Long-term electroencephalographic monitoring for diagnosis and management of seizures

Terrence D. Lagerlund, Gregory D. Cascino, Kathleen M. Cicora, Frank W. Sharbrough

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Abstract

Long-term electroencephalographic (EEG) monitoring is the process of recording an EEG for a prolonged period in order to document epileptic seizures or other episodic disturbances of neurologic function. Indications for long-term EEG monitoring include diagnosis of a seizure disorder (epilepsy), classification of seizure types in patients with epilepsy, and localization of the epileptogenic region of the brain. Methods used for long-term EEG monitoring include prolonged analog or digital EEG, prolonged analog or digital ambulatory EEG, and prolonged analog or digital video-EEG monitoring with telemetry. Each of these methods has distinct advantages and disadvantages, particularly relative to storage, retrieval, and manipu-lation of data. Long-term EEG monitoring is useful in the management of patients with epilepsy and in the diagnosis of a seizure disorder. For most patients, inpatient long-term EEG monitoring is best performed in a specialized epilepsy-monitoring unit, which can provide a safe environment and both educational and psychosocial support. The choice of the most appropriate method of long-term monitoring for a specific clinical situation is best made by an epileptologist or a neurologist at an epilepsy center. ECG = electrocardiogram; EEG = electroencephalographic; EMU = epilepsy-monitoring unit

Original languageEnglish (US)
Pages (from-to)1000-1006
Number of pages7
JournalMayo Clinic proceedings
Volume71
Issue number10
StatePublished - Jan 1 1996

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ASJC Scopus subject areas

  • Medicine(all)

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Lagerlund, T. D., Cascino, G. D., Cicora, K. M., & Sharbrough, F. W. (1996). Long-term electroencephalographic monitoring for diagnosis and management of seizures. Mayo Clinic proceedings, 71(10), 1000-1006.