Diagnoses made in a secondary care "fits, faints, and funny turns'' clinic
Diagnoses made in a secondary care "fits, faints, and funny turns'' clinic
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DOI：
10.1136/adc.2004.062455
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发表时间：
2006-03-01
影响因子：
5.2
通讯作者：
Robson, C
中科院分区：
文献类型：
--
作者：
Hindley, C;Ali, A;Robson, C
目的：调查的诊断为儿童提到了一个“适合，昏厥，和有趣的turns '' clinic.Methods：前瞻性研究的380名儿童提到了一个专门的二级保健clinic over a eight years period.Results：百分之二十三的儿童被给予最终诊断的儿童癫痫之一，其中48%有一个特定的癫痫综合征。晕厥是非癫痫事件的最常见原因（晕厥和反射性缺氧性癫痫发作占100/238，42%），但还有各种其他原因。53起事件（14%）未分类，在没有诊断标签或治疗的情况下进行管理。结论：在被转介到二级护理的有滑稽转变的儿童中，诊断的可能性有很多;在非癫痫事件中，晕厥占主导地位。大多数人没有癫痫。无明确癫痫或非癫痫原因的不可分类事件很常见，可以安全地进行预期管理。
Aims: To investigate the diagnoses made for children referred to a "fits, faints, and funny turns'' clinic.Methods: Prospective study of 380 children referred to a dedicated secondary care clinic over an eight year period.Results: Twenty three per cent of children were given a final diagnosis of one of the childhood epilepsies, with 48% of these having a specific epilepsy syndrome. Syncope was the commonest cause of a nonepileptic event (syncope and reflex anoxic seizures comprised 100/238, 42%) but there were a wide variety of other causes. Fifty three events (14%) were unclassified and managed without a diagnostic label or treatment.Conclusions: In children with funny turns referred to secondary care, the diagnostic possibilities are numerous; among non-epileptic events, syncopes predominate. The majority do not have epilepsy. Unclassifiable events with no clear epileptic or non-epileptic cause are common and can be safely managed expectantly.