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- W2024404908 abstract "We assessed the frequency, causes and consequences of erroneous diagnosis of epilepsy, and the outcome of patients referred with `refractory epilepsy', by retrospective analysis of the case records of 324 patients. The sample was divided into those exposed to anti-epileptic drugs (n=184), of whom 92 were said to have refractory seizures, and those who had not received treatment (n=140). The latter group is reported elsewhere. The overall misdiagnosis rate was 26.1% (46/184), with incomplete history-taking and misinterpretation of the EEG equally responsible. Side-effects were reported by 19/40, while unnecessary driving restrictions and employment difficulties were encountered by 12/33 and 5/33, respectively. Of those labelled `refractory epilepsy', 12 did not have epilepsy. Sixteen were rendered seizure-free and 25 significantly improved by the optimal use of anti-epileptic drugs or surgery. Diagnostic and management services for patients with suspected and established epilepsy are suboptimal, with psychological and socio-economic consequences for individual patients. The resulting economic burden on the health and welfare services is probably substantial." @default.
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- W2024404908 title "The misdiagnosis of epilepsy and the management of refractory epilepsy in a specialist clinic" @default.
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- W2024404908 doi "https://doi.org/10.1093/qjmed/92.1.15" @default.
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