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July2005 Vol.42 Issue:        2        Table of Contents
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Video-EEG Monitoring for The Diagnosis of Epileptic and Non-epileptic Paroxysmal Events in Children

Hassan Elwanl, Ann Ali Abd Alkader2, Sadek Helmy1Ibtesam Fahmy1, Mona Mohammad Nada2, Dalia Labib1, Mona T. El-Ghoneimy3
Departments of Neurology1, Clinical Neurophysiology2, Neurosurgery3 , Cairo University

ABSTRACT

Purpose: This study aimed to establish, a proper diagnosis of the type of paroxysmal disorders, and to assess the value of short term video. EG monitoring in differentiating epileptic from non-epileptic events. Subjects: 36 children were studied, age ranged from 3 months to 15 years. According to the main clinical complaint, they were divided into: epileptic (group I, n=26) and non-epileptic (group II, n=10) groups. Results: Clinical events were observed in 14/26 patients of group I and 7/10 patients of group II. In group I, epileptic seizures were confirmed in 4/9 (44.4%) patients and reclassified in 5/9 (55.6%) patients. 5 patients presented with non-epileptic events and 12 patients did not present clinical events during monitoring. In group II; non-epileptic events were confirmed in 6/7 (85.7%) patients. 1 patient presented epileptic seizures and 3 patients did not present clinical events during monitoring. Video-EEG monitoring enabled major modification of therapeutic approach in 5 patients. Conclusion: In children with paroxysmal disorders, short term video-EEG monitoring allows proper classification of epileptic syndromes and diagnosis of non-epileptic events, promoting introduction of appropriate treatment with a relatively low cost.

(Egypt J. Neurol. Psychiat. Neurosurg., 2005, 42(2): 475-483).

 





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