DEVINSKY, O; FELDMANN, E; BROMFIELD, E; EMOTO, S; RAUBERTAS, R
"STRUCTURED INTERVIEW FOR PARTIAL SEIZURES - CLINICAL PHENOMENOLOGY AND DIAGNOSIS"
Journal of epilepsy 1991 FEB ; 4(2):107-116
- We administered a modified version of the Psychosensory-Psychomotor Phenomena Interview (PPPI) to 128 patients with complex partial seizures (CPS), 20 patients with generalized seizures, and 58 controls (30 normals, 28 back pain) to study the symptoms of partial seizures. The PPPI is a structured interview used by a physician to survey a spectrum of potential seizure symptoms. Use of the PPPI led to the following changes in diagnosis: 10 patients with generalized tonic-clonic seizures were found to have onset with simple partial seizures, 18 patients with complex partial seizures were found for the first time to have auras, and 4 patients with simple partial seizures were also found to have CPS. Overall, auras precede some CPS in 89% of patients. The PPPI led to recognition of more than twice the number of ictal symptoms than standard history and review of previous reports. Differences in symptom frequency (ictal and interictal) between the two seizure groups and between each seizure group and controls were studied. Although several significant associations were found, because of multiple statistical comparisons, results must be interpreted with caution. The PPPI is a valuable tool for examining paroxysmal symptoms in seizure patients, although time constraints limit its use in routine clinical practice
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# 104315 (ISI:A1991GX78900008)
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