Resumen

BARRETO-ACEVEDO, Elliot et al. Inpatient long term video-EEG monitoring: first report of efficacy and safety in Peru. Rev Neuropsiquiatr [online]. 2018, vol.81, n.2, pp.65-72. ISSN 0034-8597.  http://dx.doi.org/https://doi.org/10.20453/rnp.v81i2.3332.

Objectives: To determine the diagnostic utility and complications of inpatient long term surface video-EEG monitoring in Rebagliati Hospital Epilepsy Unit. Material and Methods: Descriptive and retrospective study that evaluated the diagnostic efficacy and complications of inpatient long term surface video-EEG monitoring. The patients admitted to the Video-EEG Monitoring Unit from November 2016 to October 2017 were included. The information was extracted from The Epilepsy Unit database. Results: Out of 55 patients (29 men), with median age of 25 years; 36 (65.5%) were admitted to identify the epileptogenic zone and / or classification of epileptic syndrome and 17 (31%) to diagnose the paroxysmal events. The median duration of video-EEG monitoring was 55 hours. The median number of events per patient was 5. In 78%, the result of the Video-EGG was decisive or generated a change in the management approach. Twenty-one patients (38.2%) were defined as candidates for respective epilepsy surgery, 3 (5.5%) for callosotomy and 4 (7.3%) for vagus nerve stimulation. Psychogenic non-epileptic seizures (PNES) were diagnosed in 8 patients (14.5%); and PNES coexisting with epileptic seizures in 4 patients (7.3%). Complications were infrequent and reversible, without mortality. Conclusions: Inpatient long term surface video-EEG monitoring is safe and effective in The Social Security of Peru; if it is done with minimum international standards.

Palabras clave : Electroencephalography; epilepsy; efficacy; safety.

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