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EEG Video Monitoring

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Early Electroencephalogram Background Could Guide Tailored Duration of Monitoring for Neonatal Encephalopathy Treated with Therapeutic Hypothermia.

Giulia M Benedetti, Rebecca J Vartanian, Harlan McCaffery, Renée A Shellhaas,

OBJECTIVE:To evaluate whether features of the early electroencephalographic (EEG) background could guide the optimal duration of continuous video EEG monitoring for seizure detection in newborn infants treated with therapeutic hypothermia for hypoxic ischemic encephalopathy (HIE). STUDY DESIGN:Retrospective cohort study of 114 consecutive infants treated with therapeutic hypothermia for moderate to ... Read more >>

J. Pediatr. (The Journal of pediatrics)
[2020, :]

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Diagnostic Reliability of Headset-Type Continuous Video EEG Monitoring for Detection of ICU Patterns and NCSE in Patients with Altered Mental Status with Unknown Etiology.

Satoshi Egawa, Toru Hifumi, Hidetoshi Nakamoto, Yasuhiro Kuroda, Yuichi Kubota,

BACKGROUND/OBJECTIVE:Simplified continuous electroencephalogram (cEEG) monitoring has shown improvement in detecting seizures; however, it is insufficient in detecting abnormal EEG patterns, such as periodic discharges (PDs), rhythmic delta activity (RDA), spikes and waves (SW), and continuous slow wave (CS), as well as nonconvulsive status epilepticus (NCSE). Headset-type continuous video EEG monitoring ... Read more >>

Neurocrit Care (Neurocritical care)
[2020, 32(1):217-225]

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Electro-clinical and neurodevelopmental outcome in six children with early diagnosis of tuberous sclerosis complex and role of the genetic background.

M N Savini, A Mingarelli, A Peron, F La Briola, F Cervi, R M Alfano, M P Canevini, A Vignoli,

BACKGROUND:Seizures in individuals affected by tuberous sclerosis complex (TSC) commonly develop in the first year of life, are often preceded by a progressive deterioration of the electroencephalogram (EEG), and likely influence developmental outcome. Although early diagnosis of TSC has offered a tremendous opportunity to monitor affected patients before seizure onset, ... Read more >>

Ital J Pediatr (Italian journal of pediatrics)
[2020, 46(1):36]

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Efficacy, Tolerability, and Safety of Concentrated Intranasal Midazolam Spray as Emergency Medication in Epilepsy Patients During Video-EEG Monitoring.

Anemone von Blomberg, Lara Kay, Susanne Knake, Sven Fuest, Johann Philipp Zöllner, Philipp S Reif, Eva Herrmann, Ümniye Balaban, Susanne Schubert-Bast, Felix Rosenow, Adam Strzelczyk,

BACKGROUND:An efficient, well tolerated, and safe emergency treatment with a rapid onset of action is needed to prevent seizure clusters and to terminate prolonged seizures and status epilepticus. OBJECTIVES:This study aimed to examine the efficacy, tolerability, and safety of intranasal midazolam (in-MDZ) spray in clinical practice. METHODS:In this retrospective, multicenter ... Read more >>

CNS Drugs (CNS drugs)
[2020, :]

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48-hour video-EEG monitoring for epilepsy presurgical evaluation is cost-effective and safe in resource-limited setting.

Kheng-Seang Lim, Si-Lei Fong, Minh-An Thuy Le, Sherrini Ahmad Bazir, Vairavan Narayanan, Noraini Ismail, Shweh-Fern Loo, Kohila Krishnan, Chong-Tin Tan,

INTRODUCTION:Video-EEG monitoring is one of the key investigations in epilepsy pre-surgical evaluation but limited by cost. This study aimed to determine the efficacy and safety of a 48-hour (3-day) video EEG monitoring, with rapid pre-monitoring antiepileptic drugs withdrawal. MATERIAL AND METHODS:This is a retrospective study of epilepsy cases with VEM ... Read more >>

Epilepsy Res. (Epilepsy research)
[2020, 162:106298]

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Pharmacokinetics of Intravenous and Oral Phenobarbital Sodium in Healthy Goats.

