The reasons for referral can be where:
- Usual monitoring techniques have failed to secure a diagnosis
- There are multiple event types, where events resolve on hospital admission, or when events are too sparse to capture in the context of a 5 day admission
- Drug changes need to take place in the context of high seizure frequency and patient vulnerability, in particular where patients are on multiple AED, and where patients with a diagnosis of psychogenic have risk factors for epilepsy and may be high risk.
- When behavioural factors (usually in the context of learning disability) preclude standard video EEG monitoring, the unit can provide expert clinical monitoring and CCTV footage of attacks (the unit is CCTV monitored throughout public areas).
- Where epilepsy is accompanied by behavioural issues, particularly when the two interact
- When it is unclear how much seizure activity is going on
- When usual measures have not allowed confidence in patient compliance with AED
- Where non-epileptic attacks are diagnosed, the unit psychologist can also provide a specialist assessment and formulation, with recommendation for management.