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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
Clinical Neurophysiology ( IF 3.7 ) Pub Date : 2021-07-21 , DOI: 10.1016/j.clinph.2021.05.001
Sándor Beniczky 1 , Aatif Husain 2 , Akio Ikeda 3 , Haifa Alabri 4 , J Helen Cross 5 , Jo Wilmshurst 6 , Margitta Seeck 7 , Niels Focke 8 , Patricia Braga 9 , Samuel Wiebe 10 , Stephan Schuele 11 , Eugen Trinka 12
Affiliation  

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 to continue functioning of Epilepsy Monitoring Units 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 where reduction of antiseizure medication is not required, consider home video-EEG monitoring as an alternative in selected patients.



中文翻译:

在 COVID-19 大流行期间使用癫痫监测单位的重要性:国际抗癫痫联盟和国际临床神经生理学联合会的共识声明

COVID-19 大流行期间医疗保健服务的重组导致许多医院的癫痫监测单位 (EMU) 被封锁。国际抗癫痫联盟 (ILAE) 和国际临床神经生理学联合会 (IFCN) 的特别工作组强调了推迟对癫痫和其他阵发性事件患者进行视频脑电图监测的不利影响。工作组呼吁采取行动,在 COVID-19 大流行等紧急情况下继续开展癫痫监测单位的运作。长期视频脑电图监测是一项必不可少的诊断服务。必须高度重视对 EMU 中患者的视频脑电图监测。在入院前,应根据当地法规对患者进行 COVID-19 筛查。在视频脑电图监测期间,应遵守当地的 COVID-19 感染控制政策。在不需要减少抗癫痫药物的鉴别诊断情况下,考虑将家庭视频脑电图监测作为选定患者的替代方案。

更新日期:2021-08-20
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