Notes on video EEG examination

  1.The day before the examination, you should wash your hair and not apply hair care products such as oil, hair wax or mousse to set your hair. The physician will decide whether to shave the head according to the patient’s condition and the purpose of the examination.  2.After entering the video EEG monitoring ward, turn off wireless communication devices such as cell phones, radios, walkie-talkies and wireless Internet access to avoid interfering with the recording of EEG and affecting the quality of monitoring.  3. Video EEG monitoring can record the video and audio data of the patient during seizures, so that the symptomatology of the patient’s seizure process can be accurately analyzed, which are extremely important for epilepsy localization and diagnosis. Make sure to ask the patient to move within the video monitoring area (including urination and defecation); family members should avoid doing frequent and unnecessary activities within the video monitoring area and not to lie in the same bed with the patient (especially over 3 years old) to avoid affecting the symptomatology analysis during the patient’s seizure; patients and family members should not make loud noises in the monitoring ward and keep the monitoring environment quiet and orderly all the time.  4. Patients must be careful to protect the electrode wires and amplifiers and other examination equipment during monitoring, avoid tugging and bending the electrode wires, avoid loosening the scalp electrodes by hand, and do not move the amplifiers; bedside guardrails can play a role in protecting patients, if there is no special need, do not lower the bedside guardrails by yourself to avoid increasing the risk of unnecessary monitoring.  5. If the patient is taking oral antiepileptic drugs, for those who need to observe clinical seizures, please follow the doctor’s instructions to reduce or stop the medication. Take antiepileptic drugs immediately after the examination to avoid sustained seizures.  6. If the patient has a pre-seizure premonition, or if the family finds suspicious signs of seizure, quickly press the bedside pager to notify the monitoring technician and nurse to arrive. Also quickly lift the patient’s body coverings (e.g., quilt, etc.) to avoid their obscuring the seizure symptoms. As long as the patient does not self-injure, injure or pull the electrode wires, family members can guard the bedside and protect the patient as necessary, but they should keep an appropriate distance from the patient, do not cover the patient’s face, upper limbs and other important parts, do not hold the patient’s limbs, and do not press the patient forcibly.