Epilepsy Monitoring Unit
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Epilepsy Monitoring Unit

Epilepsy Monitoring Unit

Our Epilepsy Monitoring Unit at Hoboken University Medical Center and Bayonne Medical Center is provided in collaboration with United Neuro Diagnostic Services. It offers individuals a respectful, compassionate setting that makes diagnosing and monitoring seizures easier.

Our goal is to give individuals and their physicians a better understanding of what’s happening so that a cohesive plan can be made to confidently treat the underlying condition.

Services
Electroencephalography (EEG) measures electrical activity in the brain, detecting abnormalities that can be evaluated by studying waveform and responses to stimuli. As a primary test for confirming a diagnosis of epilepsy and other brain disorders, EEG monitoring is used to:

  • Determine the type of seizure for the right course of treatment
  • Distinguish epileptic seizures from other types of episodes, such as psychogenic epileptic seizures and other movement disorders
  • Pinpoint where in the brain the abnormal activity is occurring
  • View brain activity during surgery

We offer three types of EEG tests:
1. Routine EEG monitoring (20–40 minutes)
In less than an hour, this test measures electrical activity in the brain using electrodes that are attached to an EEG machine.

2. Ambulatory EEG monitoring (24, 48, 72 hours)
With the electrodes attached to a portable recording device, this comprehensive study is used to:

  • Assess a sudden and temporary loss of consciousness (syncope)
  • Confirm an epilepsy diagnosis
  • Confirm seizure episodes that the patient may not be aware of
  • Evaluate the effectiveness of an epilepsy treatment (or treatment for other seizure disorders)

Why go beyond “routine”?

Electrical activity within the brain fluctuates constantly from second to second. If abnormal activity occurs in the brain once every several hours or only at certain times of the day (or night), the routine EEG might not record it during a 40-minute sample. Ambulatory EEG allows patients to record for a consistent period of time.

3. Long-term video EEG monitoring
In addition to measuring electrical activity in the brain, this approach records a simultaneous video image and audio. The results can be compared during a seizure later on to help identify:

  • A diagnosis of epilepsy
  • The exact location of where the seizures are occurring
  • The type of seizures occurring

Our team provides full-service support for practitioners and patients.

Complete record services: One of our experienced technologists downloads, reviews and verifies the quality of the patient recording.

Review and report: Review of the full study and creation of shortened “clips” accompanied by a report detailing any patient events by one of our ABRET-registered EEG technologists.

Results reviewed by epileptologist: an interpretation of the results is performed by a UNDS-affiliated board certified epileptologist or by the patient’s own neurologist.

Secure data: We provide secure backup and online access of the patient’s EEG data.

Epileptology consult (additional service)
We offer patients referral services for consultation with an affiliated board certified epileptologist. Patients may be referred as a result of:

  • An unclear epilepsy diagnosis
  • Being seizure-free for a long time with a desire to discontinue anti-epileptic medication
  • Medication not being a completely successful treatment
  • The type of epilepsy not being established (despite confirmation of a seizure disorder)
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