Seizure semiology inferred from clinical descriptions and from video recordings. How accurate are they?

Epilepsy & Behavior : E&B
Simona Alexandra BeniczkySándor Beniczky

Abstract

To assess how accurate the interpretation of seizure semiology is when inferred from witnessed seizure descriptions and from video recordings, five epileptologists analyzed 41 seizures from 30 consecutive patients who had clinical episodes in the epilepsy monitoring unit. For each clinical episode, the consensus conclusions (at least 3 identical choices) based on the descriptions and, separately, of the video recordings were compared with the clinical conclusions at the end of the diagnostic work-up, including data from the video-EEG recordings (reference standard). Consensus conclusion was reached in significantly more cases based on the interpretation of video recordings (88%) than on the descriptions (66%), and the overall accuracy was higher for the video recordings (85%) than for the descriptions (54%). When consensus was reached, the concordance with the reference standard was substantial for the descriptions (k=0.67) and almost perfect for the video recordings (k=0.95). Video recordings significantly increase the accuracy of seizure interpretation.

Citations

Dec 3, 2014·Epilepsy & Behavior : E&B·Bo JinShuang Wang
Sep 13, 2015·Seizure : the Journal of the British Epilepsy Association·Stoyan PopkirovJörg Wellmer
Oct 9, 2016·Epilepsia·Peter Wolf, Sándor Beniczky
May 24, 2019·The Journal of Neuropsychiatry and Clinical Neurosciences·Stoyan PopkirovJon Stone
Jan 22, 2020·JAMA Neurology·William O TatumUNKNOWN OSmartViE Investigators
Sep 17, 2020·Journal of Environmental and Public Health·Joseph O Yaria, Adesola Ogunniyi
Aug 18, 2018·Frontiers in Neurology·Wenke GrönheitJörg Wellmer
Dec 15, 2020·Epilepsy & Behavior : E&B·Blandine Dozières-PuyravelStéphane Auvin
Jan 21, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Lorenzo RicciUNKNOWN Epilepsy Study Group of the Italian Neurological Society
Jan 20, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·William O TatumUNKNOWN OSmartViE Collaborators
Feb 22, 2021·Epilepsy & Behavior : E&B·Cemal KarakasZulfi Haneef

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