RT info:eu-repo/semantics/article
T1 Long-Term V-EEG in Epilepsy: Chronological Distribution of Recorded Events Focused on the Differential Diagnosis of Epileptic Seizures and Psychogenic Non-Epileptic Seizures
A1 Vázquez Sánchez, Fernando
A1 García López, Beatriz
A1 Gómez Menéndez, Ana Isabel
A1 Martín Santidrián, Asunción
A1 Macarrón Vicente, Jesus
A1 Hernando Asensio, Alicia
A1 Gámez Beltrán, Pedro
A1 González Bernal, Jerónimo
A1 Soto Cámara, Raúl
A1 Jiménez Barrios, María
A1 González Santos, Josefa
K1 Epileptic seizure (ES)
K1 Psychogenic non-epileptic seizure (PNES)
K1 Anti-epileptic drugs (AEDs)
K1 Video-electroencephalogram and video-electroencephalography (V-EEG)
K1 Electroencephalogram (EEG)
K1 Neurología
K1 Neurology
K1 Fisiología
K1 Physiology
K1 Salud
K1 Health
AB Differential diagnosis in epilepsy is sometimes challenging. Video-electroencephalography (V-EEG) is an essential tool in the diagnosis and management of epilepsy. The prolonged duration of V-EEG recording increases the diagnostic yield of a conventional V-EEG. The right length of monitoring for different indications is still to be established. We present a retrospective descriptive study with a sample of 50 patients with long-term V-EEG monitoring, with a mean age of 36.1 years, monitored from 2013 to 2019 at the Burgos University Hospital. The mean monitoring time was 3.6 days. Events were obtained in 76% of the patients, corresponding to epileptic seizures (ES) in 57.9% of them, with psychogenic non-epileptic seizures (PNES) in 39.5%, and with episodes of both pathologies in 2.6% of the patients. We found that the first event was highly representative, and it correlated with the rest of the events that would be recorded. Moreover, 92% of the first PNES had been captured at the end of the second day, and 89% of the first ES by the end of the third day. V-EEG for differential diagnosis between ES and PNES can be performed in hospitals without specialized epilepsy surgery units. For this indication, the duration of long-term V-EEG can be adjusted individually depending on the nature of the first event.
PB MDPI
SN 2077-0383
YR 2021
FD 2021
LK http://hdl.handle.net/10259/8565
UL http://hdl.handle.net/10259/8565
LA eng
DS Repositorio Institucional de la Universidad de Burgos
RD 23-nov-2024