title: Can an exercise bicycle be safely used in the epilepsy monitoring unit?: An exercise method to provoke epileptic seizures and the related safety issues.
abstract: OBJECTIVE
  Long-term videoelectroencephalogram (video-EEG) monitoring is performed to diagnose an epileptic seizure and to investigate the differential diagnosis of paroxysmal events. To provoke an epileptic seizure, an exercise method is performed in some cases during long-term video-EEG recording in the epilepsy monitoring unit (EMU). The purpose of this study was two-fold: to assess the frequency and severity of adverse events associated with the use of an exercise bicycle and to find a way to safely use it in the EMU.
  
  
  METHODS
  A retrospective survey was performed on all epileptic seizure videos recorded in the EMU from January 2012 to December 2013. Three hundred and fifty patients were included in this study.
  
  
  RESULTS
  Eleven patients experienced an epileptic seizure while riding the exercise bicycle in the EMU. One patient's foot got stuck between the cycling pedal and its strap, and one patient fell off the exercise bicycle during the epileptic seizure. However, there were no serious adverse events over two years.
  
  
  CONCLUSIONS
  Epileptic seizures were not frequent while riding the exercise bicycle, and serious injuries did not occur. But, there is a need to improve the safety in the EMU to control the potentially dangerous factors associated with the use of the exercise bicycle and to continuously monitor the patients with help from the staff.
authors.affiliation: Department of Neurology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea; BioMedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
authors.forename: Jiyoung
authors.initials: J
authors.lastname: Kim
authors.affiliation: Department of Neurology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea; BioMedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
authors.forename: Dae Soo
authors.initials: DS
authors.lastname: Jung
authors.affiliation: Department of Neurology, Kyunghee University Medical Center, Kyunghee University School of Medicine, Seoul, Republic of Korea.
authors.forename: Kyoung Jin
authors.initials: KJ
authors.lastname: Hwang
authors.affiliation: Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Neuroscience Center, Samsung Medical Center, Seoul, Republic of Korea.
authors.forename: Ji-Hye
authors.initials: JH
authors.lastname: Seo
authors.affiliation: Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Neuroscience Center, Samsung Medical Center, Seoul, Republic of Korea.
authors.forename: Geon-Youb
authors.initials: GY
authors.lastname: Na
authors.affiliation: Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Neuroscience Center, Samsung Medical Center, Seoul, Republic of Korea.
authors.forename: Seung Bong
authors.initials: SB
authors.lastname: Hong
authors.affiliation: Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Neuroscience Center, Samsung Medical Center, Seoul, Republic of Korea.
authors.forename: Eun Yeon
authors.initials: EY
authors.lastname: Joo
authors.affiliation: Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Neuroscience Center, Samsung Medical Center, Seoul, Republic of Korea. Electronic address: daewon@skku.edu.
authors.forename: Dae-Won
authors.initials: DW
authors.lastname: Seo
mesh_terms: D000293:Adolescent; D000328:Adult; D001642:Bicycling; D004827:Epilepsy / Q000209:etiology*; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods*; D061214:Patient Safety; D055815:Young Adult
keywords: Adverse events; Epilepsy; Epilepsy monitoring units; Exercise; Patient safety