Cavanna, Andrea E. and Seri, Stefano (2016). Neurophysiological investigations for the diagnosis of non-epileptic attack disorder in neuropsychiatry services: from safety standards to improved effectiveness. Acta Neuropsychiatrica, 28 (4), 185 - 194.
Abstract
OBJECTIVE: The discipline of clinical neuropsychiatry currently provides specialised services for a number of conditions that cross the traditional boundaries of neurology and psychiatry, including non-epileptic attack disorder. Neurophysiological investigations have an important role within neuropsychiatry services, with video-electroencephalography (EEG) telemetry being the gold standard investigation for the differential diagnosis between epileptic seizures and non-epileptic attacks. This article reviews existing evidence on best practices for neurophysiology investigations, with focus on safety measures for video-EEG telemetry. METHODS: We conducted a systematic literature review using the PubMed database in order to identify the scientific literature on the best practices when using neurophysiological investigations in patients with suspected epileptic seizures or non-epileptic attacks. RESULTS: Specific measures need to be implemented for video-EEG telemetry to be safely and effectively carried out by neuropsychiatry services. A confirmed diagnosis of non-epileptic attack disorder following video-EEG telemetry carried out within neuropsychiatry units has the inherent advantage of allowing diagnosis communication and implementation of treatment strategies in a timely fashion, potentially improving clinical outcomes and cost-effectiveness significantly. CONCLUSION: The identified recommendations set the stage for the development of standardised guidelines to enable neuropsychiatry services to implement streamlined and evidence-based care pathways.
Publication DOI: | https://doi.org/10.1017/neu.2016.10 |
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Divisions: | College of Health & Life Sciences > School of Psychology College of Health & Life Sciences College of Health & Life Sciences > Clinical and Systems Neuroscience College of Health & Life Sciences > Aston Institute of Health & Neurodevelopment (AIHN) |
Additional Information: | © Scandinavian College of Neuropsychopharmacology 2016. The final publication is available via Cambridge Journals Online at https://doi.org/10.1017/neu.2016.10 |
Uncontrolled Keywords: | epilepsy,neuropsychiatry,non-epileptic attack disorder,safety,video-EEG telemetry,Psychiatry and Mental health,Biological Psychiatry |
Publication ISSN: | 1601-5215 |
Last Modified: | 09 Oct 2024 07:14 |
Date Deposited: | 19 May 2016 12:55 |
Full Text Link: | |
Related URLs: |
http://www.scop ... tnerID=8YFLogxK
(Scopus URL) https://www.cam ... 12484F5802FFCFC (Publisher URL) |
PURE Output Type: | Review article |
Published Date: | 2016-08-01 |
Published Online Date: | 2016-03-23 |
Accepted Date: | 2016-02-22 |
Authors: |
Cavanna, Andrea E.
Seri, Stefano ( 0000-0002-9247-8102) |