Video-EEG Monitoring

Video-EEG monitoring is a method of prolonged, multi-hour recording of the brain's bioelectric activity (electroencephalogram, EEG) synchronized with continuous video recording. In some cases, the term "video-EEG monitoring of the brain" is used, which is redundant because the word "encephalogram" already contains the root "encephalo-", meaning "relating to the brain."

Video-EEG monitoring is indicated for:

• Diagnosing epilepsy: To determine the specific form of epilepsy, seizure type, and epileptogenic focus location prior to initiating epilepsy treatment.
• Assessing treatment efficacy in seizure-free patients: To objectively evaluate treatment effectiveness by monitoring changes in epileptiform activity while on medication.
• Dosage reduction prior to treatment discontinuation: To detect potential epileptic activity when tapering doses, which indicates a risk of seizure recurrence upon further dose reduction or complete withdrawal.
• Refractory or persistent seizures: To re-evaluate the diagnosis and determine further management strategies when seizures remain uncontrolled.
• Pregnancy: To rule out potential seizure relapse caused by hormonal shifts affecting antiepileptic drug concentrations.