Epileptic seizure or not? Proportion of correct judgement based only on a video recording of a paroxysmal event

Recognising epileptic seizures in very young infants without EEG is extremely inaccurate. Even trained paediatric neurologists were able to judge correctly the different movement types in only 67.4% of the cases. The role of education and experience is clearly indicated by the increase in CAR from 1st-year medical students through well-trained paediatric neurologists.