{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T14:48:10Z","timestamp":1789397290202,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,11,16]],"date-time":"2021-11-16T00:00:00Z","timestamp":1637020800000},"content-version":"vor","delay-in-days":46,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Epileptic Disorders"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>. People with focal epilepsies are known to under\u2010document their seizures, but there is no data on self\u2010documentation in adults with genetic (idiopathic) generalized epilepsy (GGE\/IGE). We assessed the accuracy of self\u2010evaluation of typical absences (TA) or myoclonic seizures (MS) in adults with IGE based on home video\u2010EEG telemetry (HVET).<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>. Patients' own estimates were compared to the objective count of <jats:italic>definite<\/jats:italic> TA and MS, performed visually. We considered definite TA as generalized spike\u2010wave discharges (GSWD) that met any of the following criteria: 1) coinciding with clear behavioural arrest on video, 2) followed after a few seconds by positive indication that an absence occurred, or 3) in the absence of video, consistently coinciding with clear motor arrest, as evidenced by interruption of continuous muscle activity. For each patient, we also classified <jats:italic>probable<\/jats:italic> TA as GSWDs that were longer than those corresponding to the shortest <jats:italic>definite<\/jats:italic> TA on HVET or based on the most recent sleep\u2010deprived EEG (SDEEG).<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>. From the first 300 consecutive adults who had HVET, 24 had IGE with TA and \/ or MS; 23 were women. Only one patient had newly diagnosed IGE. Erroneous self\u2010assessment of TA and MS was noted in 16\/24 patients (66.7%). Seizures were overestimated in nine (37.5%) and underestimated in seven (29.2%). Only one patient (4.2%) documented all her TA and MS without false\u2010positive estimates. Overestimation (but not underestimation) of TA on HVET could be predicted when patients reported daily or multiple weekly TA and a recent SDEEG was either normal or contained only subclinical GSWD (<jats:italic>p<\/jats:italic>=0.0095).<\/jats:p><jats:p><jats:italic>Significance<\/jats:italic>. Under\u2010 and over\u2010self\u2010documentation of TA and MS occurred in two thirds of adults with GGE\/IGE, with substantial impact on their outpatient management and treatment. Diagnostic HVET is a useful tool for the detection of erroneous self\u2010evaluation in these patients.<\/jats:p>","DOI":"10.1684\/epd.2021.1325","type":"journal-article","created":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T07:05:30Z","timestamp":1635231930000},"page":"719-732","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Evaluation of absences and myoclonic seizures in adults with genetic (idiopathic) generalized epilepsy: a comparison between self\u2010evaluation and objective evaluation based on home video\u2010EEG telemetry"],"prefix":"10.1002","volume":"23","author":[{"given":"Ayse Deniz","family":"Elmali","sequence":"first","affiliation":[{"name":"Department of Clinical Neurophysiology Guy's and St Thomas' NHS Foundation Trust London UK"},{"name":"Department of Clinical Neurophysiology and Neurology Istanbul University, Faculty of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Begley","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurophysiology Guy's and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Chester","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurophysiology Guy's and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jade","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurophysiology Guy's and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Moreira","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurophysiology Guy's and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simeran","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurophysiology Guy's and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aoife","family":"Whelan","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurophysiology Guy's and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Leschziner","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology &amp; Neuroscience, King's College London London UK"},{"name":"Department of Neurology Guy's and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Philip","family":"Richardson","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology &amp; Neuroscience, King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiliam","family":"Stern","sequence":"additional","affiliation":[{"name":"Department of Neurology Guy's and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michalis","family":"Koutroumanidis","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurophysiology Guy's and St Thomas' NHS Foundation Trust London UK"},{"name":"Institute of Psychiatry, Psychology &amp; Neuroscience, King's College London London UK"},{"name":"Department of Neurology Guy's and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2010.04.001"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(18)30038-3"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1983.04210070009004"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004691-200101000-00004"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2009.05.009"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0902014"},{"issue":"1","key":"e_1_2_9_8_1","first-page":"S3","article-title":"Past, present and future of home video\u2010electroencephalographic telemetry: a review of the development of in\u2010home video\u2010electroencephalographic recordings","volume":"61","author":"Brunnhuber F.","year":"2020","journal-title":"Epilepsia"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/epi.13709"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2008.01702.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1684\/epd.2017.0935"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.24.7.659"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2008.02001.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.47.1.260"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2012.09.004"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/89.3.531"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.36.8.1021"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000313148.34629.1d"},{"key":"e_1_2_9_19_1","first-page":"3","article-title":"Photosensitivity in epilepsy. 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