Baud, Maxime O.; Schindler, Kaspar; Rao, Vikram R. (2021). Under-sampling in epilepsy: Limitations of conventional EEG. Clinical neurophysiology practice, 6, pp. 41-49. Elsevier 10.1016/j.cnp.2020.12.002
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The cyclical structure of epilepsy was recently (re)-discovered through years-long intracranial electroencephalography (EEG) obtained with implanted devices. In this review, we discuss how new revelations from chronic EEG relate to the practice and interpretation of conventional EEG. We argue for an electrographic definition of seizures and highlight the caveats of counting epileptiform discharges in EEG recordings of short duration. Limitations of conventional EEG have practical implications with regard to titrating anti-seizure medications and allowing patients to drive, and we propose that chronic monitoring of brain activity could greatly improve epilepsy care. An impending paradigm shift in epilepsy will involve using next-generation devices for chronic EEG to leverage known biomarkers of disease state.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology |
UniBE Contributor: |
Baud, Maxime, Schindler, Kaspar Anton |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2467-981X |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Chantal Kottler |
Date Deposited: |
03 Dec 2021 10:16 |
Last Modified: |
05 Dec 2022 15:54 |
Publisher DOI: |
10.1016/j.cnp.2020.12.002 |
PubMed ID: |
33532669 |
Uncontrolled Keywords: |
Chronic EEG Chronobiology Circadian Interictal epileptiform activity Multidien |
BORIS DOI: |
10.48350/161318 |
URI: |
https://boris.unibe.ch/id/eprint/161318 |
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