2024
Automatic responsiveness testing in epilepsy with wearable technology: The ARTiE Watch
Wheeler L, Kremen V, Mersereau C, Ornelas G, Yadav T, Cormier D, Derry A, Lopez A, McQuown K, Sladky V, Benjamin C, Giacino J, Worrell G, Blumenfeld H, Team S. Automatic responsiveness testing in epilepsy with wearable technology: The ARTiE Watch. Epilepsia 2024, 66: 104-116. PMID: 39559901, PMCID: PMC11817799, DOI: 10.1111/epi.18181.Peer-Reviewed Original ResearchCloud infrastructureElectrographic seizuresSmartphone softwareMobile platformWearable technologySmartwatchTest sequencesMonitor unit settingsVideo-electroencephalographic monitoringLong-term video-electroencephalographic monitoringEpilepsy monitoring unitMayo ClinicDiagnostic evaluationDecreased responseUnit settingSeizuresBehavioral responsesPlatformAssessment of behavioral responsesMonitor unitsEpilepsyResponse phenotypesWatchResponse testEvaluation of behavioral responsesMultifocal Epilepsy and Non-dominant Cingulate Lesion
Herlopian A, Gray T, Quraishi I. Multifocal Epilepsy and Non-dominant Cingulate Lesion. 2024, 393-429. DOI: 10.1007/978-3-031-23828-4_18.ChaptersMultifocal epilepsyEEG findings of patientsFindings of patientsAnti-seizure medicationsPrognostic roleSurgical outcomesEEG findingsEEG changesCingulate epilepsyHabitual seizuresIctal tachycardiaAnterior cingulate gyrusEpilepsy monitoring unitVascular lesionsIctal speechPredictive valueOutcome determinantsPatientsMonitor unitsCingulate cortexEpilepsyCingulate gyrusCingulateCortexEEG
2022
Evaluating consciousness and awareness during focal seizures: responsiveness testing versus recall testing
Ramirez V, Litvinov B, Gunawardane NA, Zhao CW, Yotter C, Quraishi IH, Blumenfeld H. Evaluating consciousness and awareness during focal seizures: responsiveness testing versus recall testing. Epileptic Disorders 2022, 24: 899-905. PMID: 35904040, PMCID: PMC10042123, DOI: 10.1684/epd.2022.1472.Peer-Reviewed Original ResearchConceptsFocal seizuresResponsiveness testingCurrent International LeagueClinical practice settingEEG-video monitoringEpilepsy monitoring unitImportant clinical settingsEpilepsy guidelinesPatient groupFocal epilepsyIctal eventsClinical careInternational LeagueSeizuresPatientsClinical settingPractice settingsClassification guidelinesFurther studiesEpilepsyResponsivenessRecall of experiencesPreliminary findingsRecall testingSetting
2021
Neurology residents’ education in functional seizures
Milligan T, Yun A, LaFrance W, Baslet G, Tolchin B, Szaflarski J, Wong V, Plioplys S, Dworetzky B. Neurology residents’ education in functional seizures. Epilepsy & Behavior Reports 2021, 18: 100517. PMID: 35243288, PMCID: PMC8857462, DOI: 10.1016/j.ebr.2021.100517.Peer-Reviewed Original ResearchFunctional neurological disorderFunctional seizuresNeurology residentsNeurology residency program directorsResidency program directorsEpilepsy monitoring unitEvidence-based treatmentsNeurology resident educationProgram directorsLow response rateResponse rateNeurological disordersFrequent settingPatientsMajority of programsDiagnosisNeurology residencySeizuresClinical rotationsResident educationTreatmentResidencyCurriculum gapsStandardized modelDidactic lecturesSimulated driving in the epilepsy monitoring unit: Effects of seizure type, consciousness, and motor impairment
