Outcome of Prolonged Video-EEG Monitoring in Children with Epilepsy

Abstract

A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : This aim of this study was to eva lu a te use ful ness and di ag nos tic ef fi cacy of vi de o-EEG mo ni to ring in chil dren with epi lepsy in terms of dif fe ren ti al di ag no sis, epi lepsy clas sifi ca ti on, ma na ge ment, pre sur gi cal eva lu a ti on, and no ne pi lep tic events. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : Three hun dred eighty two chil dren we re eva lu a ted con cer ning the na tu re of cli ni cal be ha vi o ur, se i zu re clas si fi ca ti on, or work-up pri or to epi lepsy sur gery. The pa ti ents we re di vi ded in to two gro ups as yo un ger than 6 ye ars of age and ol der than 6.1. Se i zu re clas si fi ca ti on was per for med using both ILA E 1981 and 1989 clas si fi ca ti ons. Lo ca li zing and la te ra li zing signs and no ne pi lep tic events we re al so in ves ti ga ted. R Re e s su ul lt ts s: : One-hun dred and se ven (28%) of the pa ti ents we re se i zu re fre e, 74 (19.4%) of them had no ne pi lep tic events, 201 (52.6%) of them had re al se i zu res. Whi le the chil dren yo un ger than 6 ye ars had mo re pri mary ge ne ra li zed se i zu res (37.2%) and epi lep tic spasm (16.3%), the chil dren ol der than 6 ye ars had mo re comp lex par ti al se i zu res (55.7%) and tem po ral lo be epilepsy (27.8%) (p<0.05). Con tra la te ral he ad ver si on (14.4%) was the most fre qu ent la te ra li zing sign in both gro ups, and ip si la te ral au to ma tism (16.9%), con tra la te ral dysto ni a (12.9%), and no se wi ping (11.4%), we re no ted as well. Sixty eight per cent of chil dren with be ha vi o ur ar rest had ex tra tempo ral lo be epi lepsy, and 24% of them we re yo un ger than 6 ye ars of age. Ic tal fe ar was mo re common in tem po ral lo be epi lepsy (64.2%). Forty thre e pa ti ents un der went epi lepsy sur gery. Whi le 24 (56%) of them we re per for med re sec ti ve sur gery, 19 (44%) of them had va gal ner ve sti mu la ti on. C Co on nc c l lu u s si i o on n: : Pro lon ged vi de o EEG mo ni to ring is a man da tory met hod for as sess ment and suc cessful ma na ge ment of chil dren with ref rac tory epi lepsy, es pe ci ally in pa ti ents en rol led for epi lepsy sur gery or sus pec ted of ha ving pse u do se i zu res and no ne pi lep tic events. K Ke ey y W Wo or rd ds s: : Epi lepsy; elec tro en cep ha log raphy; child Ö ÖZ ZE ET T A Am ma aç ç: : Bu ça lış ma nın ama cı epi lep si li ço cuk lar da vi de o-EEG gö rün tü le me nin ta nı de ğe ri ve kul la nış lı lı ğı nın ayı rı cı ta nı, epi lep si sı nıf lan dı rıl ma sı, yö ne ti mi, ame li yat ön ce si de ğer len dir me ve epi lep si dı şı olay lar da ki ye ri nin de ğer len di ril me si dir. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Üç yüz sek sen iki has ta, kli nik dav ra nış özel lik le ri, nö be tin sı nıf lan dı rıl ma sı ya da epi lep si cer ra hi si ön ce si ha zır lık için değer len di ril di. Has ta lar 6 ya şın al tın da ki ler ve 6.1 ya şın üze rin de ki ler ola rak iki gru ba ay rıl dı. Nö bet snıf la ma sı I...