Features of clinical polymorphism and etiology of seizures
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Ultima descărcare din IBN:
2021-11-29 10:44
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616.853:616-071-02-092 (1)
Neurologie. Neuropatologie. Sistem nervos (963)
SM ISO690:2012
GROPPA, Stanislav. Features of clinical polymorphism and etiology of seizures. In: 5th European teaching course on neurorehabilitation, Ed. 5, 1-4 iunie 2015, Cluj-Napoca. Cluj-Napoca, Romania: 2015, Ediția 5, p. 33.
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Dublin Core
5th European teaching course on neurorehabilitation
Ediția 5, 2015
Congresul "14th Congress of EU Society for CLinical Neuropharmacology"
5, Cluj-Napoca, Romania, 1-4 iunie 2015

Features of clinical polymorphism and etiology of seizures

CZU: 616.853:616-071-02-092

Pag. 33-33

Groppa Stanislav
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
Disponibil în IBN: 20 noiembrie 2021


Rezumat

This scientific work is based on video-EEG examination of the patients that took place in the Laboratory of Neurobiology and Medical Genetics, Institute of Emergency Medicine (Chisinau, Republic of Moldova). Video EEG monitoring (VEM) was made to assess the differential diagnosis of seizures, to classify the epileptic seizures or epileptic syndromes, localization of epileptic foci and antiepileptic drug selection. This study was undertaken from June 2006 to March 2015. Video-EEG monitoring was performed using a 21-channel Coherence system (Deltamed SA, Natus Medical Incorporated), including the registration of single-channel oculogram, single-channel ECG, EMG, recording of the respiratory movements of the chest. The duration of the monitoring was determined individually for each patient, and averaged between 30 minutes for a standard EEG recording, 4-8 hours for a daytime monitoring and 12-24-48-72 hours for night and long-term monitoring. Simultaneous recording with the current EEG provides indisputable diagnosis of paroxysmal events. Confirmation of the correct diagnosis allows cancellation of the unnecessary antiepileptic drugs and to choose the appropriate treatment. In our study, among patients whose clinical manifestations were recorded, based on the data obtained during the VEM, the preliminary diagnosis was changed in 39% of patients. Of the total of patients at diagnosis was changed in 39% of cases. The diagnosis changes in our patients regarding the type of epileptic seizures (partial or generalized), the diagnosis of epilepsy, epileptic manifestations and the transition from the category of unclassified seizures to classified. The diagnosis of non-epileptic seizures has been documented by VEM.

Cuvinte-cheie
epilepsy, epileptic seizure, EEG, VEM.