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Of the 106 monitored patients,63 had episodes characterized by bilateral motor activity,complete loss of consciousness or both;34 patients had epileptic seizures,while 29 patients had exclusively nonepileptic episodes.Eight patients suffered an oral laceration;all involved the side of the tongue,and all had documented epileptic seizures.Of the 45 patients with syncope,in only one was the tongue lacerated,and this was at the tip. Tongue biting had a sensitivity of 24%and a specificity of 99%for the diagnosis of generalized tonic-clonic seizures.Lateral tongue biting was 100%specific to grand mal seizures.Tongue biting,particularly if it is lateral,is highly specific to generalized tonic-clonic seizures. |
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neurologic disease,diagnoses of
seizure
seizure,diagnosis of
seizure,tonic-clonic
tongue,biting
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