Liana M Yates, Monica Aleman, Heather K Knych, Marguerite F Knipe, Chelsea M Crowe, Munashe Chigerwe,

Phenobarbital is a common drug used to manage epilepsy in goats. However, the recommended dose and dosing frequency are based on studies in dogs and horses. Studies describing the pharmacokinetics of phenobarbital when administered orally and assessing changes in behavior with concurrent electroencephalogram (EEG) readings are warranted in goats. The ... Read more >>

Front Vet Sci (Frontiers in Veterinary Science)
[2020, 7:86]

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The coexistence of psychogenic nonepileptic and epileptic seizures in the same patient is more frequent than expected: Is there any clinical feature for defining these patients?

Mehmet Ilker Yon, Filiz Azman, F Irsel Tezer, Serap Saygi,

OBJECTIVES:This study aimed to investigate the prevalence of psychogenic nonepileptic seizures (PNES) and PNES-epilepsy coexistence within all video-electroencephalography (EEG) monitoring unit (VEMU) referrals and to identify semiological and electrophysiological features to differentiate patients with PNES-epilepsy coexistence from PNES-only. METHODS:We retrospectively reviewed medical files, VEMU reports, and videos of 1983 adult ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 105:106940]

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Predictors of focal to bilateral tonic-clonic seizures during long-term video-EEG monitoring.

Max C Pensel, Martin Schnuerch, Christian E Elger, Rainer Surges,

OBJECTIVE:To determine predictors of focal to bilateral tonic-clonic seizures (FBTCS) during video-electroencephalography (EEG) monitoring (VEM). METHODS:All adult patients undergoing presurgical VEM from 2014 to 2015 in the department of epileptology were eligible (N = 229). Those with refractory focal epilepsy and epileptic seizures recorded during VEM were analyzed (N = 188, Group 1). To ... Read more >>

Epilepsia (Epilepsia)
[2020, 61(3):489-497]

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Multimodal Affective State Assessment Using fNIRS + EEG and Spontaneous Facial Expression.

Yanjia Sun, Hasan Ayaz, Ali N Akansu,

Human facial expressions are regarded as a vital indicator of one's emotion and intention, and even reveal the state of health and wellbeing. Emotional states have been associated with information processing within and between subcortical and cortical areas of the brain, including the amygdala and prefrontal cortex. In this study, ... Read more >>

Brain Sci (Brain sciences)
[2020, 10(2):]

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On Assessing Driver Awareness of Situational Criticalities: Multi-modal Bio-Sensing and Vision-Based Analysis, Evaluations, and Insights.

Siddharth Siddharth, Mohan M Trivedi,

Automobiles for our roadways are increasingly using advanced driver assistance systems. The adoption of such new technologies requires us to develop novel perception systems not only for accurately understanding the situational context of these vehicles, but also to infer the driver's awareness in differentiating between safe and critical situations. This ... Read more >>

Brain Sci (Brain sciences)
[2020, 10(1):]

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Encephalopathy related to status epilepticus during slow sleep (ESES) as atypical evolution of Panayiotopoulos syndrome: an EEG and neuropsychological study.

Hirokazu Oguni, Yoshiko Hirano, Satoru Nagata,

We report two patients with Panayiotopoulos syndrome (PS) who developed encephalopathy related to status epilepticus during slow sleep (ESES) at the peak of their clinical course. Clinical charts and EEG data were reviewed. The patients exhibited nocturnal autonomic seizures and occipital EEG foci, the latter of which later evolved into ... Read more >>

Epileptic Disord (Epileptic disorders : international epilepsy journal with videotape)
[2020, 22(1):67-72]

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Assessment of the Predictive Value of Outpatient Smartphone Videos for Diagnosis of Epileptic Seizures.

William O Tatum, Lawrence J Hirsch, Michael A Gelfand, Emily K Acton, W Curt LaFrance, Robert B Duckrow, David K Chen, Andrew S Blum, John D Hixson, Joe F Drazkowski, Selim R Benbadis, Gregory D Cascino, ,

Importance:Misdiagnosis of epilepsy is common. Video electroencephalogram provides a definitive diagnosis but is impractical for many patients referred for evaluation of epilepsy. Objective:To evaluate the accuracy of outpatient smartphone videos in epilepsy. Design, Setting, and Participants:This prospective, masked, diagnostic accuracy study (the OSmartViE study) took place between August 31, 2015, ... Read more >>

JAMA Neurol (JAMA neurology)
[2020, :]

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A Step-by-Step Protocol for Optogenetic Kindling.

