Minimum standards for inpatient long‐term video‐electroencephalographic monitoring: A clinical practice guideline of the International League Against Epilepsy and International Federation of Clinical Neurophysiology

Abstract

The objective of this clinical practice guideline is to provide recommendations on the indications and minimum standards for inpatient long-term videoelectroencephalographic monitoring (LTVEM). The Working Group of the International League Against Epilepsy and the International Federation of Clinical Neurophysiology develop guidelines aligned with the Epilepsy Guidelines Task Force. We reviewed published evidence using the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) statement. We found limited highlevel evidence aimed at specific aspects of diagnosis for LTVEM performed to evaluate patients with seizures and nonepileptic events. For classification of evidence, we used the Clinical Practice Guideline Process Manual of the American Academy of Neurology. We formulated recommendations for the indications, technical requirements, and essential practice elements of LTVEM to derive minimum standards used in the evaluation of patients with suspected epilepsy using GRADE (Grading of Recommendations Assessment, Development, and Evaluation). Further research is needed to obtain evidence about long-term outcome effects of LTVEM and to establish its clinical utility.

Minimum Technical Requirements for Performing Ambulatory EEG

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Association of CT and MRI Manifestations with Pathology in Dysembryoplastic Neuroepithelial Tumors

“…Five patients had epilepsy as their first symptom and were poorly treated with antiepileptic drugs. According to the classification criteria of the International League Against Epilepsy [4], there were three cases of generalized seizures and two cases of partial seizures. One patient had dizziness, headache, and vomiting for two days.…”

What is the optimal duration of home-video-EEG monitoring for patients with <1 seizure per day? A simulation study

“…The current study aimed to evaluate how much time is needed to record epileptic seizures by HVEM. We posed goals of capturing one, three, or five seizures on different days, corresponding to different clinical needs of video-EEG varying from just discrimination of epileptic/non-epileptic events to recording a variety of non-clustered seizures required for reasonable exclusion of multiple epileptic foci ( 9 , 10 ). We based our evaluation on natural seizure frequencies reported in a large cohort of more than a million seizures logged by 10,186 adult and pediatric patients in a large electronic seizure diary ( 11 ).…”