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Background Patient generated videos can aid diagnosis of seizure disorders but interpretation can be difficult. We set up a seizure video MDT to standardise decision making from patient videos.Methods We conducted a service evaluation on the Seizure Video MDT. Between June 2022 and June 2024, a total of 94 patients were referred to the MDT.Results A clear diagnosis based on the video was obtained in 69 patients (73%), of which 28 were diagnosed with functional seizures, 30 with epilepsy and 1 with FND. Of the remaining, 10 patients were felt to have a disorder that was not seizure related, in 6 patients the video was not diagnostic due to quality and in 17 patients the diagnosis remained unclear.An outcome was documented in the patient recorded for 85 patients. A change in management occurred in 50 patients (58%). This included referral to NEAD service (12), review of medication (5) clarification of diagnosis for both clinician/patient (6), review of syndrome (2), referral to specialist clinic (2), further investigations (11), referral to VT (9) or advice for further history/videos (3).Conclusions Seizure video MDT enables diagnosis to be made in most cases without the need for inpatient video telemetry.robyn.terry@nca.nhs.uk