PT - JOURNAL ARTICLE AU - Giulia Attard Navarro AU - Khalid Hamandi TI - Lessons from the video-EEG telemetry unit AID - 10.1136/practneurol-2021-003313 DP - 2022 Aug 01 TA - Practical Neurology PG - 301--310 VI - 22 IP - 4 4099 - http://pn.bmj.com/content/22/4/301.short 4100 - http://pn.bmj.com/content/22/4/301.full SO - Pract Neurol2022 Aug 01; 22 AB - Epilepsy is a clinical diagnosis, based primarily on patient and witness histories. Where there is diagnostic uncertainty or when epilepsy surgery is being considered, long-term video-EEG monitoring in a telemetry unit remains the gold standard investigation for diagnostic clarification or presurgical localisation. We present six illustrative cases, highlighting important points that emerged during video-EEG review including potential pitfalls in video-EEG interpretation, and how the investigation helped with diagnosis and subsequent management. The diagnostic process strongly emphasises seizure semiology, more so than EEG.