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The Accuracy of the Diagnosis of Paroxysmal Events in Children
Neurol 60:979-982, Stroink,H.,et al, 2003
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Article Abstract
In 170 of 224 children seen after a single event, the incident was classified initially as epileptic, in 54 as unclear. In none of the 170 children did the diagnosis prove to be wrong. In four of the 54 children, recurrent episodes enabled a definite diagnosis of epilepsy. In 412 of the 536 children seen with multiple events, an initial diagnosis of epilepsy was made. After follow-up, this initial diagnosis was probably incorrect in 19. In contrast, seven of 124 children with multiple unclear episodes at intake later received the diagnosis epilepsy. A false-positive diagnosis of epilepsy was made in 4.6%, whereas a definite diagnosis of epilepsy or seizure was delayed in 5.6% of children with multiple unclear events and in 7.4% of children wi th one unclear event.
 
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children
episodic neurologic deficits
misdiagnosis
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paroxysmal neurologic deficits
seizure
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seizure,differential diagnosis of

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