Dataset Information

Paroxysmal Nonepileptic Events in Children: A Video Gallery and a Guide for Differential Diagnosis.

ABSTRACT:

Purpose of review

Paroxysmal nonepileptic events (PNEEs) are a heterogenous group of time-limited events, characterized by changes in motor or behavioral activity beginning abruptly and ending in a short time. Owing to their manifestation, these conditions can clinically simulate seizures.

Recent findings

These episodes belong to different categories, including syncopal events, psychiatric disorders, and movement disorders. PNEEs are a common cause of diagnostic mistakes and families' concerns, and the risk of useless and sometimes even injurious treatment is considerable. The high frequency of these manifestations in clinical practice makes PNEEs a diagnostic challenge for clinicians.

Summary

This review is focused on the distinctive clinical findings and treatment of PNEEs. Illustrative video recordings of the PNEEs and a video collection as a support tool for differential diagnosis are provided.

SUBMITTER: Lagorio I

PROVIDER: S-EPMC9647822 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Publications

Paroxysmal Nonepileptic Events in Children: A Video Gallery and a Guide for Differential Diagnosis.

Lagorio Ilaria I Brunelli Lorenzo L Striano Pasquale P

Neurology. Clinical practice 20220801 4

<h4>Purpose of review</h4>Paroxysmal nonepileptic events (PNEEs) are a heterogenous group of time-limited events, characterized by changes in motor or behavioral activity beginning abruptly and ending in a short time. Owing to their manifestation, these conditions can clinically simulate seizures.<h4>Recent findings</h4>These episodes belong to different categories, including syncopal events, psychiatric disorders, and movement disorders. PNEEs are a common cause of diagnostic mistakes and famil ...[more]

PMID: 36382123

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Project description:BackgroundThe diagnosis of paroxysmal events in infants is often challenging. Reasons include the child's inability to express discomfort and the inability to record video electroencephalography at home. The prevalence of mobile phones, which can record videos, may be beneficial to these patients. In China, this advantage may be even more significant given the vast population and the uneven distribution of medical resources.ObjectiveThe aim of this study is to investigate the value of mobile phone videos in increasing the diagnostic accuracy and cost savings of paroxysmal events in infants.MethodsClinical data, including descriptions and home videos of episodes, from 12 patients with paroxysmal events were collected. The investigation was conducted in six centers during pediatric academic conferences. All 452 practitioners present were asked to make their diagnoses by just the descriptions of the events, and then remake their diagnoses after watching the corresponding home videos of the episodes. The doctor's information, including educational background, profession, working years, and working hospital level, was also recorded. The cost savings from accurate diagnoses were measured on the basis of using online consultation, which can also be done easily by mobile phone. All data were recorded in the form of questionnaires designed for this study.ResultsWe collected 452 questionnaires, 301 of which met the criteria (66.6%) and were analyzed. The mean correct diagnoses with and without videos was 8.4 (SD 1.7) of 12 and 7.5 (SD 1.7) of 12, respectively. For epileptic seizures, mobile phone videos increased the mean accurate diagnoses by 3.9%; for nonepileptic events, it was 11.5% and both were statistically different (P=.006 for epileptic events; P<.001 for nonepileptic events). Pediatric neurologists with longer working years had higher diagnostic accuracy; whereas, their working hospital level and educational background made no difference. For patients with paroxysmal events, at least US $673.90 per capita and US $128 million nationwide could be saved annually, which is 12.02% of the total cost for correct diagnosis.ConclusionsHome videos made on mobile phones are a cost-effective tool for the diagnosis of paroxysmal events in infants. They can facilitate the diagnosis of paroxysmal events in infants and thereby save costs. The best choice for infants with paroxysmal events on their initial visit is to record their events first and then show the video to a neurologist with longer working years through online consultation.

Dataset Information

Paroxysmal Nonepileptic Events in Children: A Video Gallery and a Guide for Differential Diagnosis.

Purpose of review

Recent findings

Summary

Publications

Paroxysmal Nonepileptic Events in Children: A Video Gallery and a Guide for Differential Diagnosis.

Similar Datasets

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