Appointment Date: ______________________________________________________________
Appointment Times: ___________________ Admission office on the 2nd floor at the main hospital entrance
___________________ D6/4 EMU – Epilepsy Monitoring Unit
What is video EEG monitoring?
A Video EEG helps us to find out more about the kind of seizures you are having. During the test, a camera records your behavior. This is paired with an EEG recording of your brain wave activity. Sometimes movements may look like seizures, but they are not. If you have seizures, this study will help us learn how strong the seizures are and how often the seizures occur. We are also looking to find out what part of the brain the seizures are coming from.
This test will also help to decide if you are having silent seizures. These are seizures that occur without any physical signs, but changes can be seen on the EEG.
This test will take place in the hospital and can take between 1-5 days to complete.
Please call your insurance company to find out if this test and hospital stay is covered. Some do not cover it. Some need a referral from your primary doctor first. If this is the case, ask your doctor for the referral letter right away. It often takes insurance companies 2-4 weeks to decide on coverage. They will let you know what they decide. Feel free to contact the Admissions Information desk at (608) 263-8770 if you have any questions or need help. This process can be very complicated, contact the staff at the Epilepsy program if you have any questions. The number is (608) 263-9578.
Before the procedure
If you have any special needs, please call the staff on the Neurology Unit (D6/4) at (608) 263-8380 in advance. You may choose to wear a hospital gown or your own clothes. Your shirt or blouse must button or zip in the front. This makes it easier to change when the EEG wires (leads) are in place. Wash your hair the night before the test. Please avoid any hair conditioners, gels or sprays. In order to obtain the best test results, your medicine will likely be reduced. We may ask you to go without sleep in order to start a seizure. You may want to bring items to pass the time like books, videos, puzzles, games, hobbies or art supplies. There is free Wi-Fi available and you may bring a cell phone and other electronic devices for use, don’t forget to bring your charger! You may also want to bring your favorite pillow.
The day of the test
Arrive 30 minutes before the test is scheduled and check in at admissions.
After you have been seen in admissions, you will be directed to your inpatient room. Once in your room, an EEG technologist will go over the test with you.
Wires will be secured to your head. They will be wrapped with gauze to keep the wires from getting tangled or pulled off. A neurologist who will take part in your test will see you.
A camera and a microphone are mounted on the wall of your room. Audio and video recording will begin right away. The EEG staff will watch you and the EEG from another room. You will have an intravenous (IV) line placed in one of your arms in case you need IV seizure medicines. Your normal seizure medicines will be decreased to encourage a seizure and you may be deprived of sleep. This can result in more severe and/or more frequent seizures (status epilepticus). If this occurs, your doctor will decide what treatment is best for you.
If you feel a seizure coming on, you will be asked to tell the staff by pressing an event button. If you have an adult family or friend with you, they will be asked to press the event button when they see a seizure occur. Please let us know if the event you are having is typical or not. This will help the doctor review and interpret the results.
You will be confined to your room. This includes your bed, the area around the bed, and the toilet and sink area with privacy curtain. You may have a seatbelt placed around your waist while in bed or in a chair for safety. A TV and radio with local channels are found in each room. You may request a cot in your room for a family member or friend. Your overnight guest will be able to use the TLC family showers as needed. A small light is left on in the room all night so you can be seen clearly in the video. You will eat your meals in the room. Friends and family may bring their own food or go to the cafeteria and bring back food so they can eat with you. Your friends and family may also order from the cafeteria and have the food delivered to the room. They must have the exact amount to pay for it.
After the test
While you are being tested, your doctor may see a part of the EEG and be able to give you preliminary results. Formal results are most often ready in 1-2 weeks. When you get home, call to schedule a clinic visit to review the results with your neurologist. Your seizure medicine will be resumed before you go home. When you go home, you will need to have someone stay with you the first night in case you have increased seizures or any other problems.
If you have any questions about the test, please call the Comprehensive Epilepsy Clinic Nurse or talk to your nurse while you are in the hospital. If you need to change the date or time of the test, please call your Epilepsy nurse.
Comprehensive Epilepsy Clinic at (608) 263-9578 If you live out of the area, please call 1-800-323-8942. Ask for the Epilepsy Clinic Nurse.