The Evaluation of The Agreements of Different Epilepsy Classifications in Seizures Recorded With Video EEG Monitoring
Journal Title: Journal of Neurological Sciences-Turkish - Year 2012, Vol 29, Issue 2
Abstract
Objective: The main purpose of the epilepsy classifications is to guide physicians to get the correct diagnosis and subsequently select the appropriate treatment. When using the daily classifications, the diagnosis and treatment of some patients sometimes remain unsatisfying, and video EEG monitoring (VEM) is the alternatively applied diagnostic tool in such patients. In the present study, the agreement of different classifications before and after short term VEM is investigated. Methods: Three hundred ninety-one patients who had undergone VEM were enrolled in the study. Forty-five cases, whose epileptic seizures could be recorded, were classified before and after VEM according to 1981 Classification of Epileptic Seizures, 1989 Epileptic Syndrome Classification, 2010 Seizure and Electroclinical Syndrome Classifications proposed by International League Against Epilepsy (ILAE) Commission on Terminology and Classification, and Semiological Seizure Classification reported by Luders et al. in 1998. Results: The intra-observer agreements of Semiological Seizure, 1989 and 2010 Electroclinical Syndrome Classifications were found to be substantial, whereas those of 1981 and 2010 Epileptic Seizure Classifications were moderate. The initial clinical diagnosis was changed in 44.7% to 56.5% of patients where a change of treatment was needed in 36.5% of the cases. Conclusion: While the Semiological Seizure Classification appears to be more consistent than the 1981 and 2010 Seizure Classifications, the impact of short term VEM on the accurate classification is remarkable.
Authors and Affiliations
Baburhan GULDIKEN, Betul BAYKAN, Necdet SUT, Nerses BEBEK, Candan GURSES, Aysen GOKYIGIT
Keywords
Related Articles
- EP ID EP130498
- DOI -
- Views 88
- Downloads 0
Fatigue and Related Factors in Patients With Multiple Sclerosis
Objective: It was aimed in this study to determine the frequency and severity of fatigue and to investigate its relation to depression, disability level, and cognitive status in patients with multiple sclerosis. Patient...
Matür kistik spinal kord teratomu
Spinal kord teratomları çok nadir görülen spinal kitlelerdir. İntradural spinal teratomlar tüm spinal tümörlerin % 0,1 ini oluşturur. Teratomlar histolojik olarak, matür, immatür ve malign teratom olmak üzere üç guruba a...
Obstruktif Uyku Apne Sendromlu Hastalarda Etkili CPAP Seviyesinin Önceden Belirlenmesi
Giriş: Obstruktif uyku apne sendromlu (OUAS) hastalarda uygun CPAP seviyesini titrasyon öncesinde öngermek, titrasyon işlemini kolaylaştırmak ve etkinliğini arttırmak açısından önemlidir. Bu çalışmanın iki amacı bulunma...
N-hexane Nöropatisinin Klinik ve Elektrofizyolojik Bulguları (8 olgu eşliğinde )
n-hexane, periferal nörotoksik etkisi 1964 yılında tanımlanan bir hexane izomeridir. Özellikle terlik, çanta gibi deri ve ayakakabı yapıştırıcılarında ve bazı kimyasal çözücülerin içinde bulunmaktadır. N-hexane içeren so...
Gastrocinemius H Reflex Responses and Nerve Conduction Studies in Patients with Behçet’s Disease
Objectives: The aim of this study was to compare the nerve conduction studies and gastrocinemius H-reflex responses between the healthy controls and Behçet Disease (BD) patients. Material and Methods: 23 BD patients wit...