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Seizure. 1998 Oct;7(5):403-6.

The misdiagnosis of epilepsy: findings of a population study.

Author information

1
The David Lewis Centre for Epilepsy, Alderley Edge, Cheshire, UK.

Abstract

This paper reports the results of a population study designed to assess the standards of epilepsy care within a geographical population in relation to diagnosis, seizure management and quality of life. One of the findings was the unexpectedly high frequency of the misdiagnosis of epilepsy. Forty-nine of 214 patients with a primary diagnosis of epilepsy were subsequently found to have been misdiagnosed following a specialist review and investigations. All except two have been withdrawn from antiepileptic medication. The diagnosis of epilepsy was disputed in a further 26 patients. Of the 49 patients, 20 were found to have cardiovascular or cerebrovascular pathology. Seven had only ever experienced a single seizure and a further 10 were found to have underlying psychopathology. Such observations support the view that epilepsy is frequently misdiagnosed and this paper discusses some of the implications of misdiagnosis.

PMID:
9808117
DOI:
10.1016/s1059-1311(05)80010-x
[Indexed for MEDLINE]
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