What is the basis for the diagnosis of epilepsy?

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Clinical diagnosis of epilepsy, mainly depends on the following aspects:(1) accurate history and physical signs.(2) eeg. The ictal EEG is, i

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Clinical diagnosis of epilepsy, mainly depends on the following aspects:

(1) accurate history and physical signs.

(2) eeg. The ictal EEG is, in principle, the most valuable auxiliary examination. Regardless of any kind of epilepsy, were associated with onset of epileptic discharge in the brain, but conventional scalp EEG currently used clinically are not necessarily recorded, while in the intermittent period even if combined with induced test, 24 hours of continuous recording, the total positive rate is only 80% ~ 90% so, the diagnosis must be combined with clinical examination and other aspects of the comprehensive analysis, can not deny is negative because of EEG seizures, no clinical manifestations and EEG positive, is not confirmed. As long as the clinical manifestations are typical, generally can be diagnosed, and pay attention to strengthen the examination of eeg.

(3) imaging and laboratory examination.

(4) the effect of antiepileptic drugs. In general, as long as the diagnosis is correct, the choice of the drug is accurate, the amount used is appropriate, taking the method is reasonable and will receive satisfactory results, so from a certain extent, the effect of the drug is to determine the correctness of an important aspect of diagnosis.

 

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