title: Utility of video-EEG monitoring in a tertiary care epilepsy center.
abstract: Our video-EEG monitoring (VEEG) unit is part of a typical metropolitan tertiary care center that services a diverse patient population. We aimed to determine if the specific clinical reason for inpatient VEEG was actually resolved. Our method was to retrospectively determine the stated goal of inpatient VEEG and to analyze the outcome of one hundred consecutive adult patients admitted for VEEG. The reason for admission fit into one of four categories: 1) to characterize paroxysmal events as either epileptic or nonepileptic, 2) to localize epileptic foci, 3) to characterize the epilepsy syndrome, and 4) to attempt safe antiepileptic drug adjustment. We found that VEEG was successful in accomplishing the goal of admission in 77% of cases. The remaining 23% failed primarily due to lack of typical events during monitoring. Furthermore, of the overall study cohort, VEEG outcomes altered medical management in 53% and surgery was pursued in 5%.
authors.affiliation: Hofstra-North Shore-Long Island Jewish School of Medicine, 611 Northern Boulevard, Great Neck, NY 11021, USA. Mkumar227@yahoo.com
authors.forename: M
authors.initials: M
authors.lastname: Kumar-Pelayo
authors.forename: M
authors.initials: M
authors.lastname: Oller-Cramsie
authors.forename: N
authors.initials: N
authors.lastname: Mihu
authors.forename: C
authors.initials: C
authors.lastname: Harden
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000927:Anticonvulsants / Q000627:therapeutic use; D004569:Electroencephalography / Q000379:methods* / Q000706:statistics & numerical data; D004827:Epilepsy / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D063128:Tertiary Health Care; D014743:Videotape Recording / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D000927:Anticonvulsants
keywords: Epilepsy center; Epilepsy characterization; Epilepsy localization; Question for admission; Retrospective study; Tertiary care center; Utility of video-EEG; Video-EEG and medications; Video-EEG and surgery; Video-EEG monitoring