Indeterminate EMU admissions: Does repeating the admission help?

Zarkou, Srijana; Grade, Madeline; Hoerth, Matthew T.; Noe, Katherine H.; Sirven, Joseph I; Drazkowski, Joseph F.

doi:10.1016/j.yebeh.2011.01.032

Cited by 9 publications

(4 citation statements)

References 5 publications

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“…A full EVM evaluation is therefore still recommended for all TLE patients if this is readily available. In this case, our results are relevant for up to 30% of patients who may not have seizures during the limited time of their EVM admission, or where the recorded ESPs are artifact obscured or inconclusive. For them, the EVM admission might not have to be prolonged or repeated with the aim of recording a seizure and ESP.…”

Section: Discussionmentioning

confidence: 88%

Unilateral temporal interictal epileptiform discharges correctly predict the epileptogenic zone in lesional temporal lobe epilepsy

Vollmar

Stredl

Heinig³

et al. 2018

Epilepsia

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Section: Discussionmentioning

confidence: 88%

Unilateral temporal interictal epileptiform discharges correctly predict the epileptogenic zone in lesional temporal lobe epilepsy

Vollmar

Stredl

Heinig³

et al. 2018

Epilepsia

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“…If seizures happen even as frequently as every other day, then the admission would need to be 10 days to capture 5 events. A subset of people will need a repeat VEEG study to answer the clinical question . Individuals with intracranial electrodes often require 14‐21 days of monitoring to capture sufficient seizures to localize the onset and perform cortical mapping.…”

Section: Anticipated Course Of Treatment In Emu For Medical and Presumentioning

confidence: 99%

Indications and methodology for video‐electroencephalographic studies in the epilepsy monitoring unit

et al. 2017

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SummaryAlthough the epilepsy and neurology communities have position papers on a number of topics pertaining to epilepsy diagnosis and management, no current paper exists for the rationale and appropriate indications for epilepsy monitoring unit (EMU) evaluation. General neurologists, hospital administrators, and insurers also have yet to fully understand the role this type of testing has in the diagnosis and management of individuals with paroxysmal neurologic symptoms. This review outlines the indications for long-term video-electroencephalography (VEEG) for typical elective admissions to a specialized inpatient setting. The common techniques used in EMUs to obtain diagnostic information are reviewed. The added benefit of safety measures and clinical testing above that available for routine or long-term ambulatory electroencephalography is also discussed. The indications for admission to the EMU include differential diagnosis of paroxysmal spells, characterization of seizure types, presurgical epilepsy evaluations, seizure quantification, monitoring medication adjustment in a safe setting, and differentiation between seizures and side effects. We conclude that the appropriate use of this specialized testing can lead to an early and correct diagnosis in a variety of clinical circumstances. The EMU evaluation is considered the gold standard test for the definitive diagnosis of epilepsy and seizure-like spells. K E Y W O R D Sepilepsy monitoring, epilepsy surgery, inpatient specialized testing, nonepileptic events of Virginia

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“…Some centers may necessitate repeat admission following an inconclusive study from the initial vEEG monitoring. However, repeated admissions into the EMU were associated with decreasing diagnostic yield and successively longer duration of monitoring [23]. In our cohort, 15 patients who were monitored beyond 7 days had previous vEEG monitoring.…”

Section: Discussionmentioning

confidence: 81%

A retrospective study of the correlation between duration of monitoring in the epilepsy monitoring unit and diagnostic yield

Adenan

Khalil²,

Loh³

et al. 2022

Epilepsy & Behavior

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Indeterminate EMU admissions: Does repeating the admission help?

Cited by 9 publications

References 5 publications

Unilateral temporal interictal epileptiform discharges correctly predict the epileptogenic zone in lesional temporal lobe epilepsy

Unilateral temporal interictal epileptiform discharges correctly predict the epileptogenic zone in lesional temporal lobe epilepsy

Indications and methodology for video‐electroencephalographic studies in the epilepsy monitoring unit

A retrospective study of the correlation between duration of monitoring in the epilepsy monitoring unit and diagnostic yield

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