The Turkish Journal of Pediatrics 2013 , Vol 55 , Num 6
Usefulness of long-term video-EEG monitoring in children at a tertiary care center
1Royal College of Surgeons in Ireland, Dublin, Ireland, and 2Division of Pediatric Neurology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey. E-mail: The value of video-electroencephalographic monitoring (EEG-VM) in evaluating patients with epileptic disorders constitutes a major research field. This study investigates the usefulness of inpatient long-term EEG-VM for pediatric neurology patients under four headings: pre-surgical evaluation; seizure classification; epileptic seizure and non-epileptic paroxysmal event differentiation; and antiepileptic drug (AED) treatment modification. A retrospective study of 101 patients over a one-year period was carried out. The results showed that following EEG-VM, 57.4% of the patients were referred for discussion to the epilepsy surgery conference regarding resective surgery, and of these, 31% were deemed to be surgical candidates. The seizure classification assigned to the patients before EEG-VM changed in 73.3% of the patients after EEG-VM. Regarding the differentiation between epileptic seizure and non-epileptic paroxysmal events, a diagnosis of psychogenic non-epileptic seizure (PNES) was made in 4% of the patients after EEG-VM. EEG-VM outcomes led to the modification of AED treatment in 68.3% of the patients. These significant alterations demonstrate the usefulness of EEG-VM in the management of pediatric neurology patients. Keywords : epilepsy, long-term video-EEG monitoring, children.
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