Elvis Cela, P Jesper Sjöström,

Electrical kindling, repeated brain stimulation eventually resulting in seizures, is widely used as an animal model of epileptogenesis and epilepsy. However, the stimulation electrode used for electric kindling targets unknown neuronal populations and may introduce tissue damage and inflammation. Optogenetics can be used to circumvent these shortcomings by permitting millisecond ... Read more >>

Front Neural Circuits (Frontiers in neural circuits)
[2020, 14:3]

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Status Epilepticus Manifested as Continuous Epileptic Spasms.

Jianxiang Liao, Tieshuan Huang, Myriam Srour, Yuhan Xiao, Yan Chen, Sufang Lin, Li Chen, Yan Hu, Lina Men, Jialun Wen, Bing Li, Feiqiu Wen, Lan Xiong,

Objective: The etiology and outcome of status epilepticus with continuous epileptic spasms have not been fully understood; and only rare cases have been reported in the literature. Here, we described 11 children, who manifested continuous epileptic spasms with various etiologies and different outcomes. Methods: This is a case series study ... Read more >>

Front Neurol (Frontiers in neurology)
[2020, 11:65]

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Prone, lateral, or supine positioning at seizure onset determines the postictal body position: A multicenter video-EEG monitoring cohort study.

Katharina Mahr, Marc-Philipp Bergmann, Lara Kay, Leona Möller, Philipp S Reif, Laurent M Willems, Katja Menzler, Susanne Schubert-Bast, Karl Martin Klein, Susanne Knake, Felix Rosenow, Johann Philipp Zöllner, Adam Strzelczyk,

PURPOSE:Most patients who die from sudden unexpected death in epilepsy (SUDEP) are found in the prone position. We evaluated whether changes in body position occur during generalized convulsive seizures (GCSs). METHOD:GCSs in patients undergoing video-EEG-monitoring between 2007 and 2017 at epilepsy centers in Frankfurt and Marburg were analyzed in relation ... Read more >>

Seizure (Seizure)
[2020, 76:173-178]

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A Comprehensive Machine-Learning-Based Software Pipeline to Classify EEG Signals: A Case Study on PNES vs. Control Subjects.

Giuseppe Varone, Sara Gasparini, Edoardo Ferlazzo, Michele Ascoli, Giovanbattista Gaspare Tripodi, Chiara Zucco, Barbara Calabrese, Mario Cannataro, Umberto Aguglia,

The diagnosis of psychogenic nonepileptic seizures (PNES) by means of electroencephalography (EEG) is not a trivial task during clinical practice for neurologists. No clear PNES electrophysiological biomarker has yet been found, and the only tool available for diagnosis is video EEG monitoring with recording of a typical episode and clinical ... Read more >>

Sensors (Basel) (Sensors (Basel, Switzerland))
[2020, 20(4):]

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A rare but treatable cause of recurrent chest pain - Ictal chest pain.

Ching Soong Khoo, Dongah Lee, Kang Min Park, Byung In Lee, Sung Eun Kim,

BACKGROUND:Chest pain as the primary manifestation of epilepsy is extremely rare and has only been reported once to date. CASE PRESENTATION:We herein describe a 47-year-old woman with recurrent chest pain for 3 years. The cause of her chest pain remained elusive despite extensive investigations including comprehensive cardiac work-up. She was ... Read more >>

BMC Neurol (BMC neurology)
[2019, 19(1):348]

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Electroencephalographic Functional Connectivity With the Tacit Learning System Prosthetic Hand: A Case Series Using Motor Imagery.

Katsuyuki Iwatsuki, Minoru Hoshiyama, Shintaro Oyama, Hidemasa Yoneda, Shingo Shimoda, Hitoshi Hirata,

We previously created a prosthetic hand with a tacit learning system (TLS) that automatically supports the control of forearm pronosupination. This myoelectric prosthetic hand enables sensory feedback and flexible motor output, which allows users to move efficiently with minimal burden. In this study, we investigated whether electroencephalography can be used ... Read more >>

Front Synaptic Neurosci (Frontiers in synaptic neuroscience)
[2020, 12:7]

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Pregabalin adjunctive therapy for focal onset seizures in children 1 month to <4 years of age: A double-blind, placebo-controlled, video-electroencephalographic trial.

