Benbadis Selim R, O'Neill Edward, Tatum William O, Heriaud Leanne
University of South Florida and Tampa General Hospital, Comprehensive Epilepsy Program, Tampa, Florida, USA.
Epilepsia. 2004 Sep;45(9):1150-3. doi: 10.1111/j.0013-9580.2004.14504.x.
When seizures do not respond to medications, video-EEG monitoring is the best available diagnostic tool and is the principal activity of epilepsy centers. The purpose of this study was to analyze the eventual disposition of patients who undergo video-EEG monitoring at a typical referral epilepsy center.
We reviewed the diagnoses and dispositions of all patients (adults and children) who underwent inpatient video-EEG monitoring (> or = 24 h) at our center (University of South Florida-Tampa General Hospital) over a 1-year period (2002).
In total, 251 inpatient video-EEG monitoring sessions were performed. Nonepileptic seizures were diagnosed in 75 (30%); 58 (23%) were found to be surgical candidates; seven were implanted with the vagus nerve stimulator. In 47 (19%) patients, seizures were recorded, and the diagnosis of epilepsy was confirmed and clarified (symptomatic/cryptogenic generalized epilepsy, seven; localization-related epilepsy, 35; idiopathic generalized epilepsy, five).
The eventual outcome of video-EEG monitoring is diverse. The largest groups, as expected, are psychogenic nonepileptic seizures (30%), and surgery (23%).
当癫痫发作对药物治疗无反应时，视频脑电图监测是目前最佳的诊断工具，也是癫痫中心的主要业务。本研究的目的是分析在一个典型的转诊癫痫中心接受视频脑电图监测的患者的最终转归情况。
我们回顾了在一年期间（2002年）于我们中心（南佛罗里达大学-坦帕总医院）接受住院视频脑电图监测（≥24小时）的所有患者（成人和儿童）的诊断及转归情况。
总共进行了251次住院视频脑电图监测。75例（30%）诊断为非癫痫性发作；58例（23%）被确定为手术候选者；7例植入了迷走神经刺激器。47例（19%）患者记录到发作，癫痫诊断得到确认和明确（症状性/隐源性全身性癫痫7例；局灶性相关性癫痫35例；特发性全身性癫痫5例）。
视频脑电图监测的最终结果多种多样。正如预期的那样，最大的群体是心因性非癫痫性发作（30%）和手术（23%）。
