儿科环境中的家庭视频脑电图监测。
Home-video EEG monitoring in a pediatric setting.
作者信息
Michaeli Yael, Blumkin Lubov, Medvedovsky Mordekhay, Dalal Ilan, Nissenkorn Andreea
机构信息
Pediatric Neurology Unit, Edith Wolfson Medical Center, Holon, Israel.
Pediatric Department, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
Heliyon. 2024 Jul 25;10(15):e35108. doi: 10.1016/j.heliyon.2024.e35108. eCollection 2024 Aug 15.
INTRODUCTION
Pediatric video-EEG monitoring is a standard procedure in epilepsy clinics, typically conducted in in-hospital settings.However, hospitalizationis sometimesunnecessary and imposes a burden on children and their families. In response to the rise of telehealth, home video-EEG monitoring has emerged, utilizing portable EEG equipment and video-cameras.
OBJECTIVE
The aim of this study was to assess the feasibility of home video-EEGin a pediatric population.
METHODS
We conducteda prospective pilot study of twentyhome video-EEG tests in children. We evaluated the quality of EEG and video recordings using a 5-point scale.Demographic, clinical and quality data were comparedto a similar group undergoing in-hospital video-EEG monitoring.
RESULTS
Twenty children aged 2.1-17.2 years (mean 9.57 ± 1.01), 12 females (60 %), underwent home video-EEG. A higher proportion of children with intellectual disability/autism were observed in the home-EEG group compared to the in-hospital group: 12 patients (60 %) vs. 5 (25 %) (p < 0.05*, Fisher exact test). In the ambulatory group patients with developmental and epileptic encephalopathy were overrepresented (7 i.e., 35 % vs. 0), while those withself-limited childhood epilepsy were more prevalent in the in-hospital group (5 i.e., 25 % vs 0) (p < 0.05*, Chi square). In the ambulatory group the reasons for referral were seizure localization/classification in 11 patients (55 %), paroxysmal event classification in 5 (25 %) and quantification of sleep epileptic activity in 4(20 %),similar to the in-hospital group (40 %, 40 % and 20 % respectively, p > 0.05, Chi square). The quality of the EEG recording was higher compared to in-hospital tests: median 5 [IQR 3.25-5] vs 4[IQR 3-4] (p < 0.05*, Mann-Whitney test), while the quality of video recording was lower compared to in-hospital recordings: median 3[IQR 2.25-4] vs 5[IQR4-5] (p < 0.01**, Mann-Whitney test).
CONCLUSIONS
Home video-EEG monitoring is apromising option forlong-termpediatric EEG monitoring, particularlyfor children with special needs.
引言
儿科视频脑电图监测是癫痫诊所的标准程序，通常在医院环境中进行。然而，住院有时是不必要的，会给儿童及其家庭带来负担。随着远程医疗的兴起，家庭视频脑电图监测应运而生，它利用便携式脑电图设备和摄像机。
目的
本研究旨在评估家庭视频脑电图在儿科人群中的可行性。
方法
我们对20名儿童进行了家庭视频脑电图测试的前瞻性试点研究。我们使用5分制评估脑电图和视频记录的质量。将人口统计学、临床和质量数据与接受住院视频脑电图监测的类似组进行比较。
结果
20名年龄在2.1 - 17.2岁（平均9.57 ± 1.01）的儿童，12名女性（60%）接受了家庭视频脑电图检查。与住院组相比，家庭脑电图组中智力残疾/自闭症儿童的比例更高：12例患者（60%） vs. 5例（25%）（p < 0.05*，Fisher精确检验）。在门诊组中，发育性和癫痫性脑病患者的比例过高（7例，即35% vs. 0），而自限性儿童癫痫患者在住院组中更为普遍（5例，即25% vs 0）（p < 0.05*，卡方检验）。在门诊组中，转诊原因是癫痫发作定位/分类的有11例患者（55%），阵发性事件分类的有5例（25%），睡眠癫痫活动量化的有4例（20%），与住院组相似（分别为40%、40%和20%，p > 0.05，卡方检验）。与住院检查相比脑电图记录质量更高：中位数为5[四分位间距3.25 - 5] vs 4[四分位间距3 - 4]（p < 0.05*，Mann-Whitney检验），而视频记录质量低于住院记录：中位数为3[四分位间距2.25 - 4] vs 5[四分位间距4 - 5]（p < 0.01**，Mann-Whitney检验）。
结论
家庭视频脑电图监测是儿科长期脑电图监测的一个有前景的选择，特别是对于有特殊需求的儿童。
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