An accurate and efficient epileptic seizure onset detection system can significantly benefit patients. Traditional diagnostic methods, primarily relying on electroencephalograms (EEGs), often result in cumbersome and non-portable solutions, making continuous patient monitoring challenging. The video-based seizure detection system is expected to free patients from the constraints of scalp or implanted EEG devices and enable remote monitoring in residential settings. Previous video-based methods neither enable all-day monitoring nor provide short detection latency due to insufficient resources and ineffective patient action recognition techniques. Additionally, skeleton-based action recognition approaches remain limitations in identifying subtle seizure-related actions. To address these challenges, we propose a novel skeleton-based spatiotemporal vision graph neural network (STViG) for efficient, accurate, and timely REal-time Automated Detection of epileptic Seizures from surveillance Videos (READS-V). Our experimental results indicate STViG outperforms previous state-of-the-art action recognition models on our collected patients' video data with higher accuracy (5.9% error) and lower FLOPs (0.4G). Furthermore, by integrating a decision-making rule that combines output probabilities and an accumulative function, our READS-V system achieves a 5.1 s EEG onset detection latency, a 13.1 s advance in clinical onset detection, and zero false detection rate.