Safety of long-term video-electroencephalographic monitoring for evaluation of epilepsy

Katherine H. Noe, Joseph F. Drazkowski

Research output: Contribution to journalArticle

77 Citations (Scopus)

Abstract

OBJECTIVE: To determine the rate of medical complications from long-term video-electroencephalographic (EEG) monitoring for epilepsy. PATIENTS AND METHODS: We reviewed the medical records of 428 consecutive adult patients with epilepsy who were admitted for diagnostic scalp video-EEG monitoring at Mayo Clinic's site in Arizona from January 1, 2005, to December 31, 2006; 149 met inclusion criteria for the study. Seizure number and type as well as timing and presence of seizure-related adverse outcomes were noted. RESULTS: Of the 149 adult patients included in the study, seizure clusters occurred in 35 (23%); 752 seizures were recorded. The mean time to first seizure was 2 days, with a mean length of stay of 5 days. Among these patients, there was 1 episode of status epilepticus, 3 potentially serious electrocardiographic abnormalities, 2 cases of postictal psychosis, and 4 vertebral compression fractures during a generalized convulsion, representing 11% of patients with a recorded generalized tonic-clonic seizure. No deaths, transfers to the intensive care unit, falls, dental injuries, or pulmonary complications were recorded. An adverse event requiring intervention or interfering with normal activity occurred in 21% of these patients. Length of stay was not affected by occurrence of adverse events. CONCLUSION: Prolonged video-EEG monitoring is an acceptably safe procedure. Adverse events occur but need not result in substantial morbidity or increase length of hospitalization. Appropriate precautions must be in place to prevent falls and promptly detect and treat seizure clusters, status epilepticus, serious electrocardiographic abnormalities, psychosis, and fractures.

Original languageEnglish (US)
Pages (from-to)495-500
Number of pages6
JournalMayo Clinic Proceedings
Volume84
Issue number6
DOIs
StatePublished - 2009

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Epilepsy
Seizures
Safety
Status Epilepticus
Psychotic Disorders
Length of Stay
Tooth Injuries
Compression Fractures
Scalp
Medical Records
Intensive Care Units
Hospitalization
Morbidity
Lung

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Safety of long-term video-electroencephalographic monitoring for evaluation of epilepsy. / Noe, Katherine H.; Drazkowski, Joseph F.

In: Mayo Clinic Proceedings, Vol. 84, No. 6, 2009, p. 495-500.

Research output: Contribution to journalArticle

Noe, Katherine H. ; Drazkowski, Joseph F. / Safety of long-term video-electroencephalographic monitoring for evaluation of epilepsy. In: Mayo Clinic Proceedings. 2009 ; Vol. 84, No. 6. pp. 495-500.
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