[Video-EEG description of epileptic seizures]

Digital electroencephalography with simultaneous video-EEG recording gives invaluable information for the diagnosis of epileptic seizures, so that motor episodes which seem to be of cerebral origin may not show electrical correlation or on the other hand, electroencephalographic seizures may not be accompanied by clinical changes.

The differential diagnosis between the different types of epileptic seizures and between these and non-epileptic motor episodes, have, in this technique, great application as does the monitoring of doubtful seizures. We have recorded a large number of epileptic seizures with electrical correlation. In some of these cases it may be seen that the start of the episode, which clinically appeared to be generalized, showed an initial focal discharge although it became secondarily generalized.

We believe that this is not an expensive investigation when rationally used for a specific purpose, knowing what we are looking for (when this is possible). We particularly recommend synchronized recordings in neonatology, where the identification of seizures is difficult.