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A case–control study of wicket spikes using video-EEG monitoring

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Author(s)
Maya VallabhaneniLaura E. BaldassariJames T. ScribnerYong Won ChoGholam K. Motamedi
Keimyung Author(s)
Cho, Yong Won
Department
Dept. of Neurology (신경과학)
Journal Title
Seizure
Issued Date
2013
Volume
22
Issue
1
Keyword
Wicket spikeWicketsWicket rhythmEEGNon-epileptic seizuresNormal EEG variants
Abstract
Purpose: To investigate clinical characteristics associated with wicket spikes in patients undergoing long-term video-EEG monitoring.
Methods: A case–control study was performed in 479 patients undergoing video-EEG monitoring, with 3 age-(3 years) and gender-matched controls per patient with wicket spikes. Logistic regression was utilized to investigate the association between wicket spikes and other factors, including conditions that have been previously associated with wicket spikes.
Results: Wicket spikes were recorded in 48 patients. There was a significantly higher prevalence of dizziness/vertigo (p=0.002), headaches (p=0.005), migraine (p=0.015), and seizures (p=0.016) in patients with wickets. The majority of patients with wicket spikes did not exhibit epileptiform activity on EEG; however, patients with history of seizures were more likely to have wickets (p=0.017). There was no significant difference in the prevalence of psychogenic non-epileptic seizures between the groups. Wickets were more common on the left, during sleep, and more likely to be first recorded on day 1–2 of monitoring.
Conclusions: Patients with wicket spikes are more likely to have dizziness/vertigo, headaches, migraine, and seizures. Patients with history of seizures are more likely to have wickets. The prevalence of psychogenic non-epileptic seizures is not significantly higher in patients with wickets.
Keimyung Author(s)(Kor)
조용원
Publisher
School of Medicine
Citation
Maya Vallabhaneni et al. (2013). A case–control study of wicket spikes using video-EEG monitoring. Seizure, 22(1), 14–19. doi: 10.1016/j.seizure.2012.09.009
Type
Article
ISSN
1059-1311
DOI
10.1016/j.seizure.2012.09.009
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34372
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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