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dc.contributor.authorO'Rourke, K
dc.contributor.authorMcNamara, B
dc.contributor.authorSweeney, B J
dc.date.accessioned2012-02-03T15:07:38Z
dc.date.available2012-02-03T15:07:38Z
dc.date.issued2012-02-03T15:07:38Z
dc.identifier.citationIr Med J. 2004 Nov-Dec;97(10):309.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid15696878en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208927
dc.description.abstractIn the setting of a regional neurological unit without an epilepsy surgery service as in our case, video-EEG telemetry is undertaken for three main reasons; to investigate whether frequent paroxysmal events represent seizures when there is clinical doubt, to attempt anatomical localization of partial seizures when standard EEG is unhelpful, and to attempt to confirm that seizures are non-epileptic when this is suspected. A clinical audit of all telemetry performed over a four-year period was carried out, in order to determine the clinical utility of this aspect of the service and to determine means of improving effectiveness in the unit. Analysis of the data showed a high rate of negative studies with no attacks recorded. Of the positive studies approximately 50% showed non-epileptic attacks. Strategies for improving the rate of positive investigations are discussed.
dc.language.isoengen_GB
dc.subject.mesh*Electroencephalographyen_GB
dc.subject.meshEpilepsy/pathology/*physiopathologyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMedical Auditen_GB
dc.subject.meshTelemetry/methodsen_GB
dc.subject.meshVideo Recordingen_GB
dc.titleVideo-EEG recording: a four-year clinical audit.en_GB
dc.contributor.departmentDepartment of Neurology, Cork University Hospital, Wilton, Cork, Republic of, Ireland.en_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceMunster
html.description.abstractIn the setting of a regional neurological unit without an epilepsy surgery service as in our case, video-EEG telemetry is undertaken for three main reasons; to investigate whether frequent paroxysmal events represent seizures when there is clinical doubt, to attempt anatomical localization of partial seizures when standard EEG is unhelpful, and to attempt to confirm that seizures are non-epileptic when this is suspected. A clinical audit of all telemetry performed over a four-year period was carried out, in order to determine the clinical utility of this aspect of the service and to determine means of improving effectiveness in the unit. Analysis of the data showed a high rate of negative studies with no attacks recorded. Of the positive studies approximately 50% showed non-epileptic attacks. Strategies for improving the rate of positive investigations are discussed.


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