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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 14-19 |
| Number of pages | 6 |
| Journal | Seizure |
| Volume | 22 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2013 |
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Keywords
- EEG
- Non-epileptic seizures
- Normal EEG variants
- Wicket rhythm
- Wicket spike
- Wickets
ASJC Scopus subject areas
- Neurology
- Clinical Neurology
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A case-control study of wicket spikes using video-EEG monitoring. / Vallabhaneni, Maya; Baldassari, Laura E.; Scribner, James T.; Cho, Yong Won; Motamedi, Gholam K.
In: Seizure, Vol. 22, No. 1, 01.01.2013, p. 14-19.Research output: Contribution to journal › Article
TY - JOUR
T1 - A case-control study of wicket spikes using video-EEG monitoring
AU - Vallabhaneni, Maya
AU - Baldassari, Laura E.
AU - Scribner, James T.
AU - Cho, Yong Won
AU - Motamedi, Gholam K.
PY - 2013/1/1
Y1 - 2013/1/1
N2 - 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.
AB - 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.
KW - EEG
KW - Non-epileptic seizures
KW - Normal EEG variants
KW - Wicket rhythm
KW - Wicket spike
KW - Wickets
UR - http://www.scopus.com/inward/record.url?scp=84872164153&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84872164153&partnerID=8YFLogxK
U2 - 10.1016/j.seizure.2012.09.009
DO - 10.1016/j.seizure.2012.09.009
M3 - Article
C2 - 23041030
AN - SCOPUS:84872164153
VL - 22
SP - 14
EP - 19
JO - Seizure : the journal of the British Epilepsy Association
JF - Seizure : the journal of the British Epilepsy Association
SN - 1059-1311
IS - 1
ER -