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Rev Neurol (Paris). 2010 May;166(5):523-7. doi: 10.1016/j.neurol.2009.10.021. Epub 2010 Jan 12.

[Clinical and EEG approach to the diagnosis of epilepsy in a population of old people with delusion].

[Article in French]

Author information

1
Service de gériatrie à orientation psychiatrique, hôpital Bretonneau, 23, rue Joseph-de-Maistre, 75018 Paris, France. pierre.koskas@brt.aphp.fr

Abstract

BACKGROUND:

Delusion symptoms often occur in old people; epilepsy is one of the main reasons behind these acute episodes. Current guidelines and recommendations from the Academy of Medicine have proposed a double clinical and electroencephalographic approach. Recently, a working group of French experts has issued an electro-clinical scale. The aim of our study was to compare the usual approach with the new one based on the electro-clinical score.

METHOD:

All EEG requests performed since December 2008 in Bretonneau Hospital for elderly people aged over 75 years for delusion syndromes were retained for this study.

RESULTS:

One hundred and fifteen old patients from a geriatric-hospital (age 83.5+/-6.06 years) were included in this protocol. The classical diagnostic process yielded the diagnosis of epilepsy for 50 subjects. The electro-clinical scale confirmed the diagnosis of epilepsy in 30 patients and ruled it out in 29 patients.

CONCLUSION:

This study underscores the importance of evidence-based medicine for the diagnosis of epilepsy in old people and points out the underuse of the new technical tool, EEG-monitoring, for the management of these patients.

PMID:
20060992
DOI:
10.1016/j.neurol.2009.10.021
[Indexed for MEDLINE]

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