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Use of short term video EEG in the diagnosis of attack disorders
  1. A McGonigal,
  2. A J C Russell,
  3. A K Mallik,
  4. M Oto,
  5. R Duncan
  1. Regional Epilepsy Service, Institute of Neurology, Southern General Hospital, Glasgow G51 4TF, UK
  1. Correspondence to:
 Dr A McGonigal
 Regional Epilepsy Service, Institute of Neurology, Southern General Hospital, Glasgow G51 4TF, UK; aileenmcghotmail.com

Abstract

Background: Distinguishing epileptic from psychogenic non-epileptic seizures (PNES) often requires video electroencephalography (EEG) recording. Inpatient recording is a limited resource; some evidence suggests that short term video EEG (SVEEG) is useful, but its role in practice has yet to be evaluated.

Objective: To assess the usefulness of SVEEG in the diagnosis of attack disorders.

Methods: One hundred and forty three SVEEG recordings were performed during an 18 month period.

Results: A diagnostic event was recorded in 72 of 143 (50.3%): PNES (n  =  51), epilepsy (n  =  7), or other attacks, such as movement disorders (n  =  14).

Conclusions: SVEEG is a robust and useful diagnostic technique, which complements existing resources.

  • psychogenic non-epileptic seizures
  • pseudoseizures
  • video EEG
  • EEG, electroencephalography
  • PNES, psychogenic non-epileptic seizures
  • SVEEG, short term video electroencephalography

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Footnotes

  • Competing interest: none declared