Video EEG is the single most important test for diagnosing difficult epilepsy cases. If you or a family member has seizures that aren't responding to medication, or if doctors are unsure about the diagnosis, video EEG provides the answers that a routine EEG cannot. 📍 Two Locations, Flexible Options At our clinic: Short-term video EEG (up to 3 hours) and extended monitoring (3-6 hours) At KD Hospital: Both short-term and long-term video EEG (24-72 hours or longer) What is Video EEG? Video EEG combines two things: continuous brain wave recording (EEG) and synchronized video of the patient. Unlike a routine EEG that lasts 20-40 minutes, video EEG monitoring continues for 24 to 72 hours — sometimes longer. Why the difference matters: A routine EEG captures a snapshot. Video EEG captures the full picture. Seizures don't happen on schedule. Many patients have normal routine EEGs despite having epilepsy. Video EEG increases the chance of recording an actual seizure — and when we capture one, we can see exactly what happens in the brain at that moment. Why is Video EEG Done? 1. Seizure Classification Not all seizures are the same. Focal seizures start in one part of the brain. Generalized seizures involve the whole brain. Video EEG shows us exactly where seizures begin and how they spread. 2. Pre-Surgical Evaluation For patients considering epilepsy surgery, video EEG is essential. Video EEG localizes the seizure onset zone — the specific brain region that needs to be treated. 3. Differentiating Epilepsy from PNES Psychogenic non-epileptic seizures (PNES) look like epileptic seizures but have no abnormal electrical activity. Video EEG is the only reliable way to tell them apart. 4. Drug-Resistant Epilepsy Evaluation When seizures continue despite trying two or more medications, video EEG helps determine if surgery or other advanced treatments might help. Who Needs Video EEG? Seizures continue despite medication. You've tried at least two anti-seizure medications, but seizures persist. The seizure type is unclear. Your episodes have unusual features, or doctors aren't certain they're epileptic seizures. You're considering epilepsy surgery. Pre-surgical evaluation requires video EEG to localize the seizure focus. PNES is suspected. Episodes look like seizures but might have a psychological basis. Routine EEG was inconclusive. A normal routine EEG doesn't rule out epilepsy. The Video EEG Procedure Electrode Placement A technician places 21 electrodes on your scalp using a special paste. This is painless — the electrodes only record electrical activity; they don't send any electricity into your brain. Monitoring Period You'll be monitored continuously for 24 to 72 hours. You can move around, eat, read, watch TV, or sleep. Family members can stay with you. Medication Adjustment In some cases, your doctor may reduce medications to increase the chance of recording a seizure. This is done carefully under medical supervision. How to Prepare for Video EEG Wash your hair the night before. Don't use conditioner, gel, or oil. Continue your medications unless your doctor instructs otherwise. Avoid caffeine for 24 hours before the test. Bring: Comfortable clothes, entertainment, toiletries, medication list, previous reports. Video EEG at Gujarat Epilepsy & Neuro Clinic 🏥 At Our Clinic — Short-Term Video EEG Up to 3 hours: Standard short-term recording 3-6 hours: Extended monitoring Suitable for patients with frequent seizures, initial evaluation, and follow-up recordings. 🏨 At KD Hospital — Long-Term Video EEG 24-72 hours or longer comprehensive monitoring Epileptologist-supervised by Dr. Abhishek Gohel and Dr. Rutul Shah 24/7 technician coverage Private rooms with space for family What Happens After Video EEG? After monitoring ends, the recorded data requires detailed analysis (1-2 days). Possible outcomes: Epilepsy confirmed, seizure type identified. Medications adjusted or surgery discussed. PNES diagnosed. Referral for psychological treatment. More information needed. Additional testing may be required. Surgical candidate identified. Discussion of next steps. Frequently Asked Questions Is video EEG painful?+ No. Electrode placement involves paste applied to the scalp — no needles, no pain. The electrodes only record; they don't transmit any electricity. How long will I stay in the hospital?+ Most patients stay 24 to 72 hours. Some cases require longer monitoring (up to 5-7 days) to capture enough seizures for analysis. Can my family member stay with me?+ Yes. One family member can stay in the room with you throughout the monitoring period. Will I have a seizure during the test?+ Not everyone has a seizure during monitoring. However, the prolonged recording time and sometimes medication reduction increase the chances of capturing one. Is video EEG safe?+ Yes. It's a non-invasive, observational test. The main risk is seizure occurrence, which is why you're monitored continuously by trained staff. How is video EEG different from ambulatory EEG?+ Ambulatory EEG records brain waves at home but without video. Video EEG provides video correlation and immediate medical supervision — important for accurate diagnosis and safety. Meet Your Epileptologists Dr. Abhishek Gohel DM Neurology (NIMHANS)Fellowship in Epilepsy Dr. Rutul Shah DM NeurologyFellowship in Epilepsy Book a Video EEG Consultation If you or a family member has uncontrolled seizures or is being considered for epilepsy surgery, video EEG may be the next step. Contact Us →