Kumar A, Martin R, Chen W, Bauerschmidt A, Youngblood MW, Cunningham C, Si Y, Ezeani C, Kratochvil Z, Bronen J, Thomson J, Riordan K, Yoo JY, Shirka R, Manganas L, Krestel H, Hirsch LJ, Blumenfeld H. Simulated driving in the epilepsy monitoring unit: Effects of seizure type, consciousness, and motor impairment. Epilepsia 2021, 63: e30-e34. PMID: 34816425, PMCID: PMC8883409, DOI: 10.1111/epi.17136.Peer-Reviewed Original ResearchConceptsSeizure typesFocal seizuresMotor functionMotor impairmentYale-New Haven HospitalVideo-electroencephalographic monitoringAbnormal motor functionEpilepsy monitoring unitNew Haven HospitalImpaired consciousnessMyoclonic seizuresRetrospective studySeizure characteristicsMotor involvementIctal eventsImpaired drivingLarge cohortSeizuresImpairmentPatientsResponsivenessDriving restrictionsVideo reviewMonitoring unitEpilepsy
2020
Antiepileptic drug withdrawal and seizure severity in the epilepsy monitoring unit
Duy PQ, Krauss GL, Crone NE, Ma M, Johnson EL. Antiepileptic drug withdrawal and seizure severity in the epilepsy monitoring unit. Epilepsy & Behavior 2020, 109: 107128. PMID: 32417383, DOI: 10.1016/j.yebeh.2020.107128.Peer-Reviewed Original ResearchConceptsEpilepsy monitoring unitBilateral tonic-clonic seizuresSevere seizure typeTonic-clonic seizuresFocal seizuresSeizure typesAED doseLorazepam administrationAntiepileptic drug reductionAntiepileptic drug withdrawalDrug withdrawal ratesReceiver-operating characteristic curveRisk of complicationsAED dosageAED withdrawalEMU stayConsecutive patientsSeizure clustersAED reductionDrug withdrawalSeizure severityPresurgical patientsDrug reductionSeizuresEffective dose
2019
Comparison of intranasal midazolam versus intravenous lorazepam for seizure termination and prevention of seizure clusters in the adult epilepsy monitoring unit
Owusu KA, Dhakar MB, Bautista C, McKimmy D, Cotugno S, Sukumar N, Deng Y, Farooque P, Hirsch LJ, Maciel CB. Comparison of intranasal midazolam versus intravenous lorazepam for seizure termination and prevention of seizure clusters in the adult epilepsy monitoring unit. Epilepsy & Behavior 2019, 98: 161-167. PMID: 31374472, DOI: 10.1016/j.yebeh.2019.07.021.Peer-Reviewed Original ResearchConceptsEpilepsy monitoring unitAdult epilepsy monitoring unitIntravenous lorazepamIntensive care unitIntranasal midazolamRescue therapySeizure clustersSeizure terminationSingle tertiary academic centerStandard rescue therapyDouble-blind studyTertiary academic centerIndex seizureAdverse eventsBaseline characteristicsConsecutive adultsMedian durationRetrospective cohortRecurrent seizuresStatus epilepticusCare unitRetrospective studyEpilepsy severityBenzodiazepine administrationMedian number
2016
50 Hz hippocampal stimulation in refractory epilepsy: Higher level of basal glutamate predicts greater release of glutamate
Cavus I, Widi GA, Duckrow RB, Zaveri H, Kennard JT, Krystal J, Spencer DD. 50 Hz hippocampal stimulation in refractory epilepsy: Higher level of basal glutamate predicts greater release of glutamate. Epilepsia 2016, 57: 288-297. PMID: 26749134, DOI: 10.1111/epi.13269.Peer-Reviewed Original ResearchConceptsBasal glutamate levelsRefractory epilepsyGlutamate effluxBasal glutamateGlutamate levelsElectrical stimulationEpileptic hippocampusGlutamate releaseSeizure groupHz stimulationBrain glutamate releaseHippocampus of patientsStimulation-induced increaseEpilepsy monitoring unitStimulation-induced changesEpileptogenic hippocampusInduced seizuresSeizure inductionSpontaneous seizuresInterictal levelsGlutamate increaseAtrophic hippocampusElectroencephalography evaluationHippocampal stimulationHippocampal electrodes
2009
How Long Does It Take to Make an Accurate Diagnosis in an Epilepsy Monitoring Unit?
