The frequency of non-epileptic spells in children: Results of video-EEG monitoring in a tertiary care center

Maria A. Montenegro, Douglas Sproule, Arthur Mandel, Joshua Cappell, Claudia A. Chiriboga, Susan Jacob, Karen Eck, Marc C. Patterson, Cigdem I. Akman

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Rationale: The diagnosis of non-epileptic spells (NES) in children can be challenging, even for experienced clinicians. Our objective was to describe the characteristics of such events. Methods: This was a retrospective study conducted from January 2004 to December 2006. Inclusion criteria were age >1 month and <18 years and the diagnosis of NES established by video-EEG monitoring. Results: Among 746 monitored children (1203 recorded video-EEG sessions), 109 (14.6%) had NES. The mean age of patients with NES was 6.6 years (range 0.1-18). Seventy patients were diagnosed with NES alone; the remaining 39 with both NES and epilepsy. Developmental delay was more frequent among patients with a co-morbid diagnosis of epilepsy (p < 0.001). Similar clinical events were reported in both of these groups, save for crying spells/irritability which was more common in children with epilepsy. Frequent manifestations of NES included staring spells in preschool children, crying/irritability, tremor and eye deviation in young children and preschoolers, and limb shaking in adolescents. All of the patients with epilepsy and 19 (27%) of those without epilepsy were receiving antiepileptic drugs. Conclusion: Our data highlights the importance of accurate diagnosis of NES toward the appropriate treatment of affected children.

Original languageEnglish (US)
Pages (from-to)583-587
Number of pages5
JournalSeizure
Volume17
Issue number7
DOIs
StatePublished - Oct 2008
Externally publishedYes

Fingerprint

Tertiary Care Centers
Electroencephalography
Epilepsy
Crying
Tremor
Preschool Children
Anticonvulsants
Extremities
Retrospective Studies
Therapeutics

Keywords

  • Childhood
  • Epilepsy
  • Non-epileptic spells

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Neurology
  • Psychology(all)

Cite this

Montenegro, M. A., Sproule, D., Mandel, A., Cappell, J., Chiriboga, C. A., Jacob, S., ... Akman, C. I. (2008). The frequency of non-epileptic spells in children: Results of video-EEG monitoring in a tertiary care center. Seizure, 17(7), 583-587. https://doi.org/10.1016/j.seizure.2008.02.010

The frequency of non-epileptic spells in children : Results of video-EEG monitoring in a tertiary care center. / Montenegro, Maria A.; Sproule, Douglas; Mandel, Arthur; Cappell, Joshua; Chiriboga, Claudia A.; Jacob, Susan; Eck, Karen; Patterson, Marc C.; Akman, Cigdem I.

In: Seizure, Vol. 17, No. 7, 10.2008, p. 583-587.

Research output: Contribution to journalArticle

Montenegro, MA, Sproule, D, Mandel, A, Cappell, J, Chiriboga, CA, Jacob, S, Eck, K, Patterson, MC & Akman, CI 2008, 'The frequency of non-epileptic spells in children: Results of video-EEG monitoring in a tertiary care center', Seizure, vol. 17, no. 7, pp. 583-587. https://doi.org/10.1016/j.seizure.2008.02.010
Montenegro, Maria A. ; Sproule, Douglas ; Mandel, Arthur ; Cappell, Joshua ; Chiriboga, Claudia A. ; Jacob, Susan ; Eck, Karen ; Patterson, Marc C. ; Akman, Cigdem I. / The frequency of non-epileptic spells in children : Results of video-EEG monitoring in a tertiary care center. In: Seizure. 2008 ; Vol. 17, No. 7. pp. 583-587.
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