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Long-term Home Video EEG for Recording Clinical Events
- Source :
- Journal of Clinical Neurophysiology. 38:92-100
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- SUMMARY Around 50 years after the first EEG acquisition by Hans Berger, its use in ambulatory setting was demonstrated. Ever since, ambulatory EEG has been widely available and routinely used in the United States (and to a lesser extent in Europe) for diagnosis and management of patients with epilepsy. This technology alone cannot help with semiological characterization, and absence of video is one of its main drawbacks. Addition of video to ambulatory EEG potentially improves diagnostic yield and opens new aspects of utility for better characterization of patient's events, including differential diagnosis, classification, and quantification of seizure burden. Studies evaluating quality of ambulatory video EEG (aVEEG) suggest good quality recordings are feasible. In the utilization of aVEEG, to maximize yield, it is important to consider pretest probability. Having clear pretest questions and a strong index of suspicion for focal, generalized convulsive or non-epileptic seizures further increases the usefulness of aVEEG. In this article, which is part of the topical issue "Ambulatory EEG," the authors compare long-term home aVEEG to inpatient video EEG monitoring, discuss aVEEG's use in diagnosis and follow-up of patients, and present the authors' own experience of the utility of aVEEG in a teaching hospital setting.
- Subjects :
- medicine.medical_specialty
Video eeg
Physiology
media_common.quotation_subject
Video Recording
MEDLINE
Monitoring, Ambulatory
Electroencephalography
050105 experimental psychology
Diagnosis, Differential
03 medical and health sciences
Epilepsy
0302 clinical medicine
Physical medicine and rehabilitation
Physiology (medical)
Humans
Medicine
0501 psychology and cognitive sciences
Quality (business)
media_common
Academic Medical Centers
medicine.diagnostic_test
business.industry
05 social sciences
medicine.disease
Home Care Services
Term (time)
Pre- and post-test probability
Neurology
Ambulatory
Neurology (clinical)
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 07360258
- Volume :
- 38
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Neurophysiology
- Accession number :
- edsair.doi.dedup.....e6ef9c4c05f116cad934b5447e3b3af2