Ambulatory EEG Usefulness in Epilepsy Management.
J Clin Neurophysiol
; 38(2): 101-111, 2021 Mar 01.
Article
de En
| MEDLINE
| ID: mdl-33661786
ABSTRACT
SUMMARY:
Long-term video-EEG monitoring has been the gold standard for diagnosis of epileptic and nonepileptic events. Medication changes, safety, and a lack of recording EEG in one's habitual environment may interfere with diagnostic representation and subsequently affect management. Some spells defy standard EEG because of ultradian and circadian times of occurrence, manifest nocturnal expression of epileptiform activity, and require classification for clarifying diagnostic input to identify optimal treatment. Some patients may be unaware of seizures, have frequent events, or subclinical seizures that require quantification before optimal management. The influence on antiseizure drug management and clinical drug research can be enlightened by long-term outpatient ambulatory EEG monitoring. With recent governmental shifts to focus on mobile health, ambulatory EEG monitoring has grown beyond diagnostic capabilities to target the dynamic effects of medical and nonmedical treatment for patients with epilepsy in their natural environment. Furthermore, newer applications in ambulatory monitoring include additional physiologic parameters (e.g., sleep, detection of myogenic signals, etc.) and extend treatment relevance to patients beyond seizure reduction alone addressing comorbid conditions. It is with this focus in mind that we direct our discussion on the present and future aspects of using ambulatory EEG monitoring in the treatment of patients with epilepsy.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Surveillance électronique ambulatoire
/
Prise en charge de la maladie
/
Électroencéphalographie
/
Épilepsie
Type d'étude:
Diagnostic_studies
/
Prognostic_studies
Limites:
Female
/
Humans
/
Male
Langue:
En
Journal:
J Clin Neurophysiol
Sujet du journal:
FISIOLOGIA
/
NEUROLOGIA
Année:
2021
Type de document:
Article