Video-EEG monitoring in adults

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84 Scopus citations

Abstract

The routine EEG study may prove inadequate in selected patients with recurrent and unprovoked seizures. Video-EEG monitoring is an important diagnostic innovation that may be used to confirm the diagnosis of a seizure disorder and classify seizure type. The methodologies and clinical applications of video-EEG monitoring are reviewed. Long-term EEG recordings may be performed as an outpatient or in an epilepsy monitoring unit. Potential techniques for video-EEG monitoring include prolonged conventional routine EEG, ambulatory EEG, and computer-assisted EEG recordings. Periictal SPECT studies performed during long-term EEG recordings in the epilepsy monitoring unit may increase the diagnostic yield of a presurgical evaluation. Video-EEG monitoring is essential for surgical localization in patients with intractable partial epilepsy being considered for a focal cortical resection. The studies may also be necessary to confirm the presence of nonepileptical clinical episodes.

Original languageEnglish (US)
Pages (from-to)80-93
Number of pages14
JournalEpilepsia
Volume43
Issue numberSUPPL. 3
DOIs
StatePublished - 2002

Keywords

  • Diagnostic classification
  • Long-term EEG
  • Surgical localization

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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