Outpatient ambulatory EEG as an option for XXXX surgery evaluation instead of inpatient EEG telemetry.

@entity1 @entity410 @entity1463 @entity302 @entity9872
Outpatient ambulatory EEG is more cost-effective than inpatient EEG telemetry and may provide adequate @entity410 localization in a presurgical evaluation. A 51-year-old right-handed male had been unable to work or drive since the age of 35 due to intractable partial onset @entity302 . A 72-hour outpatient ambulatory EEG recorded 18 @entity410 from the right temporal region. No @entity302 was seen in the left hemisphere. Magnetic resonance imaging showed right mesial @entity1463 as well as an area of @entity9872 at the medial inferior right temporal lobe. Neuropsychological assessment found that the @entity1 was a good neurosurgery candidate. At this point, the @entity1 was considered to be a candidate for a right temporal lobectomy. A standard right temporal lobectomy was performed. The @entity1 has been @entity410 -free for 10  months after the surgery. Follow-up EEGs show no @entity302 . The @entity1 is preparing to go back to work, and his driver's license was reinstated 9  months postsurgery. Neuropsychological reassessment is pending, but no apparent change in cognition has been noticed by the @entity1 or his family. Cases with a high congruence between diagnostic imaging and the EEG abnormalities identified in the portable EEG may provide enough information regarding @entity410 frequency and localization to eliminate the need for inpatient EEG telemetry in the evaluation of @entity1 for @entity302 surgery. We believe that the use of aEEG in preoperative planning should be restricted to cases of TLE and to @entity1 with a high frequency of @entity410 .
