Diagnosing Epilepsy

Determining the correct diagnosis is critical for finding effective treatment for seizure disorders. While standard outpatient tests are often ineffective in diagnosing seizure disorders, video-EEG plays a key role in the diagnostic evaluation.

Patients referred to the Video-EEG Unit are usually admitted for one to four days. While admitted, EEG electrodes are applied to the scalp and remain for the entire evaluation. In video-EEG, a video camera captures the behaviors and movements during the seizure and also allows for monitoring by the nursing staff. The neurologist usually views the video and EEG images side by side on a split screen to see precisely how behavior during seizures is related to the electrical activity in the brain. Clinical decisions are made in consultation with the referring physician.

Video EEG Monitoring

The accurate diagnosis of epilepsy and other seizure disorders often requires performing prolonged outpatient or inpatient video-electroencephalography (video-EEG) monitoring.

This procedure uses a simultaneous video and EEG recording — a brain wave test used to detect abnormalities in the electrical activity of the brain — to document one or more of the patient's typical spells, in order to determine their cause, nature and optimal treatment.

Treating Children and Adults

The Jay and Linda Grunin Neuroscience Institute at Community Medical Center offers the only video-EEG service in the region for children, adolescents and adults. The program feature state-of-the-art computerized digital EEG and video equipment on both our pediatric and adults units.

About Our Video-EEG Program

Procedures offered include:

Video-EEG testing

Neuroimaging, including high-resolution magnetic resonance imaging (MRI) and positron emission tomography (PET) whole-body imaging

Reasons for admission to the Video-EEG Unit include:

Difficult diagnostic issues

Seizures uncontrolled by medications

Rapid change in medications in a supervised environment

Assessment of current therapy