Stertorous breathing is a reliably identified sign that helps in the differentiation of epileptic from psychogenic non-epileptic convulsions: An audit: Difference between revisions

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''Sen A, Scott C, and Sisodiya SM (2007) Stertorous breathing is a reliably identified sign that helps in the differentiation of epileptic from psychogenic non-epileptic convulsions: An audit. Epilepsy Res. 2007 Oct;77(1):62-4.''
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'''[https://ac.els-cdn.com/S0920121107002197/1-s2.0-S0920121107002197-main.pdf?_tid=582682e0-baee-4d6a-86cf-1cd951501715&acdnat=1531172363_091d130f6e88270a21cc5dd519d8ae3c Link to Article]'''
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'''Abstract:''' Stertorous breathing may occur after epileptic convulsions, but does not typically occur after psychogenic non-epileptic convulsions. During an 18-month audit at a tertiary referral centre in the United Kingdom, we analysed 75 convulsions arising in 45 patients and found that nursing and ancillary staff can be easily trained to reliably identify the presence or absence of stertorous breathing after a convulsion. No patient with a final diagnosis of purely psychogenic non-epileptic seizures (17 out of 45 patients) was judged to have stertorous respiration. Stertorous breathing was present in 41 out of 44 interpretable video recordings from patients with epileptic convulsions proven on videotelemetry. We suggest that a history or evidence (e.g. video) of stertorous breathing may help in distinguishing epileptic from psychogenic non-epileptic convulsive seizures.
Sen A, Scott C, and Sisodiya SM (2007) Stertorous breathing is a reliably identified sign that helps in the differentiation of epileptic from psychogenic non-epileptic convulsions: An audit. Epilepsy Res. 2007 Oct;77(1):62-4.


'''Keywords:''' Audit; Epilepsy; Psychogenic non-epileptic convulsions; Stertorous respiration
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==Context==
https://ac.els-cdn.com/S0920121107002197/1-s2.0-S0920121107002197-main.pdf?_tid=582682e0-baee-4d6a-86cf-1cd951501715&acdnat=1531172363_091d130f6e88270a21cc5dd519d8ae3c


==Comments==
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Stertorous breathing may occur after epileptic convulsions, but does not typically occur after psychogenic non-epileptic convulsions. During an 18-month audit at a tertiary referral centre in the United Kingdom, we analysed 75 convulsions arising in 45 patients and found that nursing and ancillary staff can be easily trained to reliably identify the presence or absence of stertorous breathing after a convulsion. No patient with a final diagnosis of purely psychogenic non-epileptic seizures (17 out of 45 patients) was judged to have stertorous respiration. Stertorous breathing was present in 41 out of 44 interpretable video recordings from patients with epileptic convulsions proven on videotelemetry. We suggest that a history or evidence (e.g. video) of stertorous breathing may help in distinguishing epileptic from psychogenic non-epileptic convulsive seizures.
 
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Audit; Epilepsy; Psychogenic non-epileptic convulsions; Stertorous respiration
 
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Latest revision as of 17:58, 17 June 2019


Sen A, Scott C, and Sisodiya SM (2007) Stertorous breathing is a reliably identified sign that helps in the differentiation of epileptic from psychogenic non-epileptic convulsions: An audit. Epilepsy Res. 2007 Oct;77(1):62-4.

Link to Article

Abstract: Stertorous breathing may occur after epileptic convulsions, but does not typically occur after psychogenic non-epileptic convulsions. During an 18-month audit at a tertiary referral centre in the United Kingdom, we analysed 75 convulsions arising in 45 patients and found that nursing and ancillary staff can be easily trained to reliably identify the presence or absence of stertorous breathing after a convulsion. No patient with a final diagnosis of purely psychogenic non-epileptic seizures (17 out of 45 patients) was judged to have stertorous respiration. Stertorous breathing was present in 41 out of 44 interpretable video recordings from patients with epileptic convulsions proven on videotelemetry. We suggest that a history or evidence (e.g. video) of stertorous breathing may help in distinguishing epileptic from psychogenic non-epileptic convulsive seizures.

Keywords: Audit; Epilepsy; Psychogenic non-epileptic convulsions; Stertorous respiration

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