The Diagnostic Value of 24-Hour Video-Eeg Monitoring in Pediatric Epilepsy
DOI:
https://doi.org/10.12974/2311-8687.2025.13.06Keywords:
Epilepsy, Children, Video-EEG, seizure, 24h EEG monitoringAbstract
Epilepsy is one of the most frequent chronic neurological diseases in childhood. Numerous differential diagnoses lead to a high risk of misinterpretation due to similar seizure semiology. Longer EEG recordings such as 24-hour video-EEG monitorings can enhance sensitivity and specificity to diagnose epilepsy. The goal of this study was to determine the diagnostic value of 24-hour video-EEG monitoring. Therefore, 105 children (8.5 4.7 years, 37 female) who underwent 24-hour video-EEG in the monitoring unit were included in this study. Epilepsy was newly diagnosed in 28 children (26.7%) and ruled out in 17 children (16.2%). The monitoring led to a change in epilepsy classification in 8 children (7.6%). Antiseizure medication was modified in 50 patients (47.6%). Children with pathological EEGs with IEDs were more likely to be diagnosed with epilepsy than those without IEDs (p=0.047). Further, epilepsy was more often ruled out in children without IEDs than in those with IEDs (p=0.037). No complications were registered during the monitoring. In conclusion, the use of 24h-video-EEG-monitoring can improve diagnostic accuracy in clinical practice and enhance long-term management in pediatric epilepsy while being non-invasive with absent complications when implemented in pediatric patients.
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