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
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
收藏
页码:533 / 536
页数:4
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