Postictal Breathing Pattern Distinguishes Epileptic from Nonepileptic Convulsive Seizures
Summary Purpose: To examine postictal breathing pattern in generalized convulsive nonepileptic seizures (GCNES) and generalized tonic–clonic seizures (GTCS) and evaluate this feature as a discriminating sign. Methods: We reviewed the postictal breathing pattern seizures in 23 generalized tonic–cloni...
Gespeichert in:
| Veröffentlicht in: | Epilepsia (Copenhagen) 2008-01, Vol.49 (1), p.132-137 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 137 |
|---|---|
| container_issue | 1 |
| container_start_page | 132 |
| container_title | Epilepsia (Copenhagen) |
| container_volume | 49 |
| creator | Azar, Nabil J. Tayah, Tania F. Wang, Lily Song, Yanna Abou‐Khalil, Bassel W. |
| description | Summary
Purpose: To examine postictal breathing pattern in generalized convulsive nonepileptic seizures (GCNES) and generalized tonic–clonic seizures (GTCS) and evaluate this feature as a discriminating sign.
Methods: We reviewed the postictal breathing pattern seizures in 23 generalized tonic–clonic seizures in 15 consecutive patients with epilepsy and 24 convulsive nonepileptic seizures in 16 consecutive patients with pure psychogenic seizures. We also analyzed 21 frontal lobe hypermotor seizures (FLHS) in 9 patients with frontal lobe epilepsy.
Results: The breathing after GTCS was deep with prolonged inspiratory and expiratory phases, regular, and loud (except for two short seizures). The breathing after GCNES was characterized by increased respiratory rate or hyperpnea with short inspiratory and expiratory phases, as can be noted after exercise. The breathing was often irregular, with brief pauses. The altered breathing lasted longer after GTCS. The two groups differed significantly in loudness of postictal respiration, postictal snoring (only with GTCS), respiratory rate (faster for the GCNES group), and duration of altered breathing (longer after GTCS) (p < 0.00001 for all features). FLHS shared postictal breathing features of GCNES, but had other distinguishing features.
Conclusions: The postictal breathing pattern can help differentiate generalized tonic–clonic seizures from nonepileptic psychogenic seizures with generalized motor activity and may be helpful to the practitioner obtaining a seizure history in the clinic setting or witnessing a seizure. |
| doi_str_mv | 10.1111/j.1528-1167.2007.01215.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70191206</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70191206</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4475-3096e43cfdcf7fd6a7adad7e6a2ab6fb9b6db3b7fc0704d512025f8d8f41e8ab3</originalsourceid><addsrcrecordid>eNqNkD1PwzAQhi0EglL4CygLbAl2nNjJwAClfEgVVAIGJstxzuAqTYqdFMqvx6FVWfFi6-5576wHoYDgiPhzPotIGmchIYxHMcY8wiQmafS1gwbbxi4aYExomKcZPkCHzs2wJxmn--iAcJaShJABep02rjWqlVVwZUG276Z-C6aybcHWwbXxvfqtM-4dXDBemAoWHg60bebBQ1PDtjJq6mVXObOE4AnMd2fBHaE9LSsHx5t7iF5uxs-ju3DyeHs_upyEKkl4GlKcM0io0qXSXJdMclnKkgOTsSyYLvKClQUtuFaY46RMSYzjVGdlphMCmSzoEJ2t5y5s89GBa8XcOAVVJWtoOic4JrkPMQ9ma1DZxjkLWiysmUu7EgSLXquYid6e6O2JXqv41Sq-fPRks6Mr5lD-BTcePXC6AaRTstJW1sq4LeeHUb-Aeu5izX16c6t_f0CMp_f9i_4AS5qVew</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70191206</pqid></control><display><type>article</type><title>Postictal Breathing Pattern Distinguishes Epileptic from Nonepileptic Convulsive Seizures</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Wiley Online Library Free Content</source><source>IngentaConnect Free/Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Azar, Nabil J. ; Tayah, Tania F. ; Wang, Lily ; Song, Yanna ; Abou‐Khalil, Bassel W.</creator><creatorcontrib>Azar, Nabil J. ; Tayah, Tania F. ; Wang, Lily ; Song, Yanna ; Abou‐Khalil, Bassel W.</creatorcontrib><description>Summary
Purpose: To examine postictal breathing pattern in generalized convulsive nonepileptic seizures (GCNES) and generalized tonic–clonic seizures (GTCS) and evaluate this feature as a discriminating sign.
