Differential diagnoses for Epilepsy

Question 1

What diagnosis if no known epilepsy

Answer 1

Eclampsia until proven otherwise

Question 2

Differential diagnosis with epilepsy in pregnancy in first episode of seizures in pregnancy

Answer 2

• Cerebral venous sinus thrombosis
• Posterior reversible leucoencephalopathy syndrome - Space-occupying lesions
• Reversible cerebral vasoconstriction syndrome.
• Syncope associated with cardiac arrhythmia, aortic stenosis, carotid sinus sensitivity, vasovagal syncope
• Metabolic conditions such as hypoglycaemia, hyponatraemia and Addisonian crisis

Question 3

Differential diagnosis in individuals with drug-resistant attacks

Answer 3

• Psychogenic non-epileptic seizures,

dissociative seizures or pseudoseizures