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Recall with Amobarbital (Amytal) Sodium in Diagnosis of Seizures

Recall with Amobarbital (Amytal) Sodium in Diagnosis of Seizures Abstract The differential diagnosis of generalized seizures and psychogenic-seizure-like spells is one of the common and difficult problems a clinical neurologist encounters. The electroencephalogram, unfortunately, does not always solve the problem. Furthermore, evidence that a patient has emotional problems does not necessarily rule out epilepsy. The problem may be particularly difficult in military service, where witnesses of a patient's spells may be thousands of miles from the hospital to which he has been transferred. It is most important to differentiate psychogenic-seizure-like episodes from seizures. The patient with psychogenic episodes which are mistakenly diagnosed as true convulsive seizures may undergo unnecessary diagnostic procedures, be deprived of appropriate psychiatric treatment, continue to have spells in spite of anticonvulsant medication, and, because of his apparent uncontrolled seizure problem (along with his personality disturbances), become a "thorn in the side" of the neurologist. In the military service he may be medically retired and compensated for References 1. Peterson, D. B.; Sumner, J. W., Jr., and Jones, G. A.: Role of Hypnosis in Differentiation of Epileptic from Convulsive-like Seizures , Am. J. Psychiat. 107:428-433 ( (Dec.) ) 1950. 2. Gibbs, F. A.; Gibbs, E. L., and Lennox, W. G.: Electroencephalographic Classification of Epileptic Patients and Control Subjects , Arch. Neurol. & Psychiat. 50:111-128 ( (Aug.) ) 1943. 3. Lennox, W. G.: Science and Seizures: New Light on Epilepsy and Migraine , Ed. 2, New York, Harper & Brothers, 1946. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

Recall with Amobarbital (Amytal) Sodium in Diagnosis of Seizures

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1958.02340100008002
Publisher site
See Article on Publisher Site

Abstract

Abstract The differential diagnosis of generalized seizures and psychogenic-seizure-like spells is one of the common and difficult problems a clinical neurologist encounters. The electroencephalogram, unfortunately, does not always solve the problem. Furthermore, evidence that a patient has emotional problems does not necessarily rule out epilepsy. The problem may be particularly difficult in military service, where witnesses of a patient's spells may be thousands of miles from the hospital to which he has been transferred. It is most important to differentiate psychogenic-seizure-like episodes from seizures. The patient with psychogenic episodes which are mistakenly diagnosed as true convulsive seizures may undergo unnecessary diagnostic procedures, be deprived of appropriate psychiatric treatment, continue to have spells in spite of anticonvulsant medication, and, because of his apparent uncontrolled seizure problem (along with his personality disturbances), become a "thorn in the side" of the neurologist. In the military service he may be medically retired and compensated for References 1. Peterson, D. B.; Sumner, J. W., Jr., and Jones, G. A.: Role of Hypnosis in Differentiation of Epileptic from Convulsive-like Seizures , Am. J. Psychiat. 107:428-433 ( (Dec.) ) 1950. 2. Gibbs, F. A.; Gibbs, E. L., and Lennox, W. G.: Electroencephalographic Classification of Epileptic Patients and Control Subjects , Arch. Neurol. & Psychiat. 50:111-128 ( (Aug.) ) 1943. 3. Lennox, W. G.: Science and Seizures: New Light on Epilepsy and Migraine , Ed. 2, New York, Harper & Brothers, 1946.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: Oct 1, 1958

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