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Ictal Heart Rate Differentiates Epileptic from Non-epileptic Seizures
Neurol 58:636-638, Opherk,C. &Hirsch,L.J., 2002
See this aricle in Pubmed
Article Abstract
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 an alyzing 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 >/= 30% 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.
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heart rate
seizure
seizure,differential diagnosis of
seizure,hysterical
seizure,nonepileptic
tachycardia
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