Diagnostic utility of an epilepsy monitoring unit

Janice L. Smolowitz, Sarah C. Hopkins, Tracey Perrine, Karen E. Eck, Lawrence J. Hirsch, Mary O.Neil Mundinger

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Guidelines recommend that patients with persist- ent seizures not responsive to standard antiepileptic drugs after 1 year be referred to specialized epilepsy centers for evaluation, which may include inpatient video-electroencephalographic monitoring. This 1-year retrospective, limited-focus review of 213 admissions and 3-year postdischarge review of epilepsy surgery referrals sought to determine if admission to an inpatient adult epilepsy monitoring unit resulted in a definitive diagnosis, a change in diagnosis or treatment, and whether referral pat- terns were consistent with guidelines. The median duration of time since symptom onset prior to admis- sion was 15 years. At discharge, 87.8% of admissions received a definitive diagnosis. Epilepsy was diag- nosed in 73.3% and excluded in 21.6%. Admissions without epilepsy had been treated with antiepileptic drugs for a median of 9 years. Admission resulted in change in treatment in 79%. This review documents the diagnostic utility of an epilepsy monitoring unit while highlighting that time since symptom onset to admission exceeded established guidelines.

Original languageEnglish
Pages (from-to)117-122
Number of pages6
JournalAmerican Journal of Medical Quality
Volume22
Issue number2
DOIs
StatePublished - 1 Mar 2007

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Epilepsy
Guidelines
Anticonvulsants
Inpatients
Referral and Consultation
Charadriiformes
Seizures
Therapeutics

Keywords

  • Adults
  • Epilepsy/diagnosis/epidemiology
  • Inpatients/statistics
  • Monitoring
  • Retrospective studies
  • Seizures/diagnosis/etiology/physiopathology
  • Videotape recording

Cite this

Smolowitz, J. L., Hopkins, S. C., Perrine, T., Eck, K. E., Hirsch, L. J., & Mundinger, M. O. N. (2007). Diagnostic utility of an epilepsy monitoring unit. American Journal of Medical Quality, 22(2), 117-122. https://doi.org/10.1177/1062860606298295
Smolowitz, Janice L. ; Hopkins, Sarah C. ; Perrine, Tracey ; Eck, Karen E. ; Hirsch, Lawrence J. ; Mundinger, Mary O.Neil. / Diagnostic utility of an epilepsy monitoring unit. In: American Journal of Medical Quality. 2007 ; Vol. 22, No. 2. pp. 117-122.
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Smolowitz, JL, Hopkins, SC, Perrine, T, Eck, KE, Hirsch, LJ & Mundinger, MON 2007, 'Diagnostic utility of an epilepsy monitoring unit', American Journal of Medical Quality, vol. 22, no. 2, pp. 117-122. https://doi.org/10.1177/1062860606298295

Diagnostic utility of an epilepsy monitoring unit. / Smolowitz, Janice L.; Hopkins, Sarah C.; Perrine, Tracey; Eck, Karen E.; Hirsch, Lawrence J.; Mundinger, Mary O.Neil.

In: American Journal of Medical Quality, Vol. 22, No. 2, 01.03.2007, p. 117-122.

Research output: Contribution to journalArticle

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