Artikel ; Online: Differentiating non-epileptic seizures from epileptic seizures in Glut1 deficiency syndrome.
Developmental medicine and child neurology
2024
Abstract: Aim: To investigate the clinical characteristics of non-epileptic seizures due to transient brain dysfunction caused by energy deficiency after prolonged fasting or exercise in individuals with glucose transporter type 1 deficiency syndrome (Glut1DS), ... ...
Abstract | Aim: To investigate the clinical characteristics of non-epileptic seizures due to transient brain dysfunction caused by energy deficiency after prolonged fasting or exercise in individuals with glucose transporter type 1 deficiency syndrome (Glut1DS), and then elucidate further the seizure features to distinguish non-epileptic seizures from epileptic seizures. Method: This retrospective case-control study included 57 non-epileptic seizures and 23 epileptic seizures (control group) in 14 individuals (11 males, three females; aged 5-44 years, median = 20 years) with Glut1DS, all with a heterozygous pathogenic SLC2A1 mutation. Results: Non-epileptic seizures were classified as paroxysmal altered consciousness (n = 8), movement disorders (n = 35) (eye-head movements, ataxia, spasticity, weakness, involuntary movement), dysaesthesia (n = 8), and vomiting (n = 6) at the peak ages at onset of 5 to 10 years. Ketogenic diet therapy was effective in 33 of 43 (77%) non-epileptic seizures. Providing supplementary food before high-impact exercise or during attacks prevented or mitigated non-epileptic seizures in some individuals. Glut1DS-associated non-epileptic seizures are fundamentally situation-related seizures with specific provoking and ameliorating factors. Non-epileptic seizures can be distinguished from epileptic seizures by the absence of complete consciousness loss and rapid postictal recovery despite prolonged seizures. Interpretation: Non-epileptic seizures are not well recognized but require different therapeutic approaches compared to epileptic seizures. Awareness of the differentiation of non-epileptic seizures from epileptic seizures is essential when performing preventive or therapeutic decision-making for acute exacerbation seizures. |
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Sprache | Englisch | |||||
Erscheinungsdatum | 2024-04-24 | |||||
Erscheinungsland | England | |||||
Dokumenttyp | Journal Article | |||||
ZDB-ID | 80369-8 | |||||
ISSN | 1469-8749 ; 0012-1622 | |||||
ISSN (online) | 1469-8749 | |||||
ISSN | 0012-1622 | |||||
DOI | 10.1111/dmcn.15942 | |||||
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Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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