Someone who comes into the doctor’s office with seizures will likely have an MRI of the brain and an EEG, along with a thorough history taken from the physician. All of these factors can help the doctor diagnose epilepsy.
When confirming the diagnosis, there is a more definitive way to diagnose seizures, a video EEG. This test often takes place in an epilepsy monitoring unit. That test involves the patient being admitted to the hospital for a week. An EEG monitor is placed on their head to record brain activity during seizures. Under careful supervision, medications may be withdrawn. This is considered the gold standard for detecting seizures because by capturing a seizure on an EEG, we can see the electrical storm going on in the brain and track the changes as the seizure progresses. This gives us lots of information about what’s actually happening in the brain during a particular seizure.