Annotated Bibliography Draft

The below work is the draft of an annotated bibliography which was then used to write a literature review. This draft was not a very effective form for the assignment, because it did not allow for sufficient feed back in all parts associated with writing an annotated bib. The draft only started to speak of the main points of each article, but I did not include any of the credibility evaluations nor the purpose of the article for the literature review. Therefore, the feedback I received was only on the ability to begin summarizing an article and not on its effective use nor the analysis of its credibility.

Misdiagnosis of Epilepsy: An Annotated Bibliography

Chapman M., Iddon P., Atkinson K., Brodie C., Mitchell D., Parvin G., and Willis S. 2011. The misdiagnosis of epilepsy in intellectual disabilities: a systematic review. Seizure. 20(2)(101-106) [Internet][Accessed April 10 2019]

Available from: https://www.sciencedirect.com/science/article/pii/S105913111000261X

This article addresses the concept of misdiagnosis involving epilepsy, especially in patients with intellectual disabilities, a population in which epilepsy can be very common. The questions this study aimed to answer were: how common the misdiagnosis of epilepsy in individuals with intellectual disabilities was, what were the reasons for the misdiagnosis, what were the implications of the misdiagnosis, and how can future diagnostics be improved.

Hindley D., Ali A., Robson C. 2006. Diagnoses made in a secondary care “fits, faints, and funny turns” clinic. ADC. 91(3)(214-218). [Internet] [Accessed April 15 2019]

Available from: https://adc-bmj-com.clinical-proxy.libr.ccny.cuny.edu/content/91/3/214

This article deals with children referred to a secondary clinic from different sources- pediatricians, psychiatrists, pediatric neurologists- with an epilepsy diagnosis. However, there were varying symptoms in the children which could have been from a range of different diagnosis. 23% were reinforced an epileptic diagnosis, 43% had a diagnosis of syncope, 36% had some other non-epileptic event as their diagnosis, and 14% were unclassified. This article presents different paroxysmal events present in infancy and childhood which are very common and can often be confused with epilepsy- leading to the commonality of misdiagnosing certain symptoms as being epileptic.

Murthy JM. 1999. Factors of error involved in the diagnosis of juvenile myoclonic epilepsy: a study from South India. Neurology India. 47(3)(210-213). [ Internet] [Accessed April 13 2019]

Available from:http://www.neurologyindia.com/article.asp?issn=0028-3886;year=1999;volume=47;issue=3;spage=210;epage=3;aulast=murthy

This article discusses the misdiagnosis of epilepsy in a developing country- South India- and has a focus on the time stamp of diagnosis more than the incorrect labeling of epilepsy (which differs from the other articles). Murthy aimed to find some possible reasons as to why Juevnile Myoclonic epilepsy (JME) is so often underdiagnosed or diagnosed very late after arise of first symptoms. The time stamp was found to be an average of 7 years, and as late as 10+ years in 20 patients.

Uldall P., Alving J., Hansen L K., Kibaek M., Buchholt J. 2006. The misdiagnosis of epilepsy in children admitted to a tertiary epilepsy centre with paroxysmal events. ADC. 91(3)(219-221). [Internet] [Accessed April 10 2019]

Available from: https://adc-bmj-com.clinical-proxy.libr.ccny.cuny.edu/content/91/3/219

In this article, there was an extensive review of case notes regarding 223 children admitted to an epilepsy center. About 86% of the children admitted were already on antiepileptic drugs, which could have had a detrimental effect on those who did not actually have epilepsy.  Out of those that came in with a possible epileptic diagnosis, 39% were found to not actually have epilepsy, and those who were supposedly “without any doubts” to be epileptic, 30% of them had their diagnosis disproven. About 47% of the children who were admitted as first timers with varying symptoms were quickly discharged as presenting with non-epileptic seizures.

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