Donald Mann, Jeremias Antinew, Lloyd Knapp, Mary Almas, Jing Liu, Joseph Scavone, Ruoyong Yang, Margaret Modequillo, Iryna Makedonska, Marilyn Ortiz, Alla Kyrychenko, Douglas Nordli, Viktor Farkas, Mark Kristof Farkas, ,

OBJECTIVE:To evaluate the efficacy and safety of pregabalin as adjunctive treatment for children (aged 1 month-<4 years) with focal onset seizures (FOS) using video-electroencephalography (V-EEG). METHODS:This randomized, placebo-controlled, international study included V-EEG seizure monitoring (48-72 hours) at baseline and over the last 3 days of 14-day (5-day dose escalation; 9-day fixed dose) double-blind pregabalin ... Read more >>

Epilepsia (Epilepsia)
[2020, :]

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Changes in Physiological and Pathological Behaviours Produced by Deep Microelectrode Implantation Surgery in Rats: A Temporal Analysis.

Gustavo A Chiprés-Tinajero, Miguel A Núñez-Ochoa, Laura Medina-Ceja,

Physiological behaviours such as the sleep-wake cycle and exploratory behaviours are important parameters in intact and sham-operated animals and are usually thought to be unaffected by experimental protocols in which neurosurgery is performed. However, there is insufficient evidence in the literature on the behavioural and cognitive effects observed after deep ... Read more >>

Behav Neurol (Behavioural neurology)
[2020, 2020:4385706]

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Clinical characteristics of video-EEG patients: Limited utility of prolonging VEEG study duration beyond 5 days for spell classification.

Senay Y Celik, Alison J Headley, Jerry J Shih,

OBJECTIVE:The objective of the study was to identify the probability of establishing a diagnosis based on the duration of video-electroencephalogram (VEEG) monitoring. Additional aims were to determine whether there is a relationship between clinical characteristics of epilepsy monitoring unit (EMU) patients and VEEG results. METHODS:We studied EMU length of stay ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 103(Pt A):106827]

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Outcome of prolonged video-EEG monitoring in a new VA monitoring unit.

Ushtar Amin, Selim R Benbadis, Alfred T Frontera,

BACKGROUND AND OBJECTIVE:For patients with refractory seizures or seizure-like activity, prolonged inpatient video-electroencephalography (EEG) (v-EEG) is standard of care to guide diagnosis and management. The purpose of this study was to describe the outcome of v-EEG in a new Veterans' Administration (VA) hospital epilepsy monitoring unit (EMU). METHODS:We reviewed all ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 102:106696]

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Changes in Vital Signs During Epileptic and Psychogenic Nonepileptic Attacks: A Video-EEG Study.

Reda Badry,

INTRODUCTION:Epilepsy is a common disorder. Psychogenic nonepileptic attack (PNEA) is one of the epilepsy mimics. Video EEG is still the gold standard tool that differentiates between epileptic seizures (ES) and PNEA. Oxygen saturation (SaO2) and ictal vital signs, including heart rate (HR), respiration rate (RR), body temperature, systolic blood pressure ... Read more >>

J Clin Neurophysiol (Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society)
[2020, 37(1):74-78]

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Excessive Daytime Sleepiness Measurements in Children With Attention Deficit Hyperactivity Disorder.

Stéphanie Bioulac, Jacques Taillard, Pierre Philip, Patricia Sagaspe,

Attention deficit hyperactivity disorder (ADHD) is the most commonly diagnosed neurodevelopmental disorder in childhood. It is a heterogeneous disorder in terms of clinical presentation that is probably due to the frequent occurrence of comorbidity. Children with ADHD more frequently report sleep disorders (notably delayed sleep phase syndrome) and excessive daytime ... Read more >>

Front Psychiatry (Frontiers in psychiatry)
[2020, 11:3]

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Comparison of artifacts between paste and collodion method of electrode application in pediatric EEG.

Danielle Brigham, Yash Shah, Kanwaljit Singh, Ivan Pavkovic, Shefali Karkare, Sanjeev V Kothare,

Objectives:Children pose challenges to obtain quality EEG data due to excessive artifact. Collodion is used in EEG electrodes due to its water resistance and strong adhesive qualities. This study was done to evaluate differences in artifacts between the collodion and paste method. Methods:115 subjects (children age >3 years) were randomized into ... Read more >>

Clin Neurophysiol Pract (Clinical neurophysiology practice)
[2020, 5:12-15]

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