49. Ambulatory EEG Monitoring with a 24 Hour Cassette Recorder in Epileptic Patients

2015 ◽  
pp. 295-297
Author(s):  
J. H. Bruens ◽  
W. Knijff
Keyword(s):  
Eeg Monitoring ◽  
Cassette Recorder ◽  
Epileptic Patients

scholarly journals Brain spect in the pre-surgical evaluation of epileptic patients preliminary results

1992 ◽  
Vol 50 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Carlos A. Buchpiguel ◽  
Arthur Cukiert ◽  
Fausto H. Hironaka ◽  
Giovani G. Cerri ◽  
Alvaro E. A. Magalhães ◽  
...  
Keyword(s):  
Scintillation Camera ◽  
Eeg Monitoring ◽  
Lesion Site ◽  
Epilepsia Partialis Continua ◽  
Present Sample ◽  
Tomographic Images ◽  
Functional Deficits ◽  
Functional Methods ◽  
Epileptic Patients ◽  
Surgical Evaluation

Pre-surgical evaluation of epileptic patients consists of neurological examination, intensive electroencephalographic (EEG) monitoring and anatomical studies (CT and MRI). Functional methods such as PET and SPECT imaging are now used more frequently. We have studied pre-operatively 15 adult epileptic patients (8 female, 7 male) using a rotational scintillation camera interfaced to a dedicated computer. The tomographic images were obtained 15 minutes after intravenous injection of 99mTc_HMPAO. All had MRI scanning and intensive EEG monitoring which generally included seizure recording. Five patients had progressive lesions (3 meningiomas, 2 astrocytomas). In 10 patients, neuroradiological studies did not show the presence of progressive lesions (2 normal scans and 8 cases with inactive lesions). Two patients with meningioma showed hypoperfusion at the lesion site while the third patient had a marked hyperperfusion which might correlate with the clinical diagnosis of epilepsia partialis continua. In the astrocytoma patients SPECT scans showed hypoperfusion at the lesion site. Data obtained from the 10 patients without progressive CNS lesions showed: (a) in 4, SPECT findings correlated well with the anatomical findings; (b) in 5 instances, SPECT was able to disclose additional functional deficits; (c) in one case, there was no SPECT correlate of a discrete anatomical lesion. In 5 of these cases with no progressive lesions (n=10) SPECT findings were useful as a complementary tool in determining the clinical or surgical management of these patients. Despite the small number and hete-rogenicity of the present sample, SPECT seems to be an useful tool as part of the clinical workup of epileptic patients who are candidates for epilepsy surgery.

Diagnostic evaluation of ambulatory, cassette EEG monitoring in 100 epileptic patients

2009 ◽  
Vol 69 (S98) ◽  
pp. 99-100
Author(s):  
J. Sivenius ◽  
T. Keränen ◽  
K. Reinikainen ◽  
I. Yletyinen ◽  
J. Partanen ◽  
...  
Keyword(s):  
Diagnostic Evaluation ◽  
Eeg Monitoring ◽  
Epileptic Patients

scholarly journals Surface Ictal Electroencephalographic Patterns in Frontal vs Temporal Lobe Epilepsy

1991 ◽  
Vol 18 (S4) ◽  
pp. 649-662 ◽  
Author(s):  
Barbara E. Swartz ◽  
Gregory O. Walsh ◽  
Antonio V. Delgado-Escueta ◽  
Paolo Zolo
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Frontal Lobe ◽  
Temporal Lobe ◽  
Group Versus ◽  
Fold Increase ◽  
Epileptic Focus ◽  
Eeg Monitoring ◽  
Temporal Group ◽  
Epileptic Patients

ABSTRACT:The effectiveness of long term EEG monitoring in the localization of the epileptic focus was studied in 37 patients with temporal lobe epilepsy comprising 190 recorded seizures, in 19 frontal lobe epileptic patients with 172 recorded seizures and in 12 additional patients which were classified as fronto-temporal. In the temporal lobe group, 49/190 seizures began focally (26%) and 20/190 seizures exhibited a regional onset (10%). In the frontal lobe group, only 21 out of 172 seizures (12%) had a focal ictal onset. 41/172 seizures began regionally (24%). In the fronto-temporal group, 31/55 seizures disclosed a focal EEG onset (57%). This study demonstrates that there is a two-fold increase in seizures beginning focally in the temporal lobe epilepsy group versus the frontal lobe group.

scholarly journals Preoperative Electroencephalographic Investigation in Frontal Lobe Epilepsy: Electroencephalographic and Electrocorticographic Recordings

1991 ◽  
Vol 18 (S4) ◽  
pp. 559-563 ◽  
Author(s):  
L.F. Quesney
Keyword(s):  
Frontal Lobe ◽  
Frontal Lobe Epilepsy ◽  
Eeg Monitoring ◽  
Seizure Onset ◽  
Epileptic Patients ◽  
Intracranial Electrodes

ABSTRACT:The first section of this article deals with specific anatomic and pathophysiologic factors which contribute to a poor EEG localization of the interictal epileptic abnormality and to the unreliable seizure onset localization commonly reported in patients with frontal lobe epilepsy. The localizing effectiveness of long term EEG monitoring was reviewed in four different groups of frontal lobe epileptic patients who underwent preoperative EEG investigation with extracranial and intracranial electrodes. The results of this study reveal a continuum distribution of interictal epileptic disturbances, ranging from focal abnormalities to lobar or multi-lobar epileptogenesis. A frontal lobe localization of the seizure generator based on ictal recordings obtained with extracranial electrodes is rather poor and much more reliable results can be obtained by depth-electroencephalography.

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