[Safety study of long-term video-electroencephalogram monitoring]

Abstract

Introduction: The increased morbidity and mortality and poorer quality of life associated with drug-resistant epilepsy justify admitting patients to epilepsy monitoring units (EMU). These units employ methods that promote the occurrence of seizures, which involves a risk of secondary adverse events. The aim of our study is to characterise and quantify these adverse events in a Spanish EMU.

Materials and methods: A descriptive, longitudinal and retrospective study of patients admitted consecutively to our EMU. Patients admitted due to status epilepticus, clusters of seizures, or as participants in a clinical trial were excluded.

Results: We included 175 patients, of whom 92.1% (161) did not suffer any adverse events. Status epilepticus was present in 3.4% (6); 1.7% (3) had traumatic injury, 1.7% (3) had interictal or postictal psychosis, and 1.1% (2) had cardiorespiratory impairment. There were no risk factors associated with these adverse events.

Conclusions: The most frequently-identified adverse events were status epilepticus, traumatic injury, interictal or postictal psychosis, and cardiorespiratory disorders. The frequency of these adverse events was similar to that seen in international literature. The complications detected do not contraindicate VEEGM.

Keywords: Adverse event; Complicaciones; Complications; Epilepsia; Epilepsy; Fenómeno adverso; Lesión traumática; Muerte súbita en epilepsia; Safety; Seguridad; Status epilepticus; Sudden unexpected death in epilepsy; Traumatic injury; Video-electroencephalogram; Vídeo-electroencefalograma.