Methods: We reviewed the postictal breathing pattern seizures in 23 generalized tonic–clonic seizures in 15 consecutive patients with epilepsy and 24 convulsive nonepileptic seizures in 16 consecutive patients with pure psychogenic seizures. We also analyzed 21 frontal lobe hypermotor seizures (FLHS) in 9 patients with frontal lobe epilepsy.
Results: The breathing after GTCS was deep with prolonged inspiratory and expiratory phases, regular, and loud (except for two short seizures). The breathing after GCNES was characterized by increased respiratory rate or hyperpnea with short inspiratory and expiratory phases, as can be noted after exercise. The breathing was often irregular, with brief pauses. The altered breathing lasted longer after GTCS. The two groups differed significantly in loudness of postictal respiration, postictal snoring (only with GTCS), respiratory rate (faster for the GCNES group), and duration of altered breathing (longer after GTCS) (p < 0.00001 for all features). FLHS shared postictal breathing features of GCNES, but had other distinguishing features.
Conclusions: The postictal breathing pattern can help differentiate generalized tonic–clonic seizures from nonepileptic psychogenic seizures with generalized motor activity and may be helpful to the practitioner obtaining a seizure history in the clinic setting or witnessing a seizure.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/j.1528-1167.2007.01215.x</identifier><identifier>PMID: 17651411</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Adolescent ; Adult ; Anticonvulsants. Antiepileptics. Antiparkinson agents ; Biological and medical sciences ; Breathing pattern ; Diagnosis, Computer-Assisted - statistics & numerical data ; Diagnosis, Differential ; Electroencephalography - statistics & numerical data ; Epilepsy - diagnosis ; Epilepsy semiology ; Epilepsy, Generalized - diagnosis ; Female ; Generalized tonic–clonic seizures ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Monitoring, Physiologic ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropharmacology ; Nonepileptic seizures ; Odds Ratio ; Pharmacology. Drug treatments ; Postictal manifestations ; Predictive Value of Tests ; Psychophysiologic Disorders - diagnosis ; Respiration ; Seizures - diagnosis ; Surveys and Questionnaires ; Videotape Recording</subject><ispartof>Epilepsia (Copenhagen), 2008-01, Vol.49 (1), p.132-137</ispartof><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4475-3096e43cfdcf7fd6a7adad7e6a2ab6fb9b6db3b7fc0704d512025f8d8f41e8ab3</citedby><cites>FETCH-LOGICAL-c4475-3096e43cfdcf7fd6a7adad7e6a2ab6fb9b6db3b7fc0704d512025f8d8f41e8ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1528-1167.2007.01215.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1528-1167.2007.01215.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,1428,4010,27904,27905,27906,45555,45556,46390,46814</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20031113$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17651411$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azar, Nabil J.</creatorcontrib><creatorcontrib>Tayah, Tania F.</creatorcontrib><creatorcontrib>Wang, Lily</creatorcontrib><creatorcontrib>Song, Yanna</creatorcontrib><creatorcontrib>Abou‐Khalil, Bassel W.</creatorcontrib><title>Postictal Breathing Pattern Distinguishes Epileptic from Nonepileptic Convulsive Seizures</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Summary
Purpose: To examine postictal breathing pattern in generalized convulsive nonepileptic seizures (GCNES) and generalized tonic–clonic seizures (GTCS) and evaluate this feature as a discriminating sign.
Methods: We reviewed the postictal breathing pattern seizures in 23 generalized tonic–clonic seizures in 15 consecutive patients with epilepsy and 24 convulsive nonepileptic seizures in 16 consecutive patients with pure psychogenic seizures. We also analyzed 21 frontal lobe hypermotor seizures (FLHS) in 9 patients with frontal lobe epilepsy.