Friedman DE, Hirsch LJ. How Long Does It Take to Make an Accurate Diagnosis in an Epilepsy Monitoring Unit? Journal Of Clinical Neurophysiology 2009, 26: 213-217. PMID: 19584746, DOI: 10.1097/wnp.0b013e3181b2f2da.Peer-Reviewed Original ResearchConceptsInterictal epileptiform dischargesEpilepsy monitoring unitDefinite epilepsyNonepileptic eventsEpileptic seizuresEpileptiform dischargesAccurate diagnosisMore daysPercent of patientsConsecutive adult patientsExistence of patientsAdult patientsInterictal electroencephalographyMedian timeRetrospective reviewPresurgical evaluation
2007
Diagnostic Utility of an Epilepsy Monitoring Unit
Smolowitz JL, Hopkins SC, Perrine T, Eck KE, Hirsch LJ, Mundinger M. Diagnostic Utility of an Epilepsy Monitoring Unit. American Journal Of Medical Quality 2007, 22: 117-122. PMID: 17395968, DOI: 10.1177/1062860606298295.Peer-Reviewed Original ResearchConceptsEpilepsy monitoring unitSymptom onsetAntiepileptic drugsDefinitive diagnosisDiagnostic utilityAdult epilepsy monitoring unitEpilepsy surgery referralSpecialized epilepsy centersStandard antiepileptic drugsVideo-electroencephalographic monitoringMedian durationEpilepsy centersReferral patternsAdmissionMonitoring unitDiagnosisEpilepsyDrugsTreatmentGuidelinesOnsetReviewYearsPatientsSeizures
2003
Tonic–Absence Seizures: An Underrecognized Seizure Type
Shih TT, Hirsch LJ. Tonic–Absence Seizures: An Underrecognized Seizure Type. Epilepsia 2003, 44: 461-465. PMID: 12614405, DOI: 10.1046/j.1528-1157.2003.39602.x.Peer-Reviewed Original ResearchConceptsSymptomatic generalized epilepsySeizure typesTonic seizuresGeneralized epilepsyAbsence seizuresMultiple seizure typesParoxysmal fast activityEpilepsy monitoring unitSlow spikeElectroclinical patternClinical patternStatic encephalopathyClinical correlatesClinical correlationTonic activityInternational LeagueFast activitySeizuresNormal cognitionPatientsEpilepsy diagnosisEpilepsyGPFAMonitoring unitEncephalopathy
2002
Video‐EEG Monitoring in the Elderly: A Review of 94 Patients
McBride AE, Shih TT, Hirsch LJ. Video‐EEG Monitoring in the Elderly: A Review of 94 Patients. Epilepsia 2002, 43: 165-169. PMID: 11903463, DOI: 10.1046/j.1528-1157.2002.24401.x.Peer-Reviewed Original ResearchConceptsVideo-EEG monitoringMajority of patientsNonepileptic eventsPsychogenic seizuresPatient admissionsEpileptiform dischargesColumbia-Presbyterian Medical CenterEpilepsy monitoring unitInterictal epileptiform dischargesAntiepileptic medicationsElderly patientsIncreased incidenceDefinitive diagnosisDiagnostic evaluationNonepileptic seizuresMedical CenterElderly populationPatientsAverage ageEpileptic seizuresInterictal recordingsSeizuresElderly leadsAge groupsParoxysmal events
2001
The Ontogeny of Partial Seizures in Infants and Young Children
Nordli D, Kuroda M, Hirsch L. The Ontogeny of Partial Seizures in Infants and Young Children. Epilepsia 2001, 42: 986-990. PMID: 11554883, DOI: 10.1046/j.1528-1157.2001.042008986.x.Peer-Reviewed Original ResearchConceptsPartial seizuresYounger patientsFunction of agePediatric epilepsy monitoring unitFocal epilepsy surgeryEpilepsy monitoring unitAge group 0Frequency of auraYoung childrenAnticonvulsive medicationDystonic posturingSecondary generalizationPediatric populationTonic posturingClinical manifestationsEpilepsy surgeryIctal patternsClinical expressionSuch seizuresGroup 0SeizuresPatientsEEG characteristicsAnterior regionAge
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