Differential diagnosis of staring spells in children: a video-EEG study.

Published

Journal Article

Staring is frequently a nonepileptic manifestation in children. To differentiate epileptic versus nonepileptic staring, we reviewed clinical and video-EEG findings in 143 patients, aged 5 months to 43 years, monitored for staring episodes. In 79 patients staring was of epileptic origin; 46 had partial seizures and 33 atypical absence. Thirty-five had behavioral staring, 8 psychogenic seizures, 1 a migraine equivalent, and in 20 no staring spells were recorded. In all patients with epileptic staring, epilepsy was suspected clinically. Only 22 of the admissions for behavioral staring and 3 for pseudoseizures were to exclude a possible nonepileptic phenomenon. Review of their clinical histories revealed that certain findings strongly support a nonepileptic origin. In conclusion, a careful clinical history will differentiate between epileptic and nonepileptic staring episodes in most patients. Video-monitoring is helpful to adjust treatment or to exclude nonepileptic events in patients with refractory staring spells.

Full Text

Duke Authors

Cited Authors

  • Carmant, L; Kramer, U; Holmes, GL; Mikati, MA; Riviello, JJ; Helmers, SL

Published Date

  • April 1996

Published In

Volume / Issue

  • 14 / 3

Start / End Page

  • 199 - 202

PubMed ID

  • 8736402

Pubmed Central ID

  • 8736402

International Standard Serial Number (ISSN)

  • 0887-8994

Language

  • eng

Conference Location

  • United States