TY - JOUR
T1 - Video-EEG monitoring of paroxysmal events in the elderly
AU - Kipervasser, S.
AU - Neufeld, M. Y.
PY - 2007/10
Y1 - 2007/10
N2 - Objectives - To determine the importance of video-EEG monitoring (VEM) in elderly patients with various paroxysmal events. Material and methods - We retrospectively identified 16 subjects ≥ 60 years old out of 834 (1.9%; 7 females, mean age 67.8 ± 7.7 years), who were admitted to the Video-EEG Unit between 1997 and 2005 and compared data between those with and without epileptic events. Results - Epilepsy was confirmed in six patients, psychogenic non-epileptic seizures (NES) were diagnosed in seven, one patient had NES and epilepsy whereas the recorded events were non-conclusive in two. NES patients had a higher predisposition to psychiatric disturbances (P<0.02). Following VEM and management alteration, the frequency of monthly events decreased significantly for the cohort as a whole (P<0.001). VEM directly influenced the diagnosis, treatment and outcome of 14 of 16 (88%) patients. Conclusion - Video-EEM plays a vital role in the evaluation of paroxysmal events in the elderly, but is vastly underutilized in this population group.
AB - Objectives - To determine the importance of video-EEG monitoring (VEM) in elderly patients with various paroxysmal events. Material and methods - We retrospectively identified 16 subjects ≥ 60 years old out of 834 (1.9%; 7 females, mean age 67.8 ± 7.7 years), who were admitted to the Video-EEG Unit between 1997 and 2005 and compared data between those with and without epileptic events. Results - Epilepsy was confirmed in six patients, psychogenic non-epileptic seizures (NES) were diagnosed in seven, one patient had NES and epilepsy whereas the recorded events were non-conclusive in two. NES patients had a higher predisposition to psychiatric disturbances (P<0.02). Following VEM and management alteration, the frequency of monthly events decreased significantly for the cohort as a whole (P<0.001). VEM directly influenced the diagnosis, treatment and outcome of 14 of 16 (88%) patients. Conclusion - Video-EEM plays a vital role in the evaluation of paroxysmal events in the elderly, but is vastly underutilized in this population group.
KW - Drug adjustment
KW - Elderly
KW - Misdiagnosis
KW - Outcome
KW - Paroxysmal events
KW - Video-EEG monitoring
UR - http://www.scopus.com/inward/record.url?scp=34548504565&partnerID=8YFLogxK
U2 - 10.1111/j.1600-0404.2007.00888.x
DO - 10.1111/j.1600-0404.2007.00888.x
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C2 - 17824898
AN - SCOPUS:34548504565
SN - 0001-6314
VL - 116
SP - 221
EP - 225
JO - Acta Neurologica Scandinavica
JF - Acta Neurologica Scandinavica
IS - 4
ER -