Evaluation of ambulatory cassette EEG monitoring: III. Diagnostic accuracy compared to intensive inpatient EEG monitoring
| Autor: | John S. Ebersole, Robert F. Leroy |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
Adult
medicine.medical_specialty Epilepsy medicine.diagnostic_test Adolescent business.industry Videotape Recording Diagnostic accuracy Electroencephalography Audiology Hospitalization Ambulatory EEG Ambulatory Ambulatory Care Medicine Humans Telemetry Ictal Neurology (clinical) Abnormality business Intensive care medicine Eeg monitoring |
| Zdroj: | Neurology. 33(7) |
| ISSN: | 0028-3878 |
| Popis: | We assessed the ability to recognize epileptiform abnormalities on a video review of ambulatory cassette EEGs (A/EEG) by comparing two independent interpretations of an A/EEG to those derived from a routine recording and intensive monitoring by cable telemetry (C/EEG) of the same 40 patients. Both A/EEG readings concurred with the C/EEG interpretation as to normality or epileptiform abnormality in 77% of cases. Seventy-nine percent of focal and 100% of generalized interictal abnormalities, as well as all seizures, noted on C/EEG were detected by both A/EEG reviewers. Of patients with normal baseline EEGs, 37% showed epileptiform features on A/EEG versus 44% with C/EEG. Limits to the characterization of abnormalities by A/EEG and a protocol for the video review of A/EEG tapes are discussed. In those specific areas for which intensive surface EEG monitoring is most useful, ambulatory cassette EEG appears to be an acceptable intermediate-level alternative. |
| Databáze: | OpenAIRE |
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