Results: The breathing after GTCS was deep with prolonged inspiratory and expiratory phases, regular, and loud (except for two short seizures). The breathing after GCNES was characterized by increased respiratory rate or hyperpnea with short inspiratory and expiratory phases, as can be noted after exercise. The breathing was often irregular, with brief pauses. The altered breathing lasted longer after GTCS. The two groups differed significantly in loudness of postictal respiration, postictal snoring (only with GTCS), respiratory rate (faster for the GCNES group), and duration of altered breathing (longer after GTCS) (p < 0.00001 for all features). FLHS shared postictal breathing features of GCNES, but had other distinguishing features.
Conclusions: The postictal breathing pattern can help differentiate generalized tonic–clonic seizures from nonepileptic psychogenic seizures with generalized motor activity and may be helpful to the practitioner obtaining a seizure history in the clinic setting or witnessing a seizure.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anticonvulsants. Antiepileptics. Antiparkinson agents</subject><subject>Biological and medical sciences</subject><subject>Breathing pattern</subject><subject>Diagnosis, Computer-Assisted - statistics & numerical data</subject><subject>Diagnosis, Differential</subject><subject>Electroencephalography - statistics & numerical data</subject><subject>Epilepsy - diagnosis</subject><subject>Epilepsy semiology</subject><subject>Epilepsy, Generalized - diagnosis</subject><subject>Female</subject><subject>Generalized tonic–clonic seizures</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Nonepileptic seizures</subject><subject>Odds Ratio</subject><subject>Pharmacology. Drug treatments</subject><subject>Postictal manifestations</subject><subject>Predictive Value of Tests</subject><subject>Psychophysiologic Disorders - diagnosis</subject><subject>Respiration</subject><subject>Seizures - diagnosis</subject><subject>Surveys and Questionnaires</subject><subject>Videotape Recording</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1PwzAQhi0EglL4CygLbAl2nNjJwAClfEgVVAIGJstxzuAqTYqdFMqvx6FVWfFi6-5576wHoYDgiPhzPotIGmchIYxHMcY8wiQmafS1gwbbxi4aYExomKcZPkCHzs2wJxmn--iAcJaShJABep02rjWqlVVwZUG276Z-C6aybcHWwbXxvfqtM-4dXDBemAoWHg60bebBQ1PDtjJq6mVXObOE4AnMd2fBHaE9LSsHx5t7iF5uxs-ju3DyeHs_upyEKkl4GlKcM0io0qXSXJdMclnKkgOTsSyYLvKClQUtuFaY46RMSYzjVGdlphMCmSzoEJ2t5y5s89GBa8XcOAVVJWtoOic4JrkPMQ9ma1DZxjkLWiysmUu7EgSLXquYid6e6O2JXqv41Sq-fPRks6Mr5lD-BTcePXC6AaRTstJW1sq4LeeHUb-Aeu5izX16c6t_f0CMp_f9i_4AS5qVew</recordid><startdate>200801</startdate><enddate>200801</enddate><creator>Azar, Nabil J.</creator><creator>Tayah, Tania F.</creator><creator>Wang, Lily</creator><creator>Song, Yanna</creator><creator>Abou‐Khalil, Bassel W.</creator><general>Blackwell Publishing Inc</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200801</creationdate><title>Postictal Breathing Pattern Distinguishes Epileptic from Nonepileptic Convulsive Seizures</title><author>Azar, Nabil J. ; Tayah, Tania F. ; Wang, Lily ; Song, Yanna ; Abou‐Khalil, Bassel W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4475-3096e43cfdcf7fd6a7adad7e6a2ab6fb9b6db3b7fc0704d512025f8d8f41e8ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anticonvulsants. Antiepileptics. Antiparkinson agents</topic><topic>Biological and medical sciences</topic><topic>Breathing pattern</topic><topic>Diagnosis, Computer-Assisted - statistics & numerical data</topic><topic>Diagnosis, Differential</topic><topic>Electroencephalography - statistics & numerical data</topic><topic>Epilepsy - diagnosis</topic><topic>Epilepsy semiology</topic><topic>Epilepsy, Generalized - diagnosis</topic><topic>Female</topic><topic>Generalized tonic–clonic seizures</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Nonepileptic seizures</topic><topic>Odds Ratio</topic><topic>Pharmacology. Drug treatments</topic><topic>Postictal manifestations</topic><topic>Predictive Value of Tests</topic><topic>Psychophysiologic Disorders - diagnosis</topic><topic>Respiration</topic><topic>Seizures - diagnosis</topic><topic>Surveys and Questionnaires</topic><topic>Videotape Recording</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azar, Nabil J.</creatorcontrib><creatorcontrib>Tayah, Tania F.</creatorcontrib><creatorcontrib>Wang, Lily</creatorcontrib><creatorcontrib>Song, Yanna</creatorcontrib><creatorcontrib>Abou‐Khalil, Bassel W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azar, Nabil J.</au><au>Tayah, Tania F.</au><au>Wang, Lily</au><au>Song, Yanna</au><au>Abou‐Khalil, Bassel W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postictal Breathing Pattern Distinguishes Epileptic from Nonepileptic Convulsive Seizures</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2008-01</date><risdate>2008</risdate><volume>49</volume><issue>1</issue><spage>132</spage><epage>137</epage><pages>132-137</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Summary
Purpose: To examine postictal breathing pattern in generalized convulsive nonepileptic seizures (GCNES) and generalized tonic–clonic seizures (GTCS) and evaluate this feature as a discriminating sign.
