TY  - JOUR
PY  - 2015//
TI  - Can an exercise bicycle be safely used in the epilepsy monitoring unit? An exercise method to provoke epileptic seizures and the related safety issues
JO  - Epilepsy and behavior
A1  - Kim, Jiyoung
A1  - Jung, Dae Soo
A1  - Hwang, Kyoung Jin
A1  - Seo, Ji-Hye
A1  - Na, Geon-Youb
A1  - Hong, Seung Bong
A1  - Joo, Eun Yeon
A1  - Seo, Dae-Won
SP  - 79
EP  - 83
VL  - 46
IS  - 
N2  - BACKGROUND AND PURPOSE: Long-term videoelectroencephalogram (video-EEG) monitoring is performed to diagnose an epileptic seizure and to investigate the differential diagnosis of paroxysmal events. To provoke an epileptic seizure, an exercise method is performed in some cases during long-term video-EEG recording in the epilepsy monitoring unit (EMU). The purpose of this study was two-fold: to assess the frequency and severity of adverse events associated with the use of an exercise bicycle and to find a way to safely use it in the EMU. <br><br>METHODS: A retrospective survey was performed on all epileptic seizure videos recorded in the EMU from January 2012 to December 2013. Three hundred and fifty patients were included in this study. <br><br>RESULTS: Eleven patients experienced an epileptic seizure while riding the exercise bicycle in the EMU. One patient's foot got stuck between the cycling pedal and its strap, and one patient fell off the exercise bicycle during the epileptic seizure. However, there were no serious adverse events over two years. <br><br>CONCLUSION: Epileptic seizures were not frequent while riding the exercise bicycle, and serious injuries did not occur. But, there is a need to improve the safety in the EMU to control the potentially dangerous factors associated with the use of the exercise bicycle and to continuously monitor the patients with help from the staff.<p />  <p>Language: en</p>
LA  - en
SN  - 1525-5050
UR  - http://dx.doi.org/10.1016/j.yebeh.2015.04.049
ID  - ref1
ER  -