%0 Journal Article
%T Evaluation of the Simultaneous EEG-ECG Recordings of the Patients in Video EEG Monitorization Units in Regard to the Arrhythmias.
%A P£¿nar UZUN USLU
%J -
%D 2019
%X Video EEG monitoring (VEM) units are used for simultaneous ECG monitoring with two electrodes. The presence of ECG recordings may also indicate cardiac arrhythmias, which may ocur in the interictal or periictal period, as well as the differentiation of EEG artifacts from epileptic discharges. These arrhythmias are also thought to lead to sudden unexpected deaths (SUDEP: sudden epilepsy death). The aim of this study was to evaluate the simultaneous EEG-ECG recordings of the patients who were followed in VEM units and to determine the factors that may be related to the identification of the arrhythmias. EEG-ECG recordings and seizure semiology of the patients who were followed in VEM unit between March 2014 and February 2016 were retrospectively analyzed. Age, gender, seizure classification, seizure number, presence of arrhythmia, type of arrhythmia and their relation with each other were evaluated. Of the 165 patients included in the study, 45.4% (n: 75) were female and 54.5% (n: 90) were male. The mean age of the females was 34 ¡À 3 years and the mean age of the males was 49 ¡À 5 years. EEG-ECG and seizure findings of all these patients were evaluated. 77% (n: 127) of the patients were focal and 23% (n: 38) were generalized epilepsy patients. Of the total recorded 370 focal seizures, 62,9% (n:233) were temporal, 24,8% (n:92) were frontal, 9% (n:35) were from parieto occipital origin. Ictal tachycardia was found in 35% (n:82) of the temporal lobe-induced seizures, 50% (n:46) of the frontal lobe seizures and 11% (n:4) of the parieto-occipital seizures. Ictal tachycardia was detected in 87% (n:69) of 79 generalized seizures. In 5.6% (n:13) of the temporal lobe-induced seizures , 2.2% (n: 2) of frontal seizures and 1% (n: 8) of primary generalized seizures were ictal bradycardia. In patients with temporal epilepsy was detected ictal asystole 0.43% (n:1).The aim of this study was to determine frequency of rhythm disorders that may occur in epilepsy, the relationship between seizure semiology and EEG
%K £¿ktal EKG
%K iktal ta£¿ikardi
%K SUDEP
%K £¿ktal bradikardi
%U http://dergipark.org.tr/uutfd/issue/43858/468093