Department of Clinical Neurophysiology, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Department of Neurology, University of Münster, Münster, Germany.
Seizure. 2019 Nov;72:13-22. doi: 10.1016/j.seizure.2019.08.008. Epub 2019 Aug 31.
Ictal and postictal testing carried out in long-term epilepsy monitoring units is often sub-optimal. Recently, a European consensus protocol for testing patients during and after seizures was developed by a joint taskforce of the International League Against Epilepsy - Commission on European Affairs and the European Epilepsy Monitoring Unit Association.
Using this recently developed standardised assessment battery as a framework, the goal of this narrative review is to outline the proposed testing procedure in detail and explain the rationale for each individual component, focusing on the underlying neurobiology. This is intended to serve as an educational resource for staff working in epilepsy monitoring units.
A literature review of PubMed was performed; using the search terms "seizure", "ictal", "postictal", "testing", "examination", and "interview". Relevant literature was reviewed and relevant references were chosen. The work is presented as a narrative review.
The proposed standardised assessment battery provides a comprehensive and user-friendly format for ictal-postictal testing, and examines consciousness, language, motor, sensory, and visual function.
The standardised approach proposed has the potential to make full use of data recorded during video EEG increasing the diagnostic yield with regards to lateralisation and localisation, aiding both presurgical and diagnostic studies.
在长期癫痫监测单元中进行的发作期和发作后测试往往不尽如人意。最近，国际抗癫痫联盟-欧洲事务委员会和欧洲癫痫监测单元协会的联合工作组制定了一项针对癫痫发作期间和发作后患者进行测试的欧洲共识协议。
本综述旨在使用最近开发的标准化评估工具包作为框架，详细描述建议的测试程序，并解释每个单独组件的基本原理，重点关注潜在的神经生物学。这旨在为癫痫监测单元的工作人员提供教育资源。
对 PubMed 进行文献回顾；使用搜索词“癫痫发作”、“发作期”、“发作后”、“测试”、“检查”和“访谈”。回顾相关文献并选择相关参考文献。本工作以叙述性综述的形式呈现。
拟议的标准化评估工具包为发作期-发作后测试提供了一种全面且用户友好的格式，检查意识、语言、运动、感觉和视觉功能。
拟议的标准化方法有可能充分利用视频脑电图记录的数据，提高定位和侧化诊断的产出率，辅助术前和诊断研究。
