Why do we do EEG? Experience of two years from a new pediatric neurology center

Why do we do EEG? Experience of two years from a new pediatric neurology center

Electroencephalography (EEG) is very important for pediatric neurologists. The request reasons and results of EEGs from a newly established center were enrolled. Total of 2021 (1299 sleep + awake, 652 sleep, 70 awake) EEGs evaluated. Patients included 1005 girls and 1016 boys. 65% of the EEGs were normal and 30% was epileptic. Electroencephalography was performed due to epilepsy, fainting, first afebrile seizure, febrile seizure, speech retardation, dizziness, headache, movement disorders, gaze abnormalities, behavioral disorders, tremor, sleep disorders, tic, autism spectrum disorders, infantile spasm, encephalopathy, vision loss and abdominal pain in decreasing order. Significantly more common EEGs were performed due to tics (p:0,006), autism spectrum disorders (p:0,04) and speech retardation(p:<0,001) in boys and due to syncope (p:0,001) and dizziness(p:0,038) in girls. When EEG requests were examined by age groups, statistical significance was found. The EEG requests were parallel to the distribution of epileptic and non-epileptic events seen in that age group.

___

  • 1. Kaushik JS, Farmania R. Electroencephalography in Pediatric Epilepsy. Indian Pediatr. 2018;55(10):893-901.
  • 2. So EL. Interictal epileptiform discharges in persons without a history of seizures: what do they mean? J Clin Neurophysiol. 2010;27(4):229-38. doi:10.1097/WNP.0b013e3181ea42a4.
  • 3. Wirrell EC. Prognostic significance of interictal epileptiform discharges in newly diagnosed seizure disorders. J Clin Neurophysiol. 2010;27(4):239-48. doi:10.1097/WNP.0b013e3181ea4288.
  • 4. Tekin Orgun L, Arhan E, Aydın K, Rzayeva T, Hırfanoğlu T, Serdaroğlu A. What has changed in the utility of pediatric EEG over the last decade? Turk J Med Sci. 2018;48(4):786-93. doi:10.3906/sag-1712-188.
  • 5. Tülay Kamaşak, Durgut BD, Arslan EA, Şahin S, Dilber B, Kurt T et al. Adolesanlarda Epileptik Nonepileptik Olayların Ayrımında Elektroensefalografinin Yeri: Bir Pediatrik Nöroloji Merkezinin Üç Yıllık Deneyimi. Güncel Pediatri. 2018;16(2):19-30.
  • 6. Badry R. Latency to the first epileptiform activity in the EEG of epileptic patients. Int J Neurosci. 2013;123(9):646-9. doi:10.3109/00207454.2013.785543.
  • 7. Lee CH, Lim SN, Lien F, Wu T. Duration of electroencephalographic recordings in patients with epilepsy. Seizure. 2013;22(6):438-42. doi:10.1016/j.seizure.2013.02.016.
  • 8. Nickels KC. Routine Versus Extended Outpatient EEG: Too Short, Too Long, or Just Right? Epilepsy Curr. 2016;16(6):382-3. doi:10.5698/1535-7511-16.6.382.
  • 9. Theitler J, Dassa D, Heyman E, Lahat E, Gandelman-Marton R. Feasibility of sleep-deprived EEG in children. Eur J Paediatr Neurol. 2016;20(2):218-21. doi:10.1016/j.ejpn.2015.12.012.
  • 10. Olson DM, Sheehan MG, Thompson W, Hall PT, Hahn J. Sedation of children for electroencephalograms. Pediatrics. 2001;108(1):163-5. doi:10.1542/peds.108.1.163.
  • 11. Systad S, Bjørnvold M, Sørensen C, Lyster SH. The Value of Electroencephalogram in Assessing Children With Speech and Language Impairments. J Speech Lang Hear Res. 2019;62(1):153-68. doi:10.1044/2018_jslhr-l-17-0087.
  • 12. Billard C, Hassairi I, Delteil F. [Specific language impairment and electroencephalogram: which recommendations in clinical practice? A cohort of 24 children]. Arch Pediatr. 2010;17(4):350-8. doi:10.1016/j.arcped.2010.01.012.
  • 13. Parry-Fielder B, Collins K, Fisher J, Keir E, Anderson V, Jacobs R et al. Electroencephalographic abnormalities during sleep in children with developmental speech-language disorders: a case-control study. Dev Med Child Neurol. 2009;51(3):228-34. doi:10.1111/j.1469-8749.2008.03163.x.
  • 14. Dlouha O, Prihodova I, Skibova J, Nevsimalova S. Developmental Language Disorder: Wake and Sleep Epileptiform Discharges and Co-morbid Neurodevelopmental Disorders. Brain Sci. 2020;10(12). doi:10.3390/brainsci10120910.
  • 15. Kawatani M, Hiratani M, Kometani H, Nakai A, Tsukahara H, Tomoda A et al. Focal EEG abnormalities might reflect neuropathological characteristics of pervasive developmental disorder and attention-deficit/hyperactivity disorder. Brain Dev. 2012;34(9):723-30. doi:10.1016/j.braindev.2011.11.009.
  • 16. Laasonen M, Smolander S, Lahti-Nuuttila P, Leminen M, Lajunen HR, Heinonen K et al. Understanding developmental language disorder - the Helsinki longitudinal SLI study (HelSLI): a study protocol. BMC Psychol. 2018;6(1):24. doi:10.1186/s40359-018-0222-7.
  • 17. Shah PB, James S, Elayaraja S. EEG for children with complex febrile seizures. Cochrane Database Syst Rev. 2020;4(4):Cd009196. doi:10.1002/14651858.CD009196.pub5.
  • 18. Gradisnik P, Zagradisnik B, Palfy M, Kokalj-Vokac N, Marcun-Varda N. Predictive value of paroxysmal EEG abnormalities for future epilepsy in focal febrile seizures. Brain Dev. 2015;37(9):868-73. doi:10.1016/j.braindev.2015.02.005.
  • 19. Kanemura H, Sano F, Ohyama T, Mizorogi S, Sugita K, Aihara M. EEG characteristics predict subsequent epilepsy in children with their first unprovoked seizure. Epilepsy Res. 2015;115:58-62. doi:10.1016/j.eplepsyres.2015.05.011.
  • 20. Kanemura H, Mizorogi S, Aoyagi K, Sugita K, Aihara M. EEG characteristics predict subsequent epilepsy in children with febrile seizure. Brain Dev. 2012;34(4):302-7. doi:10.1016/j.braindev.2011.07.007.
  • 21. Park EG, Lee J, Lee BL, Lee M, Lee J. Paroxysmal nonepileptic events in pediatric patients. Epilepsy Behav. 2015;48:83-7. doi:10.1016/j.yebeh.2015.05.029.
  • 22. Whedon M, Perry NB, Bell MA. Relations between frontal EEG maturation and inhibitory control in preschool in the prediction of children's early academic skills. Brain Cogn. 2020;146:105636. doi:10.1016/j.bandc.2020.105636.
  • 23. Whedon M, Perry NB, Calkins SD, Bell MA. Changes in frontal EEG coherence across infancy predict cognitive abilities at age 3: The mediating role of attentional control. Dev Psychol. 2016;52(9):1341-52. doi:10.1037/dev0000149.
  • 24. Brandt SP, Walsh EC, Cornelissen L, Lee JM, Berde C, Shank ES et al. Case Studies Using the Electroencephalogram to Monitor Anesthesia-Induced Brain States in Children. Anesth Analg. 2020;131(4):1043-56. doi:10.1213/ane.0000000000004817.
  • 25. Cartocci G, Scorpecci A, Borghini G, Maglione AG, Inguscio BMS, Giannantonio S et al. EEG rhythms lateralization patterns in children with unilateral hearing loss are different from the patterns of normal hearing controls during speech-in-noise listening. Hear Res. 2019;379:31-42. doi:10.1016/j.heares.2019.04.011.
  • 26. Manning C, Wagenmakers EJ, Norcia AM, Scerif G, Boehm U. Perceptual Decision-Making in Children: Age-Related Differences and EEG Correlates. Comput Brain Behav. 2021;4(1):53-69. doi:10.1007/s42113-020-00087-7.
  • 27. Sheth RD. Patterns Specific to Pediatric EEG. J Clin Neurophysiol. 2019;36(4):289-93. doi:10.1097/wnp.0000000000000600.
  • 28. Amin U, Benbadis SR. The Role of EEG in the Erroneous Diagnosis of Epilepsy. J Clin Neurophysiol. 2019;36(4):294-7. doi:10.1097/wnp.0000000000000572.
  • 29. Benbadis SR. The tragedy of over-read EEGs and wrong diagnoses of epilepsy. Expert Rev Neurother. 2010;10(3):343. doi:10.1586/ern.09.157.
Journal of Experimental and Clinical Medicine-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1980
  • Yayıncı: Ondokuz mayıs Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

