Emergent Admissions to the Epilepsy Monitoring Unit in the Setting of COVID-19 Pandemic-related, State-mandated Restrictions: Clinical Decision Making and Outcomes.

The Neurodiagnostic Journal
Rodrigo ZepedaRohit R Das

Abstract

Due to the coronavirus disease 2019 (COVID-19) pandemic, the state of Texas-limited elective procedures to conserve beds and personal protective equipment (PPE); therefore, between March 22 and May 18, 2020, admission to the epilepsy monitoring unit (EMU) was limited only to urgent and emergent cases. We evaluated clinical characteristics and outcomes of these patients who were admitted to the EMU. Nineteen patients were admitted (one patient twice) with average age of 36.26 years (11 female) and average length of stay 3 days (range: 2-9 days). At least one event was captured on continuous EEG (cEEG) and video monitoring in all 20 admissions (atypical in one). One patient had both epileptic (ES) and psychogenic non-epileptic seizures (PNES) while 10 had PNES and 9 had ES. In 8 of 9 patients with ES, medications were changed, while in 5 patients with PNES, anti-epileptic drugs (AED) were stopped; the remaining 5 were not on medications. Of the 14 patients who had seen an epileptologist pre-admission, 13 (or 93%) had their diagnosis confirmed by EMU stay; a statistically significant finding. While typically an elective admission, in the setting of the COVID-19 pandemic, urgent and emergent EMU admissions were required for increas...Continue Reading

References

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Mar 27, 2019·Seizure : the Journal of the British Epilepsy Association·Tanvir U SyedMohamad Z Koubeissi
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Jun 9, 2020·Annals of Neurology·Igor J Koralnik, Kenneth L Tyler
Aug 8, 2020·Epileptic Disorders : International Epilepsy Journal with Videotape·Tiziana GranataRodrigo Rocamora
Sep 19, 2020·Epilepsy Currents·Dara V F AlbertAatif M Husain
Jan 26, 2021·Journal of Infection and Public Health·P Parthasarathy, S Vivekanandan

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