Ictal coughing: Clinical features and differential diagnoses.
Publication/Presentation Date
8-1-2017
Abstract
PURPOSE: To describe a series of patients with ictal coughing to estimate its occurrence and characterize the clinical features and differential diagnoses.
METHODS: We retrospectively reviewed all the long-term video-EEG reports from Jefferson Comprehensive Epilepsy Center over a 7-year period (2010-2016) for the occurrence of the term "cough" in the text body. All the extracted reports were reviewed and patients with at least one documented ictal coughing at the epilepsy monitoring unit (EMU) were included in the study.
RESULTS: During the study period, 2487 patients were investigated at our EMU. Seven patients (0.28%) had at least one documented seizure accompanied by coughing. Four patients (0.16%) had epilepsy and three patients (0.12%) had psychogenic nonepileptic seizures (PNES). All patients with epilepsy had focal onset epilepsy; ictal coughing was not associated with any particular localization or lateralization.
CONCLUSION: We add to the literature on ictal coughing by providing additional information on its differential diagnosis and clinical features. Ictal coughing is a rare finding among patients evaluated at the EMUs. The differential diagnoses for ictal coughing include epilepsy and PNES. Epileptic ictal coughing is a rare semiological finding in patients with epilepsy and when present, it is invariably associated with focal epilepsy.
Volume
73
First Page
51
Last Page
53
ISSN
1525-5069
Published In/Presented At
Asadi-Pooya, A. A., Shabo, L., Wyeth, D., & Nei, M. (2017). Ictal coughing: Clinical features and differential diagnoses. Epilepsy & behavior : E&B, 73, 51–53. https://doi.org/10.1016/j.yebeh.2017.04.044
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
28614746
Department(s)
Administration and Leadership
Document Type
Article