Branislav Kollár, Katarína Klobučníková
The authors evaluated diagnoses at admission, clinical typology of epileptic seizures, EEG and imaging method findings in patients after a solitary unprovoked epileptic seizure (n = 41) and patients with sporadic epileptic seizures (n = 94), who were hospitalized at the 1st Department of Neurology since January 1, 1997 till January 1, 2002. The diagnosis of undetermined seizure state at admission was established in 56.1 % of patients after a solitary seizure and 40.4 % of patients after sporadic epileptic seizures. A „complete“ diagnostic conformity between the clinical type of epileptic seizure and findings on EEG, CT or MRI was reached only in 12.2 % patients after a solitary seizure and 22.3 % of patients after sporadic epileptic seizures. To establish the accurate diagnosis the authors emphasize the importance of precise history taking and draw attention to the pitfalls of diagnostics in this area of neurology.