TY - JOUR
T1 - Indeterminate EMU admissions
T2 - Does repeating the admission help?
AU - Zarkou, Srijana
AU - Grade, Madeline
AU - Hoerth, Matthew T.
AU - Noe, Katherine H.
AU - Sirven, Joseph I.
AU - Drazkowski, Joseph F.
N1 - Funding Information:
Joseph I. Sirven has received support from UCB (Research, Advisory); Neuropace (Research); Epilepsy Therapy Project (Consultant); and NIH (Research).
PY - 2011/4
Y1 - 2011/4
N2 - Epilepsy monitoring unit (EMU) admissions during 2007-2009 at Mayo Clinic Hospital Arizona were reviewed. Of the 106 indeterminate admissions, 13 (12%) went on to have a second admission. During the second admission, 8 (62%) were diagnosed. Five patients went on to have a third or fourth admission, with none of them receiving a diagnosis. Nineteen (18%) patients had ambulatory EEG monitoring after an indeterminate admission, with only one (5%) receiving a diagnosis after ambulatory EEG monitoring. Even in patients who were initially indeterminate, medication management changed 37% of the time. Admission to the EMU was helpful for spell classification, with 80% of the patients receiving a diagnosis after the first admission. Based on this study, a second admission should be considered if no diagnosis is reached after the first admission. If no diagnosis is made after the second EMU admission, subsequent admissions are unlikely to produce a definitive diagnosis.
AB - Epilepsy monitoring unit (EMU) admissions during 2007-2009 at Mayo Clinic Hospital Arizona were reviewed. Of the 106 indeterminate admissions, 13 (12%) went on to have a second admission. During the second admission, 8 (62%) were diagnosed. Five patients went on to have a third or fourth admission, with none of them receiving a diagnosis. Nineteen (18%) patients had ambulatory EEG monitoring after an indeterminate admission, with only one (5%) receiving a diagnosis after ambulatory EEG monitoring. Even in patients who were initially indeterminate, medication management changed 37% of the time. Admission to the EMU was helpful for spell classification, with 80% of the patients receiving a diagnosis after the first admission. Based on this study, a second admission should be considered if no diagnosis is reached after the first admission. If no diagnosis is made after the second EMU admission, subsequent admissions are unlikely to produce a definitive diagnosis.
KW - Epilepsy monitoring unit
KW - Long-term monitoring
KW - Seizure classification
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U2 - 10.1016/j.yebeh.2011.01.032
DO - 10.1016/j.yebeh.2011.01.032
M3 - Article
C2 - 21441070
AN - SCOPUS:79954622481
SN - 1525-5050
VL - 20
SP - 706
EP - 708
JO - Epilepsy and Behavior
JF - Epilepsy and Behavior
IS - 4
ER -