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The spectrum of indications for ultralong-term EEG monitoring.
Rocamora, R; Baumgartner, C; Novitskaya, Y; Hirsch, M; Koren, J; Vilella, L; Schulze-Bonhage, A.
Afiliação
  • Rocamora R; Hospital del Mar, Epilepsy Monitoring Unit, Department of Neurology, Barcelona, Spain; EpiCare, European Reference Network, Europe.
  • Baumgartner C; Neurologische Abteilung, Klinik Hietzing, Wien, Austria; Karl Landsteiner Institut für Klinische Epilepsieforschung und Kognitive Neurologie, Wien, Austria; Medizinische Fakultät, Sigmund Freud Privatuniversität, Wien, Austria.
  • Novitskaya Y; Epilepsy Center, University Medical Center - University of Freiburg, Germany.
  • Hirsch M; Epilepsy Center, University Medical Center - University of Freiburg, Germany.
  • Koren J; Neurologische Abteilung, Klinik Hietzing, Wien, Austria; Karl Landsteiner Institut für Klinische Epilepsieforschung und Kognitive Neurologie, Wien, Austria; Medizinische Fakultät, Sigmund Freud Privatuniversität, Wien, Austria.
  • Vilella L; Hospital del Mar, Epilepsy Monitoring Unit, Department of Neurology, Barcelona, Spain; EpiCare, European Reference Network, Europe.
  • Schulze-Bonhage A; Epilepsy Center, University Medical Center - University of Freiburg, Germany; EpiCare, European Reference Network, Europe. Electronic address: andreas.schulze-bonhage@uniklinik-freiburg.de.
Seizure ; 121: 262-270, 2024 Aug 22.
Article em En | MEDLINE | ID: mdl-39326109
ABSTRACT

PURPOSE:

We assessed clinical cases to investigate the spectrum of indications for ultra-longterm EEG monitoring using a subcutaneous implantable device in adult patients with focal epilepsy.

METHODS:

Electronic charts were reviewed from patients undergoing ultra-longterm recordings at the European Epilepsy centers Barcelona, Freiburg and Vienna. Specific patient settings approached in the three centers were analyzed, and the main clinical question was extracted. Results from recordings were analyzed based on the specific results and information obtained.

RESULTS:

24 patients in whom ultra-longterm recordings were available were analyzed. A total of 11 main indications for subcutaneous long-term EEG recordings were identified, including the identification of active epilepsy in patients with low seizure frequency, under- and overreporting of patients, differentiation of non-epileptic from epileptic events, assessment of seizure severity, circadian and multidian rhythms of seizure occurrence, validation of treatment efficacy, improvement of patient-based reporting and medicolegal evidence for seizure freedom. This is reported with patient-specific case vignettes.

CONCLUSION:

Ultra-longterm monitoring using subcutaneous implantable EEG devices can provide relevant diagnostic and treatment information in a large spectrum of clinical situations. This is discussed considering the intrinsic limitations of the method related to spatial coverage, sensitivity and validity as a biomarker of ongoing seizures.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Seizure Assunto da revista: NEUROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Seizure Assunto da revista: NEUROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Reino Unido