Feasibility and Clinical Utility of Early Electroencephalogram (EEG) in Children With First Seizure
- 1 July 2008
- journal article
- research article
- Published by SAGE Publications in Journal of Child Neurology
- Vol. 23 (7), 762-765
- https://doi.org/10.1177/0883073808315619
Abstract
The feasibility and clinical utility of early electroencephalogram (within 48 hours) was studied in 127 children (age, 1 month-17 years) referred for a “first seizure.” The electroencephalogram was considered late after 48 hours. Electroencephalogram abnormalities were classified as nonepileptiform or epileptiform. Children were classified as having an “epileptic” or “nonepileptic” event. An early electroencephalogram was obtained in 23 (18%). Late referral (n = 36), weekend event (n = 23), difficulty contacting families (n = 11), parental schedules (n = 9), and laboratory scheduling (n = 11) resulted in late electroencephalograms. All 94 children with an epileptic event had an electroencephalogram, 19 (20%) within 48 hours. Results were abnormal in 9 (47%) early (7 epileptiform, 2 nonepileptiform) and 35 (44%) late (30 epileptiform, 5 nonepileptiform). Increased abnormalities were not seen with early electroencephalography (P = .50). Early electroencephalograms may not be feasible in the pediatric population and did not show a higher yield of abnormalities.Keywords
This publication has 9 references indexed in Scilit:
- Practice Parameter: Evaluating an apparent unprovoked first seizure in adults (an evidence-based review): [RETIRED]Neurology, 2007
- The first seizure and its management in adults and childrenBMJ, 2006
- Increased discharge threshold after an interictal spike in human focal epilepsyEuropean Journal of Neuroscience, 2005
- Does Sleep or Sleep Deprivation Increase Epileptiform Discharges in Pediatric Electroencephalograms?Pediatrics, 2004
- Clinical and electroencephalographic follow-up after a first unprovoked seizurePediatric Neurology, 2004
- Value of the Early Electroencephalogram after a First Unprovoked SeizureClinical Electroencephalography, 2003
- Practice parameter: Evaluating a first nonfebrile seizure in childrenNeurology, 2000
- The value of partial sleep deprivation as a routine measure in pediatric electroencephalography.Journal of Child Neurology, 2000
- Epileptology of the first-seizure presentation: a clinical, electroencephalographic, and magnetic resonance imaging study of 300 consecutive patientsThe Lancet, 1998