Under-sampling in epilepsy: Limitations of conventional EEG

Autor: Maxime O. Baud, Kaspar Schindler, Vikram R. Rao
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Clinical Neurophysiology Practice, Vol 6, Iss , Pp 41-49 (2021)
Druh dokumentu: article
ISSN: 2467-981X
DOI: 10.1016/j.cnp.2020.12.002
Popis: The cyclical structure of epilepsy was recently (re)-discovered through years-long intracranial electroencephalography (EEG) obtained with implanted devices. In this review, we discuss how new revelations from chronic EEG relate to the practice and interpretation of conventional EEG. We argue for an electrographic definition of seizures and highlight the caveats of counting epileptiform discharges in EEG recordings of short duration. Limitations of conventional EEG have practical implications with regard to titrating anti-seizure medications and allowing patients to drive, and we propose that chronic monitoring of brain activity could greatly improve epilepsy care. An impending paradigm shift in epilepsy will involve using next-generation devices for chronic EEG to leverage known biomarkers of disease state.
Databáze: Directory of Open Access Journals