Transient Ischemic Attack Versus Seizure: Use of Complete Blood Count Parameters for Differential Diagnosis
Introduction: Seizures are an important group of diagnoses in the differential evaluation of Transient Ischemic Attack (TIA) because of their variable and temporary signs and symptoms. Physicians must frequently rule out TIA in asymptomatic patients with normal diagnostic neuroimaging. Aim: The...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2016-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/8388/20000_CE[Ra1]_F(GH)_PF1(ROAK)_PFA(AK)_PF2(PEK).pdf |
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| author | Necati Salman AtIf Bayramoglu IhsanYüce LütfiÖzel Onur Tezel Yahya Ayhan Acar |
| author_facet | Necati Salman AtIf Bayramoglu IhsanYüce LütfiÖzel Onur Tezel Yahya Ayhan Acar |
| author_sort | Necati Salman |
| collection | DOAJ |
| description | Introduction: Seizures are an important group of diagnoses
in the differential evaluation of Transient Ischemic Attack (TIA)
because of their variable and temporary signs and symptoms.
Physicians must frequently rule out TIA in asymptomatic patients
with normal diagnostic neuroimaging.
Aim: The current study aimed to investigate the efficacy of
Complete Blood Count (CBC) components in the differential
diagnosis of TIA and seizures.
Materials and Methods: Our study was a retrospective casecontrol study. Patients admitted to the Emergency Department
(ED) and hospitalized with an initial diagnosis of TIA or seizure
at the neurology clinic of Erzurum Ataturk University Training
Hospital between January 1, 2012, and December 31, 2014,
were recruited for the study. Patients with inaccessible or
missing data were excluded.
Results: We identified 1,459 ED admissions that resulted in
neurology clinic hospitalizations of patients with initial diagnoses
of TIA (n=911) and seizure (n=420) over a 24-month time period.
A total of 128 patients were excluded from the study.
Conclusion: We conclude that CBC may have a diagnostic
value on TIA and seizure differentiation, but this is limited
because of statistical and clinical incompatibility. Elevated
White Blood Cells (WBC) values of seizure patients compared
with TIA patients’ may help clinicians at the preliminary phase
of diagnostic studies. We conclude that age is a remarkable
and valuable demographic parameter in addition to physical
examination, laboratory and imaging studies. |
| first_indexed | 2024-12-22T20:58:34Z |
| format | Article |
| id | doaj.art-3b8d8e5cd5ab4dbb87921e47bf5666da |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-22T20:58:34Z |
| publishDate | 2016-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-3b8d8e5cd5ab4dbb87921e47bf5666da2022-12-21T18:12:54ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-08-01108OC45OC4810.7860/JCDR/2016/20000.8388Transient Ischemic Attack Versus Seizure: Use of Complete Blood Count Parameters for Differential DiagnosisNecati Salman0AtIf Bayramoglu1IhsanYüce2LütfiÖzel3Onur Tezel4Yahya Ayhan Acar5Emergency Medicine Specialist, Department of Emergency Medicine, Etimesgut Military Hospital, Ankara / Turkey.Assistant Professor, Department of Emergency Medicine, Ataturk University Medicine Faculty, Erzurum / Turkey.Assistant Professor, Department of Radiology, Ataturk University Medicine Faculty, Erzurum / Turkey.Assistant Professor, Department of Neurology, Ataturk University Medicine Faculty, Erzurum / Turkey.Emergency Medicine Specialist, Department of Emergency Medicine, Etimesgut Military Hospital, Ankara / Turkey.Emergency Medicine Specialist, Department of Emergency Medicine, Etimesgut Military Hospital, Ankara / Turkey.Introduction: Seizures are an important group of diagnoses in the differential evaluation of Transient Ischemic Attack (TIA) because of their variable and temporary signs and symptoms. Physicians must frequently rule out TIA in asymptomatic patients with normal diagnostic neuroimaging. Aim: The current study aimed to investigate the efficacy of Complete Blood Count (CBC) components in the differential diagnosis of TIA and seizures. Materials and Methods: Our study was a retrospective casecontrol study. Patients admitted to the Emergency Department (ED) and hospitalized with an initial diagnosis of TIA or seizure at the neurology clinic of Erzurum Ataturk University Training Hospital between January 1, 2012, and December 31, 2014, were recruited for the study. Patients with inaccessible or missing data were excluded. Results: We identified 1,459 ED admissions that resulted in neurology clinic hospitalizations of patients with initial diagnoses of TIA (n=911) and seizure (n=420) over a 24-month time period. A total of 128 patients were excluded from the study. Conclusion: We conclude that CBC may have a diagnostic value on TIA and seizure differentiation, but this is limited because of statistical and clinical incompatibility. Elevated White Blood Cells (WBC) values of seizure patients compared with TIA patients’ may help clinicians at the preliminary phase of diagnostic studies. We conclude that age is a remarkable and valuable demographic parameter in addition to physical examination, laboratory and imaging studies.https://jcdr.net/articles/PDF/8388/20000_CE[Ra1]_F(GH)_PF1(ROAK)_PFA(AK)_PF2(PEK).pdfmean platelet volumeneutrophil to lymphocyte ratioplatelet to lymphocyte ratiored blood cell distribution width |
| spellingShingle | Necati Salman AtIf Bayramoglu IhsanYüce LütfiÖzel Onur Tezel Yahya Ayhan Acar Transient Ischemic Attack Versus Seizure: Use of Complete Blood Count Parameters for Differential Diagnosis Journal of Clinical and Diagnostic Research mean platelet volume neutrophil to lymphocyte ratio platelet to lymphocyte ratio red blood cell distribution width |
| title | Transient Ischemic Attack Versus Seizure: Use of Complete Blood Count Parameters for Differential Diagnosis |
| title_full | Transient Ischemic Attack Versus Seizure: Use of Complete Blood Count Parameters for Differential Diagnosis |
| title_fullStr | Transient Ischemic Attack Versus Seizure: Use of Complete Blood Count Parameters for Differential Diagnosis |
| title_full_unstemmed | Transient Ischemic Attack Versus Seizure: Use of Complete Blood Count Parameters for Differential Diagnosis |
| title_short | Transient Ischemic Attack Versus Seizure: Use of Complete Blood Count Parameters for Differential Diagnosis |
| title_sort | transient ischemic attack versus seizure use of complete blood count parameters for differential diagnosis |
| topic | mean platelet volume neutrophil to lymphocyte ratio platelet to lymphocyte ratio red blood cell distribution width |
| url | https://jcdr.net/articles/PDF/8388/20000_CE[Ra1]_F(GH)_PF1(ROAK)_PFA(AK)_PF2(PEK).pdf |
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