Video EEG makes epileptic foci nowhere to hide Posted by: bgslr Date: 2012-08-29 From Panyu Daily 2012-08-29 A6 Guangzhou Panyu District Hospital of Traditional Chinese Medicine Surgery Dr. Peng Zhiqiang is doing EEG monitoring for patients Zhan Haiyan Photoâ–¡ Our reporter Zhan Haiyan Liao Yueyao Correspondent Cui Weifeng Epilepsy
The performance of epileptic seizures varies from generalized seizures to partial seizures, and they are not the same in generalized or partial seizures, while there are many clinical treatments for epilepsy. The new introduction of the district Chinese hospital
The video EEG, not only can record epilepsy patients in real time and dynamically for 24 hours, but also can improve the positive rate, so that doctors will be more accurate in the diagnosis of epilepsy, whether to stop the medication or reduce the dosage. Video EEG Diagnosis of Epilepsy More Accurate Zone
Peng Zhiqiang, director of neurosurgery at the Chinese Hospital, introduced that due to the chance nature of seizure timing, the use of ordinary EEG monitoring often fails to clarify critical issues such as whether epilepsy is present, the location of the lesion and the type of seizure, and has a very
The accuracy in diagnosing epilepsy is very limited. Video EEG, on the other hand, clearly displays the patient’s daily activities in color video images, facilitating the capture of every abnormal behavioral action that is valuable for diagnosis, while instantly recording the patient’s
The doctor can clearly understand the course and duration of the patient’s action in each period through the video action trend analysis, and realize the unification of video image, sound and EEG by combining with synchronous EEG analysis.
This, combined with synchronized EEG analysis, can achieve the unification of video image, sound and EEG, and greatly improve the diagnosis of diseases. Especially
It is especially useful for infants and young children who are uncooperative, and for patients with various seizures, frequent seizures, or patients with intractable epilepsy who have not been diagnosed for a long time.
It is also important for the differential diagnosis of non-epileptic seizure disorders such as hysteria, syncope, hypoglycemic seizures, seizure headache, abdominal pain, abnormal sleep seizures, etc.
It is of great value in the differential diagnosis of non-epileptic seizure disorders such as hysteria, syncope, hypoglycemic seizures, seizure headache, abdominal pain, abnormal seizures in sleep, etc. It is understood that EEG is currently the most important test for diagnosing epilepsy. The positive rate of conventional EEG recordings for epilepsy-like waves is only 30-60%, while long-range video EEG can fill the above-mentioned defects, and the accuracy rate of epilepsy diagnosis is about 90%. Peng Zhiqiang, director of neurosurgery at the district Chinese hospital, said that he often encountered patients who came to the clinic with EEG report sheets made at local hospitals, based on only 10 minutes of EEG tracing without any evoked stimulation and without indicating whether the patient was awake or asleep, and the positive rate and credibility of such EEG examinations were often very low, making it difficult for doctors to make accurate judgments. Video EEG, on the other hand, can greatly improve the positive rate and accuracy of EEG examinations by monitoring and recording in real time for a long period of time. Video EEG examination, which includes eye opening and closing, flash stimulation, hyperventilation evoked test, temporal bone electrode examination and sleep induction, etc. The examination time is divided into 2 hours and 24 hours according to the patient’s needs and condition. Video EEG can precisely guide patients on medication treatment of epilepsy is a long and arduous process. Taking antiepileptic drugs can control clinical seizures, but when to discontinue antiepileptic drugs helps to reduce the recurrence rate of epilepsy, which is a major challenge in the treatment of epilepsy. Recently
In recent times, a young boy with epilepsy for many years came to the district Chinese hospital for medical treatment, and ate antiepileptic drugs for five years to control his condition.
The family also thought that the child’s condition was completely under control, so they brought the child to ask the doctor if he could stop taking the antiepileptic drugs. In order to determine whether the boy’s condition was under control, Peng Zhiqiang, director of neurosurgery at the district hospital, asked the boy to undergo a 24-hour video EEG at the hospital.
In order to determine whether the boy’s condition was under control, Peng Zhiqiang, director of neurosurgery at the district hospital, asked the boy to do a 24-hour video EEG at the hospital to determine whether the boy’s condition was stable. After the feedback from the 24-hour video EEG, the boy’s condition was indeed under control with medication, but the doctor found that the boy had no seizures during the day.
However, the doctor found that the boy’s condition was not attacked during the day, but at night, from the video EEG test, he still had attacks from time to time. Therefore, Peng Zhiqiang, director of neurosurgery at the district hospital, believes that the boy should not stop taking the medication and should continue to use it.
The boy has to continue his treatment with medication. Peng Zhiqiang, director of neurosurgery at the district hospital, told reporters that in addition to monitoring the patient’s behavioral activity, the video EEG can also monitor the EEG activity for 24 hours continuously, and it is very important to use the video EEG monitoring results as a guide for the patient’s medication, surgery, etc.