EEG/24-hour – diagnostics

1. What is the nature of the seizures – epileptic or non-epileptic? (Which condition to treat; differential diagnosis of paroxysmal states.)
2. What type of seizures are they – generalized, focal, or with other specific features?
3. What form of epilepsy or epileptic syndrome is present? (How to treat it correctly and which medications to use.)
4. What is the localization of the seizures?

Why is EEG video monitoring performed?

It may influence:

• the decision whether or not to start drug treatment;
• the choice of drug therapy (which medications are indicated or contraindicated for a particular seizure type or epileptic syndrome);
• the assessment of treatment effectiveness (repeat studies are performed as prescribed by the doctor);
• the assessment of the likelihood that seizures will return in a patient in remission;
• the identification of the epileptogenic focus and the question of whether surgical treatment is appropriate when drug treatment is not effective.

Why should this study be done at night?

During sleep at night, it is possible to detect features of the brain's electrical activity that are "hidden" by our daytime activity. For example, a focus of epileptic activity that was not detected by a daytime EEG. Overnight video monitoring is considered the "gold standard" for diagnosing epileptic conditions.

How is the study performed?

The child comes to the clinic in the evening and goes to sleep. During the study, parents can also rest on a sofa. The child is supervised by an experienced technician, who records all important events during the study. The doctor then analyzes the results and writes a report.

This material is published for informational purposes. Currently, our center performs the standard EEG procedure (20 minutes).