@article{8e555db605eb4345b957ff0bcca540cc,
title = "Indications and methodology for video-electroencephalographic studies in the epilepsy monitoring unit",
abstract = "Although the epilepsy and neurology communities have position papers on a number of topics pertaining to epilepsy diagnosis and management, no current paper exists for the rationale and appropriate indications for epilepsy monitoring unit (EMU) evaluation. General neurologists, hospital administrators, and insurers also have yet to fully understand the role this type of testing has in the diagnosis and management of individuals with paroxysmal neurologic symptoms. This review outlines the indications for long-term video-electroencephalography (VEEG) for typical elective admissions to a specialized inpatient setting. The common techniques used in EMUs to obtain diagnostic information are reviewed. The added benefit of safety measures and clinical testing above that available for routine or long-term ambulatory electroencephalography is also discussed. The indications for admission to the EMU include differential diagnosis of paroxysmal spells, characterization of seizure types, presurgical epilepsy evaluations, seizure quantification, monitoring medication adjustment in a safe setting, and differentiation between seizures and side effects. We conclude that the appropriate use of this specialized testing can lead to an early and correct diagnosis in a variety of clinical circumstances. The EMU evaluation is considered the gold standard test for the definitive diagnosis of epilepsy and seizure-like spells.",
keywords = "epilepsy monitoring, epilepsy surgery, inpatient specialized testing, nonepileptic events",
author = "Shih, {Jerry J.} and Fountain, {Nathan B.} and Herman, {Susan T.} and Anto Bagic and Fred Lado and Susan Arnold and Zupanc, {Mary L.} and Ellen Riker and Labiner, {David M.}",
note = "Funding Information: Jerry J. Shih receives research funding from the National Science Foundation and is on the Speakers Bureau for Eisai. Nathan B. Fountain receives research grants to the University of Virginia from Medtronic, Neuropace, Insightech, SK Life Sciences, Neurelis, and the Epilepsy Foundation. David M. Labiner has received research support from the Centers for Disease Control and Prevention, the National Institutes of Health, UCB Pharma, Upsher-Smith Laboratories, and MonoSol Rx; he also serves on the medical advisory board for Corticare. All of the authors, with the exception of Ellen Riker, are uncompensated members of the Board of Directors of the NAEC. Ellen Riker serves as the Executive Director of the NAEC. We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. Funding Information: Jerry J. Shih receives research funding from the National Science Foundation and is on the Speakers Bureau for Eisai. Nathan B. Fountain receives research grants to the University of Virginia from Medtronic, Neuropace, Insight-ech, SK Life Sciences, Neurelis, and the Epilepsy Foundation. David M. Labiner has received research support from the Centers for Disease Control and Prevention, the National Institutes of Health, UCB Pharma, Upsher-Smith Laboratories, and MonoSol Rx; he also serves on the medical advisory board for Corticare. All of the authors, with the exception of Ellen Riker, are uncompensated members of the Board of Directors of the NAEC. Ellen Riker serves as the Executive Director of the NAEC. We confirm that we have read the Journal{\textquoteright}s position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. Funding Information: National Science Foundation; University of Virginia from Medtronic; Neuropace; Insightech; SK Life Sciences; Neurelis; Epilepsy Foundation; Centers for Disease Control and Prevention; the National Institutes of Health; UCB Pharma; Upsher-Smith Laboratories; MonoSol Rx Publisher Copyright: Wiley Periodicals, Inc. {\textcopyright} 2017 International League Against Epilepsy",
year = "2018",
doi = "10.1111/epi.13938",
language = "English (US)",
volume = "59",
pages = "27--36",
journal = "Epilepsia",
issn = "0013-9580",
publisher = "Wiley-Blackwell",
number = "1",
}