Evaluation of absences and myoclonic seizures in adults with genetic (idiopathic) generalized epilepsy: a comparison between self-evaluation and objective evaluation based on home video-EEG telemetry (notice n° 611675)

détails MARC
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fixed length control field 03137cam a2200337 4500500
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control field 20250121162615.0
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Language code of text/sound track or separate title fre
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Personal name Elmali, Ayse Deniz
Relator term author
245 00 - TITLE STATEMENT
Title Evaluation of absences and myoclonic seizures in adults with genetic (idiopathic) generalized epilepsy: a comparison between self-evaluation and objective evaluation based on home video-EEG telemetry
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2021.<br/>
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General note 68
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Summary, etc. ObjectivePeople with focal epilepsies are known to under-document their seizures, but there is no data on self-documentation in adults with genetic (idiopathic) generalized epilepsy (GGE/IGE). We assessed the accuracy of self-evaluation of typical absences (TA) or myoclonic seizures (MS) in adults with IGE based on home video-EEG telemetry (HVET).MethodsPatients’ own estimates were compared to the objective count of definite TA and MS, performed visually. We considered definite TA as generalized spike-wave discharges (GSWD) that met any of the following criteria: 1) coinciding with clear behavioural arrest on video, 2) followed after a few seconds by positive indication that an absence occurred, or 3) in the absence of video, consistently coinciding with clear motor arrest, as evidenced by interruption of continuous muscle activity. For each patient, we also classified probable TA as GSWDs that were longer than those corresponding to the shortest definite TA on HVET or based on the most recent sleep-deprived EEG (SDEEG).ResultsFrom the first 300 consecutive adults who had HVET, 24 had IGE with TA and / or MS; 23 were women. Only one patient had newly diagnosed IGE. Erroneous self-assessment of TA and MS was noted in 16/24 patients (66.7%). Seizures were overestimated in nine (37.5%) and underestimated in seven (29.2%). Only one patient (4.2%) documented all her TA and MS without false-positive estimates. Overestimation (but not underestimation) of TA on HVET could be predicted when patients reported daily or multiple weekly TA and a recent SDEEG was either normal or contained only subclinical GSWD (p=0.0095).SignificanceUnder- and over-self-documentation of TA and MS occurred in two thirds of adults with GGE/IGE, with substantial impact on their outpatient management and treatment. Diagnostic HVET is a useful tool for the detection of erroneous self-evaluation in these patients.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element sleep EEG
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element over-reporting
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element impairment of awareness
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element under-reporting
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element absence status
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Begley, Kate
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Chester, Helen
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Cooper, Jade
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Moreira, Claudia
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Sharma, Simeran
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Whelan, Aoife
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Leschziner, Guy
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Richardson, Mark Philip
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Stern, Wiliam
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Koutroumanidis, Michalis
Relator term author
786 0# - DATA SOURCE ENTRY
Note Epileptic Disorders | Vol 23 | 5 | 2021-05-01 | p. 719-732 | 1294-9361
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-epileptic-disorders-2021-5-page-719?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-epileptic-disorders-2021-5-page-719?lang=en&redirect-ssocas=7080</a>

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