EEG and epilepsy monitoring

This article reviews the utility of EEG and prolonged video-EEG telemetry in the diagnosis and management of a patient with epilepsy. The EEG can be the most helpful test to determine a diagnosis of epilepsy; it can also distinguish focal and generalized neurophysiologic correlates of epilepsy. Furt...

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Bibliographic Details
Published inContinuum (Minneapolis, Minn.) Vol. 19; no. 3 Epilepsy; p. 598
Main Authors Maganti, Rama K, Rutecki, Paul
Format Journal Article
LanguageEnglish
Published United States 01.06.2013
Subjects
Adult
Electroencephalography - methods
Epilepsy - diagnosis
Humans
Male
Monitoring, Physiologic - methods
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Summary:This article reviews the utility of EEG and prolonged video-EEG telemetry in the diagnosis and management of a patient with epilepsy. The EEG can be the most helpful test to determine a diagnosis of epilepsy; it can also distinguish focal and generalized neurophysiologic correlates of epilepsy. Furthermore, when paired with video monitoring, EEG can not only define epileptic and nonepileptic events but also aid in localization of seizures in patients with epilepsy. Finally, when history and other imaging modalities are considered with the EEG, the epileptic syndrome can usually be defined and the treatment can be focused. In critically ill patients, continuous EEG monitoring can define subclinical seizures, although a variety of periodic patterns may also be identified. EEG is an invaluable tool in the diagnosis and management of a patient with epilepsy, and continuous EEG monitoring is useful in identifying subclinical seizures and nonconvulsive status epilepticus in critically ill patients.
ISSN:1538-6899
DOI:10.1212/01.CON.0000431378.51935.d8