in: Current Treatments for Epilepsy , Prof. Gökhan Kurt, Editor, IntechOpen, London, pp.1-22, 2025
Electroencephalography (EEG) remains clinically essential for the classification and diagnosis of epilepsy. Video-EEG is a combined, up-to-date record of the EEG and the patient’s clinical behavior. It allows clinical signs and symptoms already acquired in the patient’s past clinical history to be correlated with final EEG changes. Video-EEG monitoring (VEM) is a critical tool for the differential diagnosis, differentiation, and pre/post-treatment evaluation of epilepsy. It provides a detailed description of clinical symptoms and analysis of associated EEG changes. It is the gold standard for the differential diagnosis of epileptic seizures from paroxysmal events such as organic non-epileptic seizures or psychogenic non-epileptic seizures. Quantification contributes to the classification of seizure types and epilepsy. It provides valuable information for predicting seizure frequency and identifying precursor triggers. It guides treatment processes together with neuroimaging and psychometric evaluations for pre-epilepsy surgery evaluation. This chapter will comprehensively present the application procedure, evaluation, clinical diagnosis, and the role of video-EEG in treatment processes.