A5003954328- Epilepsy research and treatment
- Psychosomatic Disorders and Their Treatments
- Pharmacological Effects and Toxicity Studies
- EEG and Brain-Computer Interfaces
- Neuroscience and Neuropharmacology Research
- Neurological disorders and treatments
- Mental Health and Psychiatry
- Vagus Nerve Stimulation Research
- Sleep and Wakefulness Research
- Cardiovascular Syncope and Autonomic Disorders
- Neurology and Historical Studies
- Neonatal and fetal brain pathology
- Sleep and related disorders
- Metabolism and Genetic Disorders
- Functional Brain Connectivity Studies
- Diet and metabolism studies
- Drug Transport and Resistance Mechanisms
- Heart Rate Variability and Autonomic Control
- Neurobiology of Language and Bilingualism
- Sleep and Work-Related Fatigue
- Neuroscience of respiration and sleep
- Schizophrenia research and treatment
- Pain Management and Placebo Effect
- Neurological and metabolic disorders
- Clinical Reasoning and Diagnostic Skills
University of South Florida
2016-2025
Tampa General Hospital
2016-2025
Mayo Clinic in Florida
2010-2024
LivaNova (United States)
2024
Ghent University Hospital
2024
University of Alabama at Birmingham
2024
Cornell University
2024
Duke University Hospital
2024
University of Alabama at Birmingham Hospital
2024
University of Utah
2024
The “therapeutic misconception” describes a process whereby research volunteers misinterpret the intentions of researchers and nature clinical research. This misinterpretation leads to falsely attribute therapeutic potential research, compromises informed decision making, therefore compromising ethical integrity experiment. We review recent evidence from neurobiology social cognition provide novel framework for thinking about misconception. argue that should be considered in any analysis how...
We propose an epileptic seizure classification based exclusively on ictal semiology. In this semiological (SSC), seizures are classified as follows: a. Auras manifestations having sensory, psychosensory, and experiential symptoms. b. Autonomic in which the main objectively documented autonomic alterations. c. "Dialeptic" have their alteration of consciousness that is independent EEG manifestations. The new term "dialeptic" has been coined to differentiate concept from absence (dialeptic with...
The proportion of patients with psychogenic nonepileptic seizures (PNES) who also have epilepsy has been reported to vary from 10% over 50%. authors reviewed all 32 diagnosed PNES in our EEG-video monitoring unit a period 1 year, and only 3 (9.4%) had interictal epileptiform discharges support coexisting diagnosis epilepsy. Thus, the believe that small
Summary: Purpose: When seizures do not respond to medications, video‐EEG monitoring is the best available diagnostic tool and principal activity of epilepsy centers. The purpose this study was analyze eventual disposition patients who undergo at a typical referral center. Methods: We reviewed diagnoses dispositions all (adults children) underwent inpatient (≥24 h) our center (University South Florida–Tampa General Hospital) over 1‐year period (2002). Results: In total, 251 sessions were...
The overinterpretation of EEGs is a known problem that has not been reported specifically. authors report series on patients who were diagnosed eventually with psychogenic nonepileptic seizures and had an EEG read as epileptiform. Of the 15 actual records available for review, overread patterns wicket spikes (n = 1), hypnagogic hypersynchrony hyperventilationinduced slowing 1). In other 12 records, simple fluctuations sharply contoured background rhythms or fragmented α activity. Rather than...
Background: Excessive daytime sleepiness can be evaluated with both subjective and objective tests. Objective: To examine the association between Epworth Sleepiness Scale scores sleep latency on multiple test. Design: Case series. Setting: Referral disorders center. Patients: 102 consecutive patients for excessive sleepiness. Measurements: mean Results: No significant was seen (Pearson correlation, −0.17 [95% CI, −0.35 to 0.03]; P = 0.09) (analysis of variance, 0.13). The score did not...
The overinterpretation of EEGs is common and an important contributor to the misdiagnosis epilepsy. We reviewed our experience in order clarify which EEG patterns are commonly overread as epileptiform.We identified patients who were seen at epilepsy clinic ultimately diagnosed having conditions other than selected those had previously read showing epileptiform discharges whose was available for own re-review.37 met above criteria. Eventual diagnoses psychogenic nonepileptic seizures (10),...
<b>Objective:</b> The diagnosis of psychogenic nonepileptic seizures (PNES) can be challenging. In the absence a gold standard to verify reliability by EEG-video, we sought assess interrater using EEG-video recordings. <b>Methods:</b> Patient samples consisted 22 unselected consecutive patients who underwent monitoring and had at least an episode recorded. Other test results histories were not provided because goal was EEG-video. Data sent reviewers, board-certified neurologists practicing...
The Automatic Stimulation Mode (AutoStim) feature of the Model 106 Vagus Nerve (VNS) Therapy System stimulates left vagus nerve on detecting tachycardia. This study evaluates performance, safety AutoStim during a 3-5-day Epilepsy Monitoring Unit (EMU) stay and long- term clinical outcomes device stimulating in all modes.The E-37 protocol (NCT01846741) was prospective, unblinded, U.S. multisite AspireSR(®) subjects with drug-resistant partial onset seizures history ictal VNS Normal Magnet...
<h3>Importance</h3> Misdiagnosis of epilepsy is common. Video electroencephalogram provides a definitive diagnosis but impractical for many patients referred evaluation epilepsy. <h3>Objective</h3> To evaluate the accuracy outpatient smartphone videos in <h3>Design, Setting, and Participants</h3> This prospective, masked, diagnostic study (the OSmartViE study) took place between August 31, 2015, 2018, at 8 academic centers United States included convenience sample 44 nonconsecutive...
ABSTRACT Despite the advances in imaging, EEG remains a critical test for diagnosis of epilepsy. Not only can it confirm diagnosis, but also clarify type There are many different types recordings depending on duration, presence video, and inpatient or outpatient setting, each with its pros cons. Interictal epileptiform abnormalities very specific to epilepsy, they be over‐interpreted by inexperienced readers. In addition has role decision discontinue treatment seizure‐free patients,...
Overinterpretation of EEG is an important contributor to the misdiagnosis epilepsy. For have a high diagnostic value and specificity, it critical recognize waveforms that can be mistaken for abnormal patterns. This article describes artifacts, normal rhythms, patterns are prone being misinterpreted as abnormal. Artifacts potentials generated outside brain. They divided into physiologic extraphysiologic. Physiologic artifacts arise from body include EMG, eyes, various movements, EKG, pulse,...
Pseudoseizures may occur as a somatoform disorder in children and adolescents well adults. However, few data are available about psychiatric features or outcome pediatric patients.We studied 34 patients (25 girls [74%]) who were evaluated by child psychiatrist at our institution immediately after diagnosis of pseudoseizures ictal video electroencephalogram (EEG) ages 9 to 18 years (mean age, 14 years). Each patient had least 1 pseudoseizure recorded EEG that was judged the family typical,...
Patients with epilepsy may not always be able to identify their seizures. Epilepsy management relies on patient reporting validate whether seizures occur during treatment. The goal of this study was assess the frequency unreported recorded routine outpatient ambulatory EEG recording. authors reviewed 552 records from 502 patients who underwent 16-channel computer-assisted monitoring (CAA-EEG). Seizure identification evaluated by assessing push-button activation. Partial were seen most...