers. We examined factors contributing to the missed diagnosis of IGE in 41 adults attending our epilepsy clinic with diagnosis of partial epilepsy who had semiology or EEG findings suggesting a possible differential diagnosis. After careful re-evaluation, the diagnosis of IGE was established in 25 patients: 22 (88%) with JME, one with juvenile absence, one with perioral myoclonia with absences, one with eyelid myoclonia with typical absences. Myoclonic jerks, the hallmark of the JME and other IGE, were not usually reported by patients or misdiagnosed as focal motor seizures. Brief and infrequent absence seizures and focal EEG abnormalities were other factors contributing to not recognizing JME. All 25 patients did not achieve seizure control before re-evaluation of diagnosis. After appropriate diagnosis of IGE and change of AED to valproate or valproic acid, 19 (76%) became seizure free and six (24%) had a significant improvement on seizure control. Association with lamotrigine provided further improvement in three of these patients. An appropriate questioning to identify myoclonic and absence seizures and a proper interpretation in the context of whole clinical constellation are essential for a correct seizure classification and diagnosis of IGE in adults.
dc.description60
dc.description788-96
dc.languagepor
dc.relationArquivos De Neuro-psiquiatria
dc.relationArq Neuropsiquiatr
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAge Of Onset
dc.subjectDiagnosis, Differential
dc.subjectElectroencephalography
dc.subjectEpilepsies, Partial
dc.subjectEpilepsy, Generalized
dc.subjectFemale
dc.subjectHumans
dc.subjectMagnetic Resonance Spectroscopy
dc.subjectMale
dc.subjectMiddle Aged
dc.title[idiopathic Generalized Epilepsies Misdiagnosed As Partial Epilepsies].
dc.typeArtículos de revistas


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