A survey of ictal physical examination during VEEG monitoring in a tertiary epilepsy center  

作　　者：Yinping Li Xiaoying Hu Shufang Zhang Jiani Chen 

机构地区：[1]Department of Neurology,West China School of Nursing,Sichuan University/West China Hospital,Sichuan University,Chengdu 610041,China [2]Department of Neurology,West China Hospital,Sichuan University,No.37 Guoxue Road,Chengdu 610041,China

出　　处：《Acta Epileptologica》2024年第2期130-136,共7页癫痫学报（英文）

基　　金：supported by the West China Nursing Discipline Development Special Fund Project,Sichuan University(HXHL20004).

摘　　要：Background Ictal examination based on video-based electroencephalography(EEG)is crucial for locating and lat-eralizing seizures.In this study,we aimed to evaluate the quality of ictal examination in the Comprehensive Epilepsy Center of West China Hospital,Sichuan University,in order to provide information for quality improvement in daily clinical practice.Methods Video recordings of 100 patients with epilepsy were retrospectively reviewed.The performance of the ictal examination was independently reviewed by two epileptologists using an ictal examination protocol.Results In this retrospective analysis,589 seizure episodes from 100 patients with epilepsy were reviewed.The ages of the patients ranged from 3 to 77 years,with a mean age of 25.8±12.8 years.Among the 589 seizure episodes,a majority(93.7%)were focal seizures.For 226(38.4%)seizures,the medical staff arrived at the bedside.Among them,153(153/226,64.7%)seizure episodes,the medical staff arrival at the bedside within 30 s of onset,and 120(120/226,53.1%)seizures were tested by the medical staff.The compliance rates for"safety"and"visibility"reached 80%or higher while"naming","retelling",and“memory testing”only reach less than 3%.Conclusions Our survey identified the main problems in ictal assessments.It is challenging to complete a standard-ized examination for new trainees at Epilepsy Monitoring Units.Regularly strengthening training in ictal examination and understanding of semiology may improve patients’examination ability.However,further study of the implemen-tation of training is necessary.

关 键 词：EPILEPSY Ictal examination Video EEG 

分 类 号：R742.1[医药卫生—神经病学与精神病学]