我们依靠自我报告来确定癫痫发作频率,以做出决定。但是人们经常误报癫痫发作。这里,我们确定了成人失神癫痫的误报率,接受住院视频脑电图遥测(VET)或门诊动态脑电图(aEEG)。漏报率基于VET数据,可以评估行为的地方,而过度报告使用VET和aEEG评估。42名患者(31名女性和11名男性,中位年龄28.5岁)和759例报告的失神发作被纳入本研究.总的来说,759例报告的癫痫发作中只有24%与脑电图相关,表明高的超额报告率,发生在57%的患者中。年龄,性别,癫痫的时间,VET和aEEG,癫痫综合征或药物治疗并不是过度报告的显著预测因素.在我们可以评估报告过多和报告不足的VET组中(22名患者),只有两个病人正确地报告了他们的癫痫发作,患者主要是过度记者或低于记者,不是两者。据报道,423例失神发作中只有26%。使用唑尼沙胺或丙戊酸盐与漏报有关,可能是通过对注意力的影响。这些发现表明,由于报告过多和报告不足,自我报告的AS是用于治疗决策的不良衡量标准。
We depend upon self-reporting to determine seizure frequency for epilepsy management decisions, but people often misreport their seizures. Here, we determined misreporting rates in adults with absence seizures, undergoing inpatient video-EEG telemetry (VET) or outpatient ambulatory electroencephalography (aEEG). Under-reporting rates were based on VET data, where behavior could be assessed, whilst over-reporting was assessed using both VET and aEEG. Forty-two patients (31 female and 11 males, median age 28.5 years) and 759 reported absence seizures were included in this study. Overall, only 24% of the 759 reported seizures had an associated EEG correlate, indicating a high over-reporting rate, which occurred in 57% of patients. Age, sex, time of epilepsy, VET versus aEEG, epilepsy syndrome, or medication were not significant predictors of over-reporting. In the VET group in which we could assess both over- and under-reporting (22 patients), only 2 patients correctly reported their seizures, and patients were predominantly over-reporters or under-reporters, not both. Only 26% of 423 absence seizures were reported. Use of zonisamide or valproate was associated with under-reporting, possibly through an impact on attention. These findings indicate that self-reported absence seizures are a poor measure to use for treatment decisions due to both over- and under-reporting.