Transient loss of consciousness with muscle jerks during a flight : syncope or epilepsy ?: Difference between revisions

no edit summary
(Created page with "''W. Wieling *, CA Remme §, J.G van Dijk +''<br /> ''Department of Medicine* and Experimental Cardiology § , Academic Medical Centre, University of Amsterdam, Amsterdam (Th...")
 
No edit summary
Line 21: Line 21:


Sensitivity and specificity of data from the medical history are compared in Table 1.
Sensitivity and specificity of data from the medical history are compared in Table 1.
'''Table 1. Diagnostic accuracy of specific items from history taking.'''
{| class="wikitable" border="1" style='float: left'
|+ Factors strongly suggesting epilepsy
|-
! colspan="1" |
! colspan="3" | Hoefnagels
! colspan="3" | Sheldon
|-
! scope="col" |
! scope="col" | Sens
! scope="col" | Spec
! scope="col" | LR+
! scope="col" | Sens
! scope="col" | Spec
! scope="col" | LR+
|-
! scope="row" | Tongue biting
| 0.41 || 0.94 || 7.3 || 0.45 || 0.97 || 16.5
|-
! scope="row" | Turning of the head
| NR || NR || NR || 0.43 || 0.97 || 13.5
|-
! scope="row" | Muscle pain
| 0.39 || 0.85 || 2.6 || 0.16 || 0.95 || 3.4
|-
! scope="row" | Duration loss of cons. (>5 min)
| 0.68 || 0.55 || 1.5 || NR || NR || NR
|-
! scope="row" | Cyanosis
| 0.29 || 0.98 || 16.9 || 0.33 || 0.94 || 5.8
|-
! scope="row" | Postictal confusion
| 0.85 || 0.83 || 5.0 || 0.94 || 0.69 || 3.0
|-
|}
{{clr}}






{| class="wikitable" border="0" style='float: right'
|- align='left'
!Table 2:Typical Premonitory Symptoms for Reflex Syncope<br />
|- align='left'
|
* Lightheadedness, dizziness
* Palpitations
* Weakness
* Dimming or blurred vision
* Fading hearing, tinnitus
* Nausea, epigastric distress
* Feeling warm or cold
* Facial pallor
* Sweating, dilated pupils
|}


{{clr}}
{{clr}}
214

edits