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Long Term Video Monitoring (LTVM) is a specialized form of electroencephalogram (EEG)(LINK TO EEG) in which the patient is continuously monitored on video while brainwave activity is recorded. A specially trained EEG technician will carefully attach EEG electrodes to your head. Upon beginning this procedure you must remain still and in a flat position for a short period of time for the electrodes to be successfully and accurately applied. The EEG data is recorded continuously during your stay and reviewed daily by the registered technician and the neurology team. The attached EEG wires are long enough for you to move about within the LTVM rooms. You will be unable to wash your hair or shower until the monitoring is completed, however you may wash at the sink or use wash basins that are provided.
The LTVM patient rooms are hardwired with infrared video cameras and microphones to capture any events during your stay. You will be provided with an event button. This event button should be used at the beginning of each seizure to notify the nursing and technician team. Please note the location of the camera in your room. If an episode of unusual movements or a seizure occurs, please do not block the camera.
We ask that patients are accompanied by a family member or loved one during their stay. All rooms where LTVM takes place will be equipped with comfortable bedding for their overnight stays.
Triggering a Seizure
Triggers are situations that can bring on a seizure in some people with epilepsy. Triggers can differ from person to person, but common triggers include tiredness and lack of sleep, flashing lights, stress, alcohol and not taking prescribed medications. The goal of your stay is to identify triggers for your seizures and establish a specific type of epilepsy. During your stay, our physician team may reduce your intake of anti-seizure medication, or you may be asked to remain awake later than usual to cause sleep deprivation. With this in-depth evaluation, our team will be able to create an individualized treatment plan.
How to Prepare for LTVM
Patients are typically admitted to the unit on a Monday. Patient stays within the Epilepsy Monitoring Unit typically range from three to five days.
On the day of admission, please bring the following items:
All current medications
Recent seizure calendar and description of seizures
Activities to keep busy, such as books, games, puzzles, and laptops. Cable TV is available in patient rooms.
On the morning of admission, we ask that you shower or bathe, but do not use any hair products such as conditioner or gel, eat breakfast, and take medications as directed. We recommend patients wear comfortable bottoms and shirts that open at the front.
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