THE SIGNIFICANCE OF AMBULATORY EEG AT-HOME TESTING

Until recently, long-term EEG-video monitoring was only done in a hospital setting. These studies are frequently expensive, unpleasant, and uncomfortable for patients. However, advances in computer storage, processing, and video remote access have allowed EEG-video to transition from an in-patient to an ambulatory or home situation. In-home EEG testing saves money and improves patient satisfaction, making AEEG with video the Gold Standard in EEG testing.

Because tests are conducted in the patient’s most comfortable environment, this is also where a patient’s normal stressors that trigger a seizure-like occurrence occur. Patients who are unable to drive, reside in remote locations, are disabled or bedridden or have small children and other substantial family commitments will benefit from the ease of in-home AEEG.

Instead of being confined to an EMU hospital bed, ambulatory EEG-Video allows the doctor to understand what the patient’s symptoms are during their regular day with flexibility and portability. Another advantage of in-home AEEGs is that they can record a patient’s natural sleep pattern for up to five days. Because up to 75% of seizures or irregularities occur at night, this is crucial.

Clear audio of the patient, video of the patient, EEG waveforms, and patient description of daily occurrences should all be included in a high-quality AEEG. When these data elements are merged, the doctor gets a high diagnostic yield, which means better patient care, diagnosis, and treatment.

Patients nowadays are on the move. The device is kept in a tiny bag with a shoulder strap that makes it easy to carry. They can work, look after their children and pets, keep up with basic domestic chores, and, of course, sleep in their own bed rather than a hospital bed. They can go out for short periods of time if necessary. Leads are bonded on with collodion, just like in an EMU lab, for a more durable application than gauze and paste. A technologist logs into our AEEG testing at least three times a day for quality assurance.

Seer Medical suggests the patient/family patient’s not disturbed the electrodes that are attached to the scalp during the patient set-up and to stay on camera as much as possible during all waking and sleeping hours. They teach the patient and his or her family how to use the laptop and camera, as well as the need of confirming that the patient is centered on the screen on a regular basis.

They also require the patient to perform a daily “eye test” consisting of eye closing and opening with no talking, chewing, smiling, or other movements to give a baseline for us. The scanning techs can cross-reference this baseline by noting the daily eye exam in the Patient Diary.

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