[Personal View] Diagnostic challenges in epilepsy: seizure under-reporting and seizure detection

Epileptic seizures vary greatly in clinical phenomenology and can markedly affect the patient's quality of life. As therapeutic interventions focus on reduction or elimination of seizures, the accurate documentation of seizure occurrence is essential. However, patient self-evaluation compared with objective evaluation by video-electroencephalography (EEG) monitoring or long-term ambulatory EEG revealed that patients document fewer than 50% of their seizures, on average, and that documentation accuracy varies significantly over time.

Source: Lancet Neurology - February 14, 2018 Category: Neurology Authors: Christian E Elger, Christian Hoppe Tags: Personal View Source Type: research