+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Prolonged video-EEG in identifying paroxysmal nonepileptic events in children with epilepsy: a useful tool

, : Prolonged video-EEG in identifying paroxysmal nonepileptic events in children with epilepsy: a useful tool. Journal of Clinical Neurophysiology 31(2): 149-151

Habitual events, behaviors, and nonepileptic events can be easily confused with epileptic seizures in children in the absence of clear description and can be challenging, even for an experienced clinician. The aim was to report on the usefulness of adding video-EEG to routine EEG studies of infants and children with frequent atypical paroxysmal events. A retrospective analysis of video-EEG carried over a 2-year period in a tertiary pediatric neurology center. Outcomes were classified as: "conclusive epileptic," "conclusive nonepileptic," "unremarkable," and "inconclusive." Forty-four children (M:F 19:25) with an age range of 1 to 15 years (mean: 7 years, median: 8.5 years) were analyzed. Thirty (68%) children had successful epilepsy classification. A diagnosis of a specific nonepileptic event was reached in 55% of cases. Antiepileptic drugs were discontinued completely in 8 patients (20%), and the total number of antiepileptic drugs was reduced in 13 others (33%). Paroxysmal nonepileptic events can cause diagnostic confusion, particularly in children with developmental delay, epilepsy (especially refractory epilepsy), or those with previous "abnormal" EEG. Accurate diagnosis can be reached in the majority of cases using prolonged video-EEG monitoring.


PMID: 24691233

DOI: 10.1097/WNP.0000000000000035

Other references

Kuhn-Régnier, F.; Bloch, W.; Tsimpoulis, I.; Reismann, M.; Dagktekin, O.; Jeschkeit-Schubbert, S.; Funcke, C.; Fries, J.W.U.; Addicks, K.; de Vivie, E.R.; Fischer, Jürgen.H., 2004: Coronary oxygen persufflation for heart preservation in pigs: analyses of endothelium and myocytes. Background: Coronary oxygen persufflation (COP) has been shown to prolong heart preservation time up to 14 hr in a mature pig model, with excellent recovery after orthotopic transplantation. The aim of the present study was to assess the structura...

Merke, D.P.; Cutler, G.B., 1996: Evaluation and management of precocious puberty. Archives of Disease in Childhood 75(4): 269-271

Chiarella, G.; Leopardi, G.; D.F.zio, L.; Chiarella, R.; Cassandro, E., 2007: Benign paroxysmal positional vertigo after dental surgery. We investigated the relationship between dental and maxillofacial surgery and benign paroxysmal positional vertigo (BPPV). BPPV represents the most frequent cause of vertigo of labyrinthine origin. BPPV has been reported following surgical trauma...

Ignatovich, V.F.; Miskarova, E.D.; Abrosimova, G.E.; Kokorin, I.N., 1986: Importance of T-lymphocytes in antibody production in experimental typhus infection. The study of antibody production in cotton rats infected with Rickettsia prowazekii B and TB has revealed that R. prowazekii antigens, inducing the production of antibodies determined in the complement fixation, indirect hemolysis, and passive hem...

Heredia, Rafael., 1991: Distribucion y status poblacional en Espana. Unknown

Zheng, F.; Park, B-Nam.; Seo, S.; Evans, P.G.; Himpsel, F.J., 2007: Orientation of pentacene molecules on SiO2: from a monolayer to the bulk. Near edge x-ray absorption fine structure (NEXAFS) spectroscopy is used to study the orientation of pentacene molecules within thin films on SiO2 for thicknesses ranging from monolayers to the bulk (150 nm). The spectra exhibit a strong polarizati...

Rodgers A.; Engdahl E.R., 1995: Core-mantle transition zone structure from global travel times. International Union of Geodesy and Geophysics, General Assembly 21, Week A: 413

Drake, M.L.; Farber, G.L.; White, K.L.; Parks, B.G.; Segalman, K.A., 2011: Restoration of longitudinal forearm stability using a suture button construct. This study proposed a method of restoring the longitudinal stability of the forearm provided by the central band of the interosseous membrane (IOM) by using a percutaneously placed suture button construct. We hypothesized that supporting the forea...

Chan, C.C.; Caspi, R.R.; Ni, M.; Leake, W.C.; Wiggert, B.; Chader, G.J.; Nussenblatt, R.B., 1990: Pathology of experimental autoimmune uveoretinitis in mice. The histopathology and immunopathology of murine experimental autoimmune uveoretinitis (EAU) following active immunization with the interphotoreceptor retinoid-binding protein (IRBP) were studied. The methods used included conventional light micro...

Piochard de la Brulerie., 1872: Cave-beetles. Piochard de la Brulerie, Ann. Soc. Ent Fr. 5 ii. pp. 443-472, under the title Notes. Cave-beetles. Piochard de la Brulerie, Ann. Soc. Ent Fr. (5) ii. pp. 443-472, under the title "Notes pour servir a l'etude des Coleopteres cavernicoles," describes various new species, of which mention will be made hereafter. Eyeles...