Villalpando-Vargas Fridha V, Mortola Fabrizio A, Barrera de León Juan C, Sánchez-Murguía Tania P, Mora-Rodríguez Ilse M, Cisneros-Orozco Jonathan A, Enríquez-Zaragoza Andrea, López-Jiménez Karla, Guerrero-Aranda Alioth
Epilepsy Clinic, Hospital "Country 2000", Guadalajara, Jalisco, Mexico.
Los Valles University Center, University of Guadalajara, Ameca, Jalisco, Mexico.
Clin Neurophysiol Pract. 2025 Mar 7;10:84-89. doi: 10.1016/j.cnp.2025.02.012. eCollection 2025.
Epilepsy Monitoring Units (EMUs) play a critical role in epilepsy management, yet they remain scarce in resource-limited settings. This study presents a 2-year experience of a newly implemented EMU in Mexico, evaluating its clinical impact, procedural metrics, and challenges. This retrospective study included 117 patients admitted to the EMU of a private hospital in central-western Mexico between February 2023 and December 2024. Patients underwent tailored protocols for long-term video-EEG monitoring for diagnostic clarification, treatment optimization, or presurgical evaluation. Diagnostic and therapeutic outcomes, seizure yield, and safety metrics were described. The EMU facilitated diagnostic changes in 59% of patients, with 80.3% undergoing treatment modifications. Among presurgical evaluation patients, 80.8% exhibited seizures during admission. Seventy-two percent of patients achieved a favorable seizure outcome at one-year follow-up. Twelve patients underwent epilepsy surgery, with resective procedures being the most common. Status epilepticus and seizure clusters, occurred in 2.5% and 0.8% of patients, respectively. The implementation of a high-quality EMU is achievable in resource-limited settings. : This study highlights the importance of tailored protocols and multidisciplinary collaboration, providing a practical framework enhancing epilepsy care and bridging gaps in epilepsy management in underserved regions.
癫痫监测单元（EMUs）在癫痫管理中发挥着关键作用，但在资源有限的环境中仍然稀缺。本研究介绍了墨西哥一个新实施的EMU的两年经验，评估其临床影响、程序指标和挑战。 这项回顾性研究纳入了2023年2月至2024年12月期间在墨西哥中西部一家私立医院的EMU住院的117名患者。患者接受了定制的长期视频脑电图监测方案，以明确诊断、优化治疗或进行术前评估。描述了诊断和治疗结果、癫痫发作率和安全指标。 EMU使59%的患者诊断得以改变，80.3%的患者治疗方案得到调整。在术前评估患者中，80.8%在入院期间出现癫痫发作。72%的患者在一年随访时癫痫发作结果良好。12名患者接受了癫痫手术，其中切除性手术最为常见。癫痫持续状态和癫痫发作簇分别发生在2.5%和0.8%的患者中。 在资源有限的环境中实施高质量的EMU是可行的。本研究强调了定制方案和多学科协作的重要性，提供了一个实用框架，可加强癫痫护理并弥合服务不足地区癫痫管理的差距。
