Importance of access to epilepsy monitoring units during the COVID-19 pandemic: consensus statement of the International League Against Epilepsy and the International Federation of Clinical Neurophysiology

被引：4

作者：

Beniczky, Sandor ^{[1
,2
]}

Husain, Aatif ^{[3
,4
]}

Ikeda, Akio ^{[5
]}

Alabri, Haifa ^{[6
]}

Cross, J. Helen ^{[7
,8
,9
]}

Wilmshurst, Jo ^{[10
]}

Seeck, Margitta ^{[11
]}

Focke, Niels ^{[12
]}

Braga, Patricia ^{[13
]}

Wiebe, Samuel ^{[14
]}

Schuele, Stephan ^{[15
]}

Trinka, Eugen ^{[16
,17
,18
,19
]}

机构：

[1] Aarhus Univ Hosp, Dept Clin Neurophysiol, Neurol, Aarhus, Denmark

[2] Danish Epilepsy Ctr, Dianalund, Denmark

[3] Duke Univ, Med Ctr, Dept Neurol, Durham, NC USA

[4] Vet Affairs Med Ctr, Neurodiagnost Ctr, Durham, NC USA

[5] Kyoto Univ, Dept Epilepsy Movement Disorders & Physiol, Grad Sch Med, Kyoto, Japan

[6] Sultan Qaboos Univ, Sultan Qaboos Univ Hosp, Dept Med, Neurol Unit, Muscat, Oman

[7] Great Ormond St Hosp Sick Children, UCL NIHR BRC Great Ormond St Inst Child Hlth, London, England

[8] ERN EpiCARE, Bron, France

[9] Young Epilepsy Lingfield, Dormansland, England

[10] Univ Cape Town, Red Cross War Mem Childrens Hosp, Neurosci Inst, Dept Paediat Neurol, Cape Town, South Africa

[11] Univ Geneva, Med Fac, Univ Hosp Geneva, EEG & Epilepsy Unit, Geneva, Switzerland

[12] Univ Med Ctr, Dept Neurol, Gottingen, Germany

[13] Univ Republica, Hosp Clin, Fac Med, Inst Neurol, Montevideo, Uruguay

[14] Univ Calgary, Dept Clin Neurosci, Calgary, AB, Canada

[15] Northwestern Univ, Dept Neurol, Feinberg Sch Med, Chicago, IL 60611 USA

[16] Paracelsus Med Univ, Christian Doppler Univ Hosp, Dept Neurol, Salzburg, Austria

[17] Ctr Cognit Neurosci, Salzburg, Austria

[18] Christian Doppler Univ Hosp, Neurosci Inst, Salzburg, Austria

[19] UMIT Univ Hlth Sci Med Informat & Technol, Dept Publ Hlth Hlth Serv Res & Hlth Technol Asses, Hall In Tirol, Austria

来源：

EPILEPTIC DISORDERS | 2021年 / 23卷 / 04期

关键词：

COVID-19; pandemic; epilepsy monitoring units (EMUs); ILAE; IFCN; video-EEG; EEG; MISDIAGNOSIS; SURGERY; MORTALITY; CHILDREN;

D O I：

10.1684/epd.2021.1292

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Restructuring of healthcare services during the COVID-19 pandemic has led to lockdown of epilepsy monitoring units (EMUs) in many hospitals. The ad-hoc taskforce of the International League Against Epilepsy (ILAE) and the International Federation of Clinical Neurophysiology (IFCN) highlights the detrimental effect of postponing video-EEG monitoring of patients with epilepsy and other paroxysmal events. The taskforce calls for action for continued functioning of EMUs during emergency situations, such as the COVID-19 pandemic. Long-term video-EEG monitoring is an essential diagnostic service. Access to video-EEG monitoring of the patients in the EMUs must be given high priority. Patients should be screened for COVID-19, before admission, according to the local regulations. Local policies for COVID-19 infection control should be adhered to during the video-EEG monitoring. In cases of differential diagnosis in which reduction of antiseizure medication is not required, home video-EEG monitoring should be considered as an alternative in selected patients.

引用

页码：533 / 536

页数：4

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