MNJ (Malang Neurology Journal)
Vol 5, No 2 (2019): July

EFFICACY OF SHORT TERM VIDEO EEG IN DETECTING PSYCHOGENIC NON-EPILEPTIC SEIZURES

Parameswaran, Sajeesh (Unknown)
Vijayamma, Anil Kumar Thankappakurup (Unknown)
Pillai, Ananthanarayana Marthanda (Unknown)



Article Info

Publish Date
29 Apr 2019

Abstract

Background: Short term video Electroencephalography (SVEEG) is a non-invasive diagnostic procedure typically last for about 1-5 hours. SVEEG can be utilize to differentiate epileptic from Psychogenic Non-epileptic Seizures (PNES).
 Objective: To assess the yield of short term video EEG in detecting PNES.Methods: Retrospective analysis of short term video EEG in a tertiary level hospital. Patient history, provisional diagnosis, previous EEG and imaging reports were tabulated. Various short term video EEG findings like epileptiform abnormalities, PNES and other non-epileptic events were analyzed in detail. According to the provisional diagnosis formed two groups; Suspecting NEE and suspecting seizure disorders. Change in the provisional diagnosis after SVEEGs were also studied.Results: A total of 417 SVEEGs analyzed: 34(8.2%) patients developed events to suggest PNES, 16(3.8%) patients had other non-epileptic events; 96(23%) showed interictal epileptiform discharges,15 (3.6%) showed seizures and 90(21.6%) patients showed non specific EEG abnormalities. Around 60% SVEEGs were conclusive.Conclusion: A diagnostic event was recorded during SVEEG in majority of patients in the PNES group. SVEEG is a cost effective and useful diagnostic procedure; especially to identify non-epileptic events.

Copyrights © 2019






Journal Info

Abbrev

MNJ

Publisher

Subject

Neuroscience

Description

Malang Neurology Journal is a peer-reviewed and open access journal that focuses on promoting neurological sciences generated from basic neurosciences and clinical neurology. This journal publishes original articles, reviews, and also interesting case reports. Brief communications containing short ...