S10-4. Role of the medical doctors in longterm VIDO-EEG monitoring

Abstract

Long-term video-electroencephalography monitoring (LTM) in epilepsy monitoring units (EMUs) is an essential and most meaningful investigation for diagnosis of epilepsy, classification of epileptic seizures and pre-surgical evaluation of patients with intractable localization-related epilepsy. The tapering of antiepileptic drugs is commonly used to record seizures efficiently. However, this practice may expose patients to serious adverse events, such as falls, status epilepticus, psychiatric complication, cardiac events and pulmonary complications. The issue of patients’ safety during LTM is one of the most important tasks. Before the starting of the LTM, the patients’ information (seizure type and frequency, history of seizure clusters, status epilepticus, and postictalpsychosis, number, dosage, and type of AEDs) must be shared in multidisciplinary conference, Based on these information, the AED tapering and safety plan should be developed for each patient. Furthermore, staff education improve patients’ supervision by nurses and EEG technicians, and immediate review of adverse events. The information and knowledge sharing by all the EMU staff might be most important for the patients‘ safety and efficient seizure recording.