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outcome of video EEG monitoring in a referral epilepsy unit / By Dr.Aya Salah Ahmed Agamy ; Supervised by Prof. Dr. Saly Hassan Elkholy, Prof. Dr. Nirmeen Adel Kishk, Prof. Dr. Amani Mahmoud Nawito, Prof. Dr. Reem Atef El Hadidy

By: Contributor(s): Material type: TextTextLanguage: English Summary language: English Spoken language: Arabic Producer: 2022Description: 98 pages : illustrations ; 25 cm. + CDContent type:
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Other title:
  • اﻟﻨﺎﺗﺞ اﻟﺘﺸﺨﯿﺼﻲ ﻟﻠﺘﺨﻄﯿﻂ اﻟﺪﻣﺎﻏﻲ ﺑﺎﻟﻔﯿﺪﯾﻮ ﻓﻲ وﺣﺪة ﺗﺨﺼﺼﯿه ﻻﺿﻄﺮاب ﻛﮭﺮﺑﯿﺔ اﻟﻤﺦ [Added title page title]
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  • Issued also as CD
Dissertation note: Thesis (Ph.D)-Cairo University, 2022. Summary: Epilepsy is a common and serious neurological disorder. The correct and proper timely diagnosis may improve the outcome and saves medical costs. Purpose This work is intended to audit the EEG referrals and VEEG recording parameters to improve the EEG service in the epilepsy unit at Kasr Alainy hospital. Methods This is a retrospective observational study that conducted on all the referral requests for video EEG of the patients who attended to the Cairo University Epilepsy Unit (CUEU) during the period from January 2019 to December 2019. All the data in the referral requests, VEEG records and the EEG reports were reviewed. Results 156 records were reviewed from which 121 met the inclusion criteria. 54.5% of the EEG records were normal. There was a statistically significant difference between the proportions of focal/generalized seizures assumed by referral semiology versus EEG results (P <0.001). The median latency to 1st recorded IEDs was 7 minutes, most of them (78.8%) were appeared during the first 30 minutes of record. After 2 hours of recording, no more records showed IEDs. There was no significant correlation between the duration of EEG record and latency to 1 st recorded IEDs (r = 0.209, p = 0.125). Regarding the differences between the generalized and focal epilepsy group, there was a significant difference regarding the duration of EEG record and the latency to 1st IEDs, more in the focal group (P=0.014 &P=0.026) respectively. Conclusion The criteria of selecting patients for VEEG need to be better defined. Proper history must be taken by specialized epileptologist, fulfilling data in the referral request for VEEG is mandatory. The exact duration of EEG recording must be flexible according to each case to balance between the potential utility of prolonged studies against the costSummary: مرض اضطراب كهربية المخ هو اضطراب عصبي شائع وخطير. يمكن أن يؤدي مراقبة التخطيط الدماغي للمخ بالفيديو إلى تغييرات حاسمة في كل من تشخيص ومتابعة المرض. ولتحسين استخدام فحص التخطيط الدماغي قمنا بمراجعة جميع البيانات في طلبات الإحالة ، و تسجيلات التخطيط الدماغي بالفيديو وتقارير الفحوصات ، وتم تصنيف السجلات في مجموعات وفقًا لنتائج التخطيط الدماغي. و قد أظهرت النتائج انه يلزم تحديد معايير اختيار المرضى لإجراء تخطيط كهربية الدماغ بالفيديو بشكل أفضل.و أنه إذا كان التشخيص المسبق للمريض متسقًا مع اضطراب كهربية المخ العام ، فقد يتم تحديد مدة أقصر للتخطيط الدماغي بالفيديو. وأظهرت أيضا أن معدل التكرار الشهري للنوبات المعتادة ومدة تسجيل التخطيط الدماغي لا تنبئ بوجود تغيرات في الفحص
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.21.Ph.D.2022.Ay.O. (Browse shelf(Opens below)) Not for loan 01010110088175000

Thesis (Ph.D)-Cairo University, 2022.

Bibliography: pages 78-96.

Epilepsy is a common and serious neurological disorder. The correct and
proper timely diagnosis may improve the outcome and saves medical costs.
Purpose This work is intended to audit the EEG referrals and VEEG recording parameters
to improve the EEG service in the epilepsy unit at Kasr Alainy hospital.
Methods This is a retrospective observational study that conducted on all the referral
requests for video EEG of the patients who attended to the Cairo University Epilepsy Unit
(CUEU) during the period from January 2019 to December 2019. All the data in the referral
requests, VEEG records and the EEG reports were reviewed.
Results 156 records were reviewed from which 121 met the inclusion criteria. 54.5% of
the EEG records were normal. There was a statistically significant difference between the
proportions of focal/generalized seizures assumed by referral semiology versus EEG results (P
<0.001). The median latency to 1st recorded IEDs was 7 minutes, most of them (78.8%) were
appeared during the first 30 minutes of record. After 2 hours of recording, no more records
showed IEDs. There was no significant correlation between the duration of EEG record and
latency to 1 st recorded IEDs (r = 0.209, p = 0.125). Regarding the differences between the
generalized and focal epilepsy group, there was a significant difference regarding the duration of
EEG record and the latency to 1st IEDs, more in the focal group (P=0.014 &P=0.026)
respectively.
Conclusion The criteria of selecting patients for VEEG need to be better defined. Proper
history must be taken by specialized epileptologist, fulfilling data in the referral request for
VEEG is mandatory. The exact duration of EEG recording must be flexible according to each
case to balance between the potential utility of prolonged studies against the cost

مرض اضطراب كهربية المخ هو اضطراب عصبي شائع وخطير. يمكن أن يؤدي مراقبة التخطيط الدماغي للمخ بالفيديو إلى تغييرات حاسمة في كل من تشخيص ومتابعة المرض. ولتحسين استخدام فحص التخطيط الدماغي قمنا بمراجعة جميع البيانات في طلبات الإحالة ، و تسجيلات التخطيط الدماغي بالفيديو وتقارير الفحوصات ، وتم تصنيف السجلات في مجموعات وفقًا لنتائج التخطيط الدماغي. و قد أظهرت النتائج انه يلزم تحديد معايير اختيار المرضى لإجراء تخطيط كهربية الدماغ بالفيديو بشكل أفضل.و أنه إذا كان التشخيص المسبق للمريض متسقًا مع اضطراب كهربية المخ العام ، فقد يتم تحديد مدة أقصر للتخطيط الدماغي بالفيديو. وأظهرت أيضا أن معدل التكرار الشهري للنوبات المعتادة ومدة تسجيل التخطيط الدماغي لا تنبئ بوجود تغيرات في الفحص

Issued also as CD

Text in English and abstract in Arabic & English.

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