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Value of ultralong-term subcutaneous EEG monitoring for treatment decisions in temporal lobe epilepsy: A case report.
Hirsch, Martin; Novitskaya, Yulia; Schulze-Bonhage, Andreas.
Afiliação
  • Hirsch M; Epilepsy Center, University Medical Center, University of Freiburg, Freiburg, Germany.
  • Novitskaya Y; European Reference Network EpiCare, Bron, France.
  • Schulze-Bonhage A; Epilepsy Center, University Medical Center, University of Freiburg, Freiburg, Germany.
Epilepsia Open ; 8(4): 1616-1621, 2023 Dec.
Article em En | MEDLINE | ID: mdl-37842739
Treatment decisions in epilepsy critically depend on information on the course of the disease, its severity and options for specific local interventions. We here report a patient with pharmaco-resistant non-lesional temporal lobe epilepsy with evidence for predominant right temporal epileptogenesis. While seizure frequency had been grossly underestimated for many years, ultralong-term monitoring with a subcutaneous EEG device revealed actual seizure frequency (66 over 11 months vs four patient-documented seizures), providing objective data on treatment efficacy and additional supportive lateralizing information that played a decisive role for the choice of surgical treatment, which had been rejected by the patient prior to this information.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Epilepsia / Epilepsia do Lobo Temporal Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Epilepsia / Epilepsia do Lobo Temporal Idioma: En Ano de publicação: 2023 Tipo de documento: Article