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Correspondence |

On the Topic of Accuracy of Patient Seizure Counts

Albert C. Cuetter, MD
Arch Neurol. 2008;65(6):849-852. doi:10.1001/archneur.65.6.849-b.
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I read with interest the article on the accuracy of patient seizure counts.1 A related focus of interest is the overreport of seizures in epilepsy clinics with a large indigent population.2 Many epileptic patients find out that their efforts to logically confront social system establishments end in a paradox.

A significant obstacle for epileptic patients even when seizures are controlled is the bias of employers who often perceive patients with epilepsy as a liability risk.35 After a long period of unsuccessfully searching for a job, these patients turn to social agencies for financial aid, only to find themselves faced with a different problem: they do not qualify because they have not had the required number of seizures. They may discover that it is necessary for them to have “1 major motor seizure, or 4 minor motor seizures a month” to qualify for disability.6 Caught between a hostile job market and a seemingly irrational social system, patients may resort to reporting seizures that did not happen to fulfill the social security qualification requirement.6

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