Document Detail


Diagnostic value and safety of long-term video-EEG monitoring.
MedLine Citation:
PMID:  17548912     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper aimed to assess the usefulness and safety of video-EEG (video-electroencephalography) monitoring in patients with refractory epilepsy. We analysed the video-EEG recordings of consecutive patients over a 3-year period from 2002 to 2005. The pre-admission diagnosis, demographic information, number of ictal episodes, adverse events, and final diagnosis were recorded in all patients. The diagnostic labels before and after monitoring were compared in order to assess whether it had led to a change in diagnosis and management. Of the 100 patients who underwent video-EEG, 227 clinical events were recorded in 62 cases. The most common events were complex partial seizures followed by non-epileptic attacks. Video-EEG allowed a diagnosis to be made in 81 patients and the diagnosis at discharge was altered in 19 cases. Major injuries and status epilepticus did not occur during monitoring. In our experience video-EEG is safe and provides important clinical information in over 80% of patients.
Authors:
Andrew C F Hui; Patrick Kwan; T W Leung; Y Soo; Vincent C T Mok; Lawrence K S Wong
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine     Volume:  13     ISSN:  1024-2708     ISO Abbreviation:  Hong Kong Med J     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-05     Completed Date:  2007-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512509     Medline TA:  Hong Kong Med J     Country:  China    
Other Details:
Languages:  eng     Pagination:  228-30     Citation Subset:  IM    
Affiliation:
Department of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong. huicf@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Anticonvulsants / therapeutic use
Electroencephalography / instrumentation,  methods*,  standards
Epilepsy / diagnosis*,  drug therapy,  physiopathology
Epilepsy, Partial, Sensory / diagnosis,  physiopathology
Female
Hong Kong
Humans
Male
Middle Aged
Protective Devices
Retrospective Studies
Technology Assessment, Biomedical
Telemetry / instrumentation,  methods*,  standards
Video Recording*
Chemical
Reg. No./Substance:
0/Anticonvulsants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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