Abstracts

Rationale: Analyze the impact of the video-EEG unit on the diagnosis and treatment of drug resistant epilepsy in a high-complexity public hospital, from the admission until the resolution of the disease. Methods: We analyzed all the recordings from the Video-EEG Unit of El Cruce "Nestor Carlos Kirchner" Hospital, from January 2014 to December 2017. The following variables were analyzed: Diagnosis, deep electrodes implantation, resective surgery, seizure freedom. Results: Patients admitted to the video-EEG unit (2014-2017): 189. Patients with drug resistant focal epilepsy 88.2% (temporal lobe epilepsy 48.6%, extratemporal epilepsy 33.3%, other 6.3%) NES 10.5%, generalized epilepsy 1.3 % . From the total of patients who were candidates for surgery, 22.2% underwent resective surgery and 13.7% underwent deep electrodes implantation. Fifty seven % of surgical patients remain seizure free one year after surgery. In order to calculate the percentage of patients in whom it is possible to controlled epilepsy or improve their quality of life, we add the percentage of patients with NES who were under psychopathological treatment, reaching 67.5%. Conclusions: Video-EEG unit is an important resource in the resolution of drug resistant epilepsy patients and NES, associated with a multidisciplinary approach (neurology, neurophysiology, psychopathology, neuropsychology, neuroimaging and neurosurgery).The unfeasibility of performed this study delays the diagnosis and appropriate treatment, increasing the poor quality of life and emphasize the direct and indirect costs of the disease Funding: No support was received.