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Epilepsy versus non-epileptic attack disorder: A diagnostic and therapeutic challenge

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DOI: 10.4236/crcm.2013.21001    5,804 Downloads   8,518 Views  

ABSTRACT

Epilepsy and non-epileptic attack disorder (NEAD) share a vast number of clinical features, however the aetiology and management are very different. Video-EEG is the gold standard diagnostic tool and relies on the occurrence of seizure activity during assessment to make a diagnosis. Added complexity arises from the co-existence of epilepsy and NEAD, occurring in a significant proportion of patients. Comprehensive assessment and investigation is therefore required to prevent gross mistreatment in this diagnostically difficult subgroup. We present a case of NEAD with co-existing epilepsy and the challenges that this may present in clinical practice.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Smith, C. and Ramtahal, J. (2013) Epilepsy versus non-epileptic attack disorder: A diagnostic and therapeutic challenge. Case Reports in Clinical Medicine, 2, 1-4. doi: 10.4236/crcm.2013.21001.

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