Evaluation of seizure-like episodes in survivors of moderate and severe traumatic brain injury

Short Title:
Evaluation of seizure-like episodes in survivors of moderate and severe traumatic brain injury
Model System:
TBI
Reference Type:
Journal Article
Accession No.:
J48400.
Journal:
Journal of Head Trauma Rehabilitation
Year, Volume, Issue, Page(s):
2004, vol. 19, issue 4, pp 290-295
Publication Website:
Abstract:
Study evaluated the usefulness of prolonged video electroencephalogram (VEEG) monitoring to confirm the diagnosis of epilepsy in patients with traumatic brain injury (TBI). Simultaneous videotape and scalp electroencephalographic recordings were collected for an average of 4.6 days for patients referred for epilepsy evaluation. Monitoring was successful in establishing a diagnosis in 82 percent of the cases: 62 percent had focal seizures, 6 percent had generalized seizures, and 33 percent had psychogenic non-epileptic seizures. The most important finding of this study was the high percentage of patients diagnosed with epileptic seizures and treated unsuccessfully with anti-epileptic drugs, who turned out to have psychogenic non-epileptic seizures. Results indicate that prolonged VEEG is a useful procedure in the evaluation of seizures in patients with moderate to severe TBI.
Author(s):
Hudak, Anne M.; Trivedi, Kavita; Harper, Caryn R.; Booker, Kimberly; Caesar, Rajani R.; Agostini, Mark; Van Ness, Paul C.; Diaz-Arrastia, Ramon
Author Address(es):

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