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" Usefulness of the head up tilt test in distinguishing neurocardiogenic syncope&epilepsy in children aged 5-20 years old "
/هما صدری
; Sabri, Mohammad Reza; Mahmouduan, Toran
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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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102547
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| Doc. No
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T9144
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WL,340,S126u,2004
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| Main Entry
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Sadri, Homa
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| Title & Author
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Usefulness of the head up tilt test in distinguishing neurocardiogenic syncopeepilepsy in children aged 5-20 years old/هما صدری
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| College
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Schools, Medical
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| Date
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, 2004
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| Degree
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Pediatrics, Speciality
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| Page No
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42 p.: tap.
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| Abstract
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Many.. non epileptic. disorders may mimic epilepsy by history or clinicaI presentation. Neurally mediated syncope is one of the most conditions which'is`:often difficult to differentiate from epilepsy I grounds, We investigated the value of head : up tilt test to diagnose syncope in children with impression of epilepsy who. were resistant to trapy with anti epileptic drugs. Methods: We studied 40 patients (18 girls and 22 boys) aged between 5-20 years. (mean 11.5+-3.5 years) who had a previouse`diagnosis of epilepsy, but whose clinical records suggested syncope rather than epilepsy on reevaluation by a pediatric neurologist. All patients underwent head up tilt test. Result: The head up tilt test was positive in 26 patients (65 ), confirming the diagnasrc of syncope. No statistical difference was observed between tilt positive and negative groups in sex, age, provocating factors, associated symptoms, family history afsyncnpe and heart disease, findings in physical examinatio and EEG result'. Tere' was' history'of true syncope in 58 of tlit positive patients comparing to 14 of tilt negative patients, (P<0.05)) Also the family history aU seizure was more frequent in tilt positive patients and statistically was significant (P<0.05)....
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| Descriptor
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1- Epilepsy.- Descriptor(s): Epilepsy- diagnosis
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Syncope
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Cerebral Ischemia
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Anticonvulsants
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Headache
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Child
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Medical History Taking
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Age of onset
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Syncope, Vasovagal
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