Epilepsy monitoring units in Saudi Arabia:

Aljafen, Bandar N.; Alfayez, Saud M.; Alanazy, Mohammed H.; Alazwary, Naael; Alohali, Sama; Muayqil, Taim

doi:10.17712/nsj.2018.3.20170412

Cited by 8 publications

(10 citation statements)

References 22 publications

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“…The definitive diagnosis of epilepsy was established when the patient demonstrated symptomatology typical of the reason for admission with corresponding EEG abnormalities. 5 , 6 The category “unable to determine definitive diagnosis” was rendered by the attending epileptologist at discharge when diagnostic tests and consultation did not determine evidence of epilepsy events.…”

Section: Methodsmentioning

confidence: 99%

“… 3 , 4 The early seizure reported and treated by general neurologist, which is challenging and miss-diagnosis of disorder that mimic with epilepsy. 1 , 5 The EMU center follow the international guidelines for referral epilepsy patients, in which the seizure is not control with treatment. 5 The multidisciplinary team do evaluation and diagnosis for therapeutic regimen (medical or surgical) for the epilepsy patients with video-electroencephalogram (EEG) monitoring.…”

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confidence: 99%

“… 1 , 5 The EMU center follow the international guidelines for referral epilepsy patients, in which the seizure is not control with treatment. 5 The multidisciplinary team do evaluation and diagnosis for therapeutic regimen (medical or surgical) for the epilepsy patients with video-electroencephalogram (EEG) monitoring. 1 , 5 , 6 …”

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confidence: 99%

“… 5 The multidisciplinary team do evaluation and diagnosis for therapeutic regimen (medical or surgical) for the epilepsy patients with video-electroencephalogram (EEG) monitoring. 1 , 5 , 6 …”

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confidence: 99%

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Diagnostic utility of pediatric epilepsy monitoring unit:Retrospective single center study

Al-Bradie

Jarad

Bokhari

et al. 2023

NSJ

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Objectives: To evaluate drug resistance epilepsy (DRE) patients with persistent seizures after using of standard antiepileptic drugs. This single center study aimed to investigate the utility of Epilepsy Monitoring Unit (EMU) resulted in a definitive diagnosis. Methods:This was an observational retrospective study in 323 children who were admitted to the EMU for evaluation between 2012 and 2020.Results: Of the 323 patients, 168 (52.01%) were males. The most common referral for EMU were better characterization 91 (28.17%) and pre-surgical evaluation 56 (17.3%). Of the participants, 273 (84.5%) had seizures one to 2 times per day. At discharge, 75.5% of admissions received a definitive diagnosis. Conclusion:The EMU admission for pediatric epilepsy patients is very important for early accurate diagnosis and management with surgery for those consider DRE patients.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Diagnostic utility of pediatric epilepsy monitoring unit:Retrospective single center study

Al-Bradie

Jarad

Bokhari

et al. 2023

NSJ

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“…Admission to the epilepsy mon itoring unit (EMU) is a crucial step in identifying the seizure generator in drug-resistant epilepsy, as well as classifying epilepsy and other spells{, } [1] , [2] , [3] {Mutti, 2021, Incomplete hippocampal inversion and epilepsy: A systematic review and meta-analysis}{Simani, 2020, Elevated Blood-Based Brain Biomarker Levels in Patients with Epileptic Seizures: A Systematic Review and Meta-analysis} .Along with other hospital procedures, elective admissions were significantly minimized due to the COVID-19 pandemic [4] , [5] , [6] , leading to a drastic increase in the already long waiting time for admission to the EMU in our hospital.…”

Section: Introductionmentioning

confidence: 99%

The safety and efficacy of modifying the admission protocol to the epilepsy monitoring unit in response to the COVID-19 pandemic

Babtain

Atteyah

Milyani

et al. 2021

Epilepsy & Behavior

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Purpose The coronavirus disease 2019 (COVID-19) pandemic has impacted admission to epilepsy monitoring units (EMUs) for classification and presurgical evaluation of patients with refractory epilepsy. We modified the EMU admission protocol via anti-seizure medications (ASM) withdrawal implemented one day before admission; thus, we aimed to evaluate the efficacy and safety of this modified protocol. Methods In January 2021, we initiated ASM tapering 24 hours before—rather than on the first day after—EMU admission, contrasting with the previous protocol. We retrospectively reviewed EMU admissions between January and April of 2018, 2019, and 2021, and identified the time required to record the first seizure, and EMU yield to confirm or change the epilepsy classification. We also evaluated the safety of the modified protocol, by monitoring the seizure frequency for up to 5 months after the discharge from the hospital. Results One hundred four patients were included (mean age: 30 years, men: 43%); excluding a longer disease duration and abundance of normal routine electro-encephalogram (EEG) in patients admitted before the pandemic, no differences were observed in patients' characteristics. On average, it took 41 hours and 21 hours to record the first seizure using the standard and modified protocols, respectively (p<0.001, 95% CI: 10–30). Other characteristics were investigated both before and after the COVID-19 pandemic, and epilepsy classifications were confirmed twice using the modified protocol (OR=2.4, p=0.04, 95% CI: 1.1–5.5). Multivariate regression analysis confirmed the shorter time to record the first seizure using the modified admission protocol (23 hours less, p<0.001; 95% CI: 12–34). Finally, 36 (86 %) patients admitted during the pandemic exhibited no increase in seizure frequency after the discharge from the hospital. Conclusions Initiating ASM withdrawal one day before EMU admission was deemed to be an efficient and safe way to confirm epilepsy classification and significantly decrease the length of hospital stay. Ultimately, this will shorten the long waiting list for EMU admission created by the COVID-19 pandemic.

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Commentary: Consensus Guidelines on the Appropriate Use of Brand-Name and Generic Anti-Seizure Medication for the Management of Epilepsy in the Gulf Region

Alsaadi¹,

Almadani

Al-Hashel

et al. 2023

Neurol Ther

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Epilepsy monitoring units in Saudi Arabia:

Abstract: Methods:In this cross-sectional study, an electronic questionnaire was emailed to all directors of EMUs in Saudi

Cited by 8 publications

References 22 publications

Diagnostic utility of pediatric epilepsy monitoring unit:Retrospective single center study

Diagnostic utility of pediatric epilepsy monitoring unit:Retrospective single center study

The safety and efficacy of modifying the admission protocol to the epilepsy monitoring unit in response to the COVID-19 pandemic

Commentary: Consensus Guidelines on the Appropriate Use of Brand-Name and Generic Anti-Seizure Medication for the Management of Epilepsy in the Gulf Region

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