Çocuk Sağlığı ve Hastalıkları Dergisi 2011 , Vol 54 , Num 1
*Kurthan Mert1, M. Özlem Hergüner2, Şakir Altunbaşak3, Faruk İncecik1
Çukurova Üniversitesi Tıp Fakültesi 1Pediatri Uzmanı, 2Pediatri Doçenti, 3Pediatri Profesörü Mert K, Hergüner MÖ, Altunbaşak Ş, İncecik F. (Department of Pediatrics, Çukurova University Faculty of Medicine, Adana, Turkey). The efficiency of short duration video-electroencephalography monitoring in the diagnosis of seizure and seizure-epilepsia classification. Çocuk Sağlığı ve Hastalıkları Dergisi 2011; 54: 16-21.

This prospective study was designed for assessing the effectiveness of short duration (3-4 hours) video-electroencephalography monitoring in the classification of localization-associated epilepsia and achieving differential diagnosis between seizure/pseudoseizure. For this purpose, short duration daily (3-4 hours) video-electroencephalography monitoring was applied to 75 children between October 2005 and October 2008. In the first group, 43 children who attended the pediatric neurology service with seizure-like complaints although with no differential diagnosis of seizure, pseudoseizure or paroxysmal disorder mimicking seizure and normal interictal electroencephalographies were evaluated. Their median age was 9.6±3.8 years (minimum 3, maximum 17). The second group included children who attended the hospital with partial seizure complaints and had a diagnosis of seizure type and localization with history and clinical examination and who had normal interictal electroencep halographies. Their median age was 9.62±3.8 years (minimum 3, maximum 16). In the first group, 11 children (25,6%) were diagnosed as epilepsia as a result of video-electroencephalography monitoring, while results in the other children were normal. In the second group, the compatibility of each patient’s clinical findings before video-electroencephalography monitoring and diagnosis after video-electroencephalography monitoring was evaluated statistically. When all of the participants were considered in this study, we found intermediate compatibility between clinical diagnosis and videoelectroencephalography monitoring (kappa=0.642). However, when six patients with occipital lobe seizure were excluded from this statistical study because of incompatibility between clinical diagnosis and electroencephalography findings, the compatibility was more advanced (kappa=0.775). Short duration daily video-electroencephalography monitoring was more sensitive for finding epileptic discharges, diagnosis of epilepsia and classification of seizure and epileptic syndromes than routine interictal electroencephalography. Anahtar Kelimeler : öbet, psödonöbet, epilepsi, lokalizasyon, video-elektroensefalografi monitörizasyon.

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