Methods: We reviewed the postictal breathing pattern seizures in 23 generalized tonic–clonic seizures in 15 consecutive patients with epilepsy and 24 convulsive nonepileptic seizures in 16 consecutive patients with pure psychogenic seizures. We also analyzed 21 frontal lobe hypermotor seizures (FLHS) in 9 patients with frontal lobe epilepsy.
Results: The breathing after GTCS was deep with prolonged inspiratory and expiratory phases, regular, and loud (except for two short seizures). The breathing after GCNES was characterized by increased respiratory rate or hyperpnea with short inspiratory and expiratory phases, as can be noted after exercise. The breathing was often irregular, with brief pauses. The altered breathing lasted longer after GTCS. The two groups differed significantly in loudness of postictal respiration, postictal snoring (only with GTCS), respiratory rate (faster for the GCNES group), and duration of altered breathing (longer after GTCS) (p < 0.00001 for all features). FLHS shared postictal breathing features of GCNES, but had other distinguishing features.
Conclusions: The postictal breathing pattern can help differentiate generalized tonic–clonic seizures from nonepileptic psychogenic seizures with generalized motor activity and may be helpful to the practitioner obtaining a seizure history in the clinic setting or witnessing a seizure.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>17651411</pmid><doi>10.1111/j.1528-1167.2007.01215.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0013-9580 |
| ispartof | Epilepsia (Copenhagen), 2008-01, Vol.49 (1), p.132-137 |
| issn | 0013-9580 1528-1167 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70191206 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Anticonvulsants. Antiepileptics. Antiparkinson agents Biological and medical sciences Breathing pattern Diagnosis, Computer-Assisted - statistics & numerical data Diagnosis, Differential Electroencephalography - statistics & numerical data Epilepsy - diagnosis Epilepsy semiology Epilepsy, Generalized - diagnosis Female Generalized tonic–clonic seizures Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Logistic Models Male Medical sciences Middle Aged Monitoring, Physiologic Nervous system (semeiology, syndromes) Neurology Neuropharmacology Nonepileptic seizures Odds Ratio Pharmacology. Drug treatments Postictal manifestations Predictive Value of Tests Psychophysiologic Disorders - diagnosis Respiration Seizures - diagnosis Surveys and Questionnaires Videotape Recording |
| title | Postictal Breathing Pattern Distinguishes Epileptic from Nonepileptic Convulsive Seizures |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T23%3A25%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Postictal%20Breathing%20Pattern%20Distinguishes%20Epileptic%20from%20Nonepileptic%20Convulsive%20Seizures&rft.jtitle=Epilepsia%20(Copenhagen)&rft.au=Azar,%20Nabil%20J.&rft.date=2008-01&rft.volume=49&rft.issue=1&rft.spage=132&rft.epage=137&rft.pages=132-137&rft.issn=0013-9580&rft.eissn=1528-1167&rft.coden=EPILAK&rft_id=info:doi/10.1111/j.1528-1167.2007.01215.x&rft_dat=%3Cproquest_cross%3E70191206%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=70191206&rft_id=info:pmid/17651411&rfr_iscdi=true |