John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the

Under-reporting of nocturnal seizures using video-based home monitoring: a case study on the evaluation of the effect of vagal nerve stimulation Volume 20, issue 6, December 2018

Video

  • Under-reporting of nocturnal seizures using video-based home monitoring: a case study on the evaluation of the effect of vagal nerve stimulation

Figures

  • Figure 1
  • Figure 2

Tables

Authors
1 Tampere University, Faculty of Medicine and Health Technology, Tampere
2 Department of Clinical Neurophysiology, Tampere University Hospital, Tampere
3 Neuro Event Labs, Tampere
4 Department for Neurosurgery, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany
5 LivaNova Deutschland GmbH (a LivaNova PLC-owned subsidiary), Munich, Germany
6 Department of Neurology, Tampere University Hospital, Tampere, Finland
* Correspondence: Jukka Peltola Arvo Ylpön katu 34, 33520 Tampere, Finland
  • Key words: home monitoring, nocturnal seizure, VNS, diary video
  • DOI : 10.1684/epd.2018.1018
  • Page(s) : 535-40
  • Published in: 2018

A challenge in treating epilepsy is the accurate documentation of seizure frequency, which is needed in order to assess the benefits of ongoing treatment. We present a 17-year-old girl who underwent video-based monitoring in order to establish an accurate seizure count before and after the implantation of a vagus nerve stimulator to treat refractory epilepsy. The results show a reduction in disabling seizure types after vagus nerve stimulator implantation and highlight the inconsistencies between the reported and actual seizure count in this patient. Our case adds to the recognised issue of inaccurate seizure documentation. [Published with video sequence on www.epilepticdisorders.com]