The spectrum of indications for ultralong-term EEG monitoring

Imprecise documentation of epileptic seizures based on patient-based reporting has been described in several inpatient- and outpatient investigations [2,3,7,12,19,23]. The lack of precision of patient reports affects semiological description and seizure classification based thereon [15] as well as underreporting and overreporting of seizure frequency [11,12]. As diagnostic decisions as to the classification of seizures as epileptic or non-epileptic, therapeutic decisions as to medical or non-medical treatment strategies and medicolegal evaluations as to driving and working capabilities have so far been based on patients’ reporting, the question arises as to whether new technologies which have recently become available for objective seizures monitoring [10,30] may improve this situation.

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