What is the role of the physical exam in the diagnosis of epilepsy?

Updated: May 30, 2019
  • Author: David Y Ko, MD; Chief Editor: Selim R Benbadis, MD  more...
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Answer

The clinical diagnosis of seizures is based on the history obtained from the patient and, most importantly, the observers. Physical examination helps in the diagnosis of specific epileptic syndromes that cause abnormal findings, such as dermatologic abnormalities (eg, neurocutaneous syndromes such as Sturge-Weber, tuberous sclerosis, and others). In addition, patients who for years have had intractable generalized tonic-clonic seizures are likely to have suffered injuries requiring stitches.


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