Epilepsy, dissociative seizures, and mixed: associations with time to video-EEG

Video-electroencephalographic monitoring (VEM) is critical to the evaluation and treatment of patients with medication resistant epilepsy, defined by failure of two adequate trials of tolerated, appropriately-chosen antiseizure medications (ASM) at appropriate doses [1,2]. While some studies demonstrated that early surgical therapy for epilepsy may be more effective, the time from first seizure to VEM (TVEM) remains around 20 years and VEM remains underutilized [3 –20]. For comparison, it typically takes 9 years to meet the definition of medication resistant epilepsy [13].
Source: Seizure: European Journal of Epilepsy - Category: Neurology Authors: Source Type: research
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