Testing patients during seizures: A European consensus procedure developed by a joint taskforce of the ILAE – Commission on European Affairs and the European Epilepsy Monitoring Unit Association

Sándor Beniczky, Miri Neufeld, Beate Diehl, Judith Dobesberger, Eugen Trinka, Ruta Mameniskiene, Sylvain Rheims, Antonio Gil-Nagel, Dana Craiu, Ronit Pressler, David Krysl, Angelina Lebedinsky, Laura Tassi, Guido Rubboli, Philippe Ryvlin

Research output: Contribution to journalArticlepeer-review

Abstract

There is currently no international consensus procedure for performing comprehensive periictal testing of patients in the epilepsy monitoring units (EMUs). Our primary goal was to develop a standardized procedure for managing and testing patients during and after seizures in EMUs. The secondary goal was to assess whether it could be implemented in clinical practice (feasibility). A taskforce was appointed by the International League Against Epilepsy (ILAE)—Commission on European Affairs and the European Epilepsy Monitoring Unit Association, to develop a standardized ictal testing battery (ITB) based on expert opinion and experience with various local testing protocols. ITB contains a comprehensive set of 10 items that evidence the clinically relevant semiologic features, and it is adaptive to the dynamics of the individual seizures. The feasibility of the ITB was prospectively evaluated on 250 seizures from 152 consecutive patients in 10 centers. ITB was successfully implemented in clinical practice in all 10 participating centers and was considered feasible in 93% of the tested seizures. ITB was not feasible for testing seizures of very short duration.

Original languageEnglish
Pages (from-to)1363-1368
Number of pages6
JournalEpilepsia
Volume57
Issue number9
DOIs
StatePublished - 1 Sep 2016
Externally publishedYes

Keywords

  • Epilepsy monitoring unit
  • Feasibility
  • Postictal
  • Seizures
  • Semiology
  • Testing

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