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Medline ® Abstract for Reference 8

of 'Nonepileptic paroxysmal disorders in adolescents and adults'

8
TI
Syncope or seizure? A matter of opinion.
AU
Hoefnagels WA, Padberg GW, Overweg J, Roos RA
SO
Clin Neurol Neurosurg. 1992;94(2):153.
 
We studied the diagnostic interpretation by physicians of written histories of 118 patients with a transient loss of consciousness. Considerable disagreement about a diagnosis of either syncope or seizure was found. Overall agreement was only 31%; an erroneous diagnosis was made in 16% of cases. We concluded that the diagnosis of a seizure after a single event is often too unreliable to justify early treatment.
AD
Department of Neurology, Academic Hospital, Leiden, The Netherlands.
PMID