Ictal heart rate differentiates epileptic from non-epileptic seizures

被引：62
|
作者：
Opherk, C
Hirsch, LJ
机构：
[1] Columbia Univ, Comprehens Epilepsy Ctr, Neurol Inst New York, New York, NY 10032 USA
[2] Univ Heidelberg, Dept Med, Heidelberg, Germany
来源：
NEUROLOGY | 2002年 / 58卷 / 04期
关键词：
D O I：
10.1212/WNL.58.4.636
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Video-EKG-EEG recordings of 67 epileptic seizures and 38 psychogenic nonepileptic seizures were reviewed. Ictal heart rate (HR) was higher during and after epileptic seizures for both convulsive and nonconvulsive spells (p < 0.01). When analyzing quiet staring spells separately, it was possible to identify which spells were epileptic in origin with a positive predictive value of 97% by using a cutoff of a greater than or equal to30% increase in HR over baseline. It was concluded that documenting an increase in HR during a spell of unresponsiveness usually can distinguish between epileptic and psychogenic causes.
引用
收藏
页码：636 / 638
页数：3
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