title: Seizure semiology inferred from clinical descriptions and from video recordings. How accurate are they?
abstract: To assess how accurate the interpretation of seizure semiology is when inferred from witnessed seizure descriptions and from video recordings, five epileptologists analyzed 41 seizures from 30 consecutive patients who had clinical episodes in the epilepsy monitoring unit. For each clinical episode, the consensus conclusions (at least 3 identical choices) based on the descriptions and, separately, of the video recordings were compared with the clinical conclusions at the end of the diagnostic work-up, including data from the video-EEG recordings (reference standard). Consensus conclusion was reached in significantly more cases based on the interpretation of video recordings (88%) than on the descriptions (66%), and the overall accuracy was higher for the video recordings (85%) than for the descriptions (54%). When consensus was reached, the concordance with the reference standard was substantial for the descriptions (k=0.67) and almost perfect for the video recordings (k=0.95). Video recordings significantly increase the accuracy of seizure interpretation.
authors.affiliation: Danish Epilepsy Centre, Filadelfia, Dianalund, Denmark.
authors.forename: Simona Alexandra
authors.initials: SA
authors.lastname: Beniczky
authors.forename: András
authors.initials: A
authors.lastname: Fogarasi
authors.forename: Miri
authors.initials: M
authors.lastname: Neufeld
authors.forename: Noémi Becser
authors.initials: NB
authors.lastname: Andersen
authors.forename: Peter
authors.initials: P
authors.lastname: Wolf
authors.forename: Walter
authors.initials: W
authors.lastname: van Emde Boas
authors.forename: Sándor
authors.initials: S
authors.lastname: Beniczky
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D032921:Consensus; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012640:Seizures / Q000145:classification*; D014741:Video Recording; D055815:Young Adult