The comparison of the therapeutic effects of piroxicam gel and oral vitamin E in cyclic mastalgia

Razieh BEHZADMEHR, Tahmineh EZAZİ BOJNORDİ

Sex-Related Differences in Anxiety in Experimental Functional Dyspepsia Induced by Chronic Stress

Osman SİNEN

Placental Chorioangioma With Dysgenesis Of Corpus Callosum : A Case Report

Elif DAGDEVİREN, Nur DOKUZEYLÜL GÜNGÖR

Use of Monoclonal Antibodies (Bevacizumab, Cetuximab, and Panitumumab) in Patients with Metastatic Colorectal Cancer: A Single Center Experience

Gülçin ŞAHİNGÖZ ERDAL, İlkay GÜLTÜRK, Aykut ÖZMEN, Seher Yıldız TACAR, Mesut YILMAZ, Deniz TURAL

Understanding physicians’ moral distress in the Covid 19 pandemic

Selin KESKİN KIZILTEPE, Asli KURTGÖZ

Investigation, design and synthesis of new anticancer agents with anticancer effect potential on MCF-7 Breast Cancer Cells by Machine Learning Method

Suat Utku KESKİN, Muhammet Volkan BÜLBÜL, Semiha Mervenur KALENDER, Sümeyye ÖZYAMAN, Arif MERMER

Does Endoscopic Retrograde Cholangiopancreatography Procedures for Benign Pathology Treatment Cause Biliary Reflux?

Amira OTHMAN, Amal DEWEDAR, Hany ELSADEK, Hesham RADWAN, Abeer FİKRY

Comparison of the pregnant and non-pregnant women of reproductive age hospitalized due to COVID-19 infection.

Özgür KILIÇ, Mehmet POLAT, Tibel TUNA, Eda KOPRU, M ELMALİ, İlkay BOZKURT, Davut GÜVEN, Melda DİLEK

Plasma netrin-1 levels in Familial Mediterranean fever: a potential biomarker?

Ebru ATALAR, Kevser GÖK, Esra FIRAT OĞUZ, Ahmet KOR, Yüksel MARAŞ

Study of Bacteria Isolated from COVID-19 and Non-COVID-19 Intensive Care Units and Determination of Their Antibiotic Susceptibility Profiles

Çetin KILINÇ, Nilay COPLU, Melike YAŞAR DUMAN, Büşra ÇALIŞIR, Enis Fuat TÜFEKCİ, Muhammet GÜLHAN, Ayşe YILMAZ, Veysel Garani SOYLU