Hoefnagels W A, Padberg G W, Overweg J, Roos R A
Department of Neurology, Academic Hospital, Leiden, The Netherlands.
Clin Neurol Neurosurg. 1992;94(2):153-6. doi: 10.1016/0303-8467(92)90073-c.
We studied the diagnostic interpretation by physicians of written histories of 118 patients with a transient loss of consciousness. Considerable disagreement about a diagnosis of either syncope or seizure was found. Overall agreement was only 31%; an erroneous diagnosis was made in 16% of cases. We concluded that the diagnosis of a seizure after a single event is often too unreliable to justify early treatment.
我们研究了医生对118例短暂性意识丧失患者书面病史的诊断解读。发现对于晕厥或癫痫的诊断存在相当大的分歧。总体一致性仅为31%；16%的病例被误诊。我们得出结论，单次发作后癫痫的诊断往往不可靠，不足以证明早期治疗的合理性。
