Prolonged video-EEG (continuous monitoring)

Prolonged video-EEG is a reference examination that combines the continuous recording of the brain's electrical activity (EEG) with synchronised video monitoring of the patient. This technique makes it possible to establish a precise correlation between the clinical manifestations observed and the corresponding cerebral electrical abnormalities. This examination is carried out over a prolonged period, ranging from a few hours to several days depending on the indications. The patient is admitted to a dedicated unit, under the constant supervision of a specialised team. The main objective is to capture spontaneous clinical events (epileptic seizures, faints, abnormal movements) and to analyse their electrophysiological correlate. Video-EEG is particularly crucial in the pre-surgical assessment of epilepsy, where it makes it possible to precisely locate the epileptogenic focus. It is also essential for distinguishing epileptic seizures from psychogenic non-epileptic seizures (PNES), a distinction that has major therapeutic implications. The Clinique Pasteur in Tunis has a video-EEG unit equipped with the latest-generation equipment, with high-definition infrared cameras for night-time monitoring and a digital recording system allowing detailed retrospective analysis.