Aims:To investigate the diagnoses made for children referred to a “fits,faints,and funny turns”clinic.Methods:Prospective study of 380 children referred to a dedicated secondary care clinic over an eight year period...Aims:To investigate the diagnoses made for children referred to a “fits,faints,and funny turns”clinic.Methods:Prospective study of 380 children referred to a dedicated secondary care clinic over an eight year period.Results:Twenty three per cent of children were given a final diagnosis of one of the childhood epilepsies,with 48%of these having a specific epilepsy syndrome.Syncope was the commonest cause of a non-epileptic event(syncope and reflex anoxic seizures comprised 100/238,42%)but there were a wide variety of other causes.Fifty three events(14%)were unclassified and managed without a diagnostic label or treatment.Conclusions:In children with funny turns referred to secondary care,the diagnostic possibilities are numerous;among non-epileptic events,syncopes predominate.The majority do not have epilepsy.Unclassifiable events with no clear epileptic or non-epileptic cause are common and can be safely managed expectantly.展开更多
文摘Aims:To investigate the diagnoses made for children referred to a “fits,faints,and funny turns”clinic.Methods:Prospective study of 380 children referred to a dedicated secondary care clinic over an eight year period.Results:Twenty three per cent of children were given a final diagnosis of one of the childhood epilepsies,with 48%of these having a specific epilepsy syndrome.Syncope was the commonest cause of a non-epileptic event(syncope and reflex anoxic seizures comprised 100/238,42%)but there were a wide variety of other causes.Fifty three events(14%)were unclassified and managed without a diagnostic label or treatment.Conclusions:In children with funny turns referred to secondary care,the diagnostic possibilities are numerous;among non-epileptic events,syncopes predominate.The majority do not have epilepsy.Unclassifiable events with no clear epileptic or non-epileptic cause are common and can be safely managed expectantly.
