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Published on: September 20, 2024
[Diagnosing functional seizures in children and adolescents]
Bianca Taaning Wichaidit1, Charlotte Ulrikka Rask, John R Ostergaard
1Pædiatrisk Afdeling, Aarhus Universitetshospital, Brendstrupgaardsvej 100, 8200 Aarhus N. john.oestergaard@skejby.rm.dk.
Abstract:
Functional seizures (FS) is a condition where the child experiences seizure-like events, without abnormal electrical discharge as measured by EEG, and with high risk of misdiagnosis. Diagnosing FS contains: 1) video-EEG, 2) anamnestic evaluation, focusing on the presence of psychosocial stressors, psychiatric co-morbidity and functional symptoms other than FS, and 3) evaluation of seizure characteristics such as long duration, seizure initiation during wakefulness and in the presence of witnesses asynchronous movements, and no incontinence, tongue bite and injury related to the event.
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