Outcome of prolonged video-EEG monitoring at a typical referral epilepsy center
Outcome of prolonged video-EEG monitoring at a typical referral epilepsy center
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DOI：
10.1111/j.0013-9580.2004.14504.x
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发表时间：
2004-09-01
期刊：
影响因子：
5.6
通讯作者：
Heriaud, L
中科院分区：
文献类型：
--
作者：
Benbadis, SR;O'Neill, E;Heriaud, L
目的：当癫痫发作对药物无反应时，视频脑电图监测是最好的诊断工具，也是癫痫中心的主要活动。本研究的目的是分析在一个典型的癫痫转诊中心接受视频脑电图监测的患者的最终处置。方法：我们回顾了在我们中心（南佛罗里达大学-坦帕总医院）接受住院视频脑电图监测（大于或等于24小时）的所有患者（成人和儿童）的诊断和倾向（2002年）。结果：共进行了251次住院患者视频-脑电图监测。非癫痫性发作75例（30%）；58例（23%）为手术候选者；其中7例植入了迷走神经刺激器。在47例（19%）患者中，记录了癫痫发作，并明确了癫痫的诊断（症状性/隐源性全身性癫痫7例；定位相关癫痫35例；特发性全身性癫痫5例）。结论：视频脑电图监测的最终结果是多种多样的。正如预期的那样，最大的群体是心因性非癫痫发作（30%）和手术（23%）。
Purpose: When seizures do not respond to medications, video-EEG monitoring is the best available diagnostic tool and is the principal activity of epilepsy centers. The purpose of this study was to analyze the eventual disposition of patients who undergo video-EEG monitoring at a typical referral epilepsy center.Methods: We reviewed the diagnoses and dispositions of all patients (adults and children) who underwent inpatient video-EEG monitoring (greater than or equal to24 h) at our center (University of South Florida-Tampa General Hospital) over a 1-year period (2002).Results: In total, 251 inpatient video-EEG monitoring sessions were performed. Nonepileptic seizures were diagnosed in 75 (30%); 58 (23%) were found to be surgical candidates; seven were implanted with the vagus nerve stimulator. In 47 (19%) patients, seizures were recorded, and the diagnosis of epilepsy was confirmed and clarified (symptomatic/cryptogenic generalized epilepsy, seven; localization-related epilepsy, 35; idiopathic generalized epilepsy, five).Conclusions: The eventual outcome of video-EEG monitoring is diverse. The largest groups, as expected, are psychogenic nonepileptic seizures (30%), and surgery (23%).