In patients with refractory epilepsy who have previously been studied using the standard diagnostic tests, telemetry video electroencephalography (V-EEG) seems to be an adequate diagnostic test to: differentiate a crisis from a pseudocrisis, characterize the different types of crises and localize the epileptic area. Continuous video-EEG monitoring is not considered medically necessary to monitor the antiepileptic drug response or drug titration.