Consensus-based guidelines for Video EEG monitoring in the pre-surgical evaluation of children with epilepsy in the UK

Abstract

PURPOSE: Paediatric Epilepsy surgery in the UK has recently been centralised in order to improve expertise and quality of service available to children. Video EEG monitoring or telemetry is a highly specialised and a crucial component of the pre-surgical evaluation. Although many Epilepsy Monitoring Units work to certain standards, there is no national or international guideline for paediatric video telemetry. METHODS: Due to lack of evidence we used a modified Delphi process utilizing the clinical and academic expertise of the clinical neurophysiology sub-specialty group of Children's Epilepsy Surgical Service (CESS) centres in England and Wales. This process consisted of the following stages I: Identification of the consensus working group, II: Identification of key areas for guidelines, III: Consensus practice points and IV: Final review. Statements that gained consensus (median score of either 4 or 5 using a five-point Likerttype scale) were included in the guideline. RESULTS: Two rounds of feedback and amendments were undertaken. The consensus guidelines includes the following topics: referral pathways, neurophysiological equipment standards, standards of recording techniques, with specific emphasis on safety of video EEG monitoring both with and without drug withdrawal, a protocol for testing patient's behaviours, data storage and guidelines for writing factual reports and conclusions. All statements developed received a median score of 5 and were adopted by the group. CONCLUSION: Using a modified Delphi process we were able to develop universally-accepted video EEG guidelines for the UK CESS. Although these recommendations have been specifically developed for the pre-surgical evaluation of children with epilepsy, it is assumed that most components are transferable to any paediatric video EEG monitoring setting.

Publication DOI: https://doi.org/10.1016/j.seizure.2017.05.008
Divisions: Life & Health Sciences > Psychology
Life & Health Sciences
Life & Health Sciences > Clinical and Systems Neuroscience
Life & Health Sciences > Aston Brain Centre
Additional Information: Copyright © 2017 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
Uncontrolled Keywords: Journal Article
Full Text Link:
Related URLs: https://www.sci ... 1401?via%3Dihub (Publisher URL)
PURE Output Type: Article
Published Date: 2017-08
Published Online Date: 2017-05-12
Accepted Date: 2017-05-12
Submitted Date: 2017-02-23
Authors: Pressler, Ronit M.
Seri, Stefano ( 0000-0002-9247-8102)
Kane, Nick
Martland, Tim
Goyal, Sushma
Iyer, Anand
Warren, Elliott
Notghi, Lesley
Bill, Peter
Thornton, Rachel
Appleton, Richard
Doyle, Sarah
Rushton, Sarah
Worley, Alan
Boyd, Stewart G.
, CESS Clinical Neurophysiology working group

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