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NEUROLOGY 1985;35:166
© 1985 American Academy of Neurology

The clinical utility of ambulatory cassette EEG

Samuel L. Bridgers, MD and John S. Ebersole, MD

Department of Neurology, Yale University School of Medicine, New Haven, and the Epilepsy Center, Veterans Administration Medical Center, West Haven, CT.

We obtained ambulatory EEG monitoring (A/EEG) before intensive monitoring in 33 patients newly referred to an epilepsy center. The A/EEG yield of evidence to support a diagnosis of epilepsy was 83% of that of intensive monitoring and 2.5 times that of routine EEG. Accuracy of A/EEG analysis was confirmed by two blind reviews for each tape, with only three misreadings among 99 interpretations rendered. Among 25 patients with specifically diagnostic referrals, A/EEG served the purpose of admission as well as intensive monitoring in 60%. Episodes not accompanied by A/EEG change required behavioral observation for correct identification.

Address correspondence and reprint requests to Dr. Bridgers, Epilepsy Center, VA Medical Center, West Spring Street, West Haven, CT 06516.

Dr. Bridgers is a Merritt-Putnam Clinical Research Fellow of the Epilepsy Foundation of America.

Accepted for publication May 11, 1984.




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