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Document Details
Document Type
:
Article In Journal
Document Title
:
Assessment of the Utility of Pediatric Electroencephalography.
أستخدامات تخطيط الدماغ بالأطفال.
Document Language
:
English
Abstract
:
Background: Electroencephalography (EEG) is an important tool in investigating children with neurological disorders, particularly epilepsy. The objectives were to examine the relationship between clinical indications and EEG results, and assess the predictability of a normal result. Methods: 438 consecutive pediatric EEGs were included prospectively. One certified electroencephalographer (EEGer) reviewed EEG requisitions and recorded his prediction of a normal result. EEGs were reviewed separately and the relationship between the clinical indications and EEG abnormalities was recorded. Results: Children’s mean age was 5 years (SD 4.2). Pediatric neurologists ordered 32% of EEGs. The first EEG was studied in 65% of cases. Overall, 55% of the EEGs were abnormal. Repeat EEGs were 2 times more likely to be abnormal (95% CI 1.3-3, p=0.001). Established epilepsy, using antiepileptic drugs, and sleep record, highly correlated with an abnormal result (p<0.0001). The EEGer predicted 26% of the EEGs to be normal. A normal EEG was correctly predicted in 97% of non-epileptic paroxysmal events, however, normalization of EEG was correctly predicted in only 54% of children with seizures. EEGs of 15 (3.4%) children with epilepsy revealed unexpected findings that completely changed their management. Conclusions: A normal EEG is highly predictable in non-epileptic paroxysmal events. EEGs of children with epilepsy are not predictable and may yield unexpected results.
ISSN
:
1658-3175
Journal Name
:
Seizure
Volume
:
2
Issue Number
:
11
Publishing Year
:
2002 AH
2002 AD
Article Type
:
Article
Added Date
:
Saturday, March 13, 2010
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
محمد جان
jan, Mohammed
Researcher
Doctorate
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Description
25922.doc
doc
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