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

Year 2022, Volume: 39 Issue: 4, 1128 - 1133, 29.10.2022

Abstract

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.

References

  • 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.
Year 2022, Volume: 39 Issue: 4, 1128 - 1133, 29.10.2022

Abstract

References

  • 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.
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Emine Tekin 0000-0002-5115-8890

Betül Diler 0000-0002-0322-2843

Publication Date October 29, 2022
Submission Date June 12, 2022
Acceptance Date July 21, 2022
Published in Issue Year 2022 Volume: 39 Issue: 4

Cite

APA Tekin, E., & Diler, B. (2022). Why do we do EEG? Experience of two years from a new pediatric neurology center. Journal of Experimental and Clinical Medicine, 39(4), 1128-1133.
AMA Tekin E, Diler B. Why do we do EEG? Experience of two years from a new pediatric neurology center. J. Exp. Clin. Med. October 2022;39(4):1128-1133.
Chicago Tekin, Emine, and Betül Diler. “Why Do We Do EEG? Experience of Two Years from a New Pediatric Neurology Center”. Journal of Experimental and Clinical Medicine 39, no. 4 (October 2022): 1128-33.
EndNote Tekin E, Diler B (October 1, 2022) Why do we do EEG? Experience of two years from a new pediatric neurology center. Journal of Experimental and Clinical Medicine 39 4 1128–1133.
IEEE E. Tekin and B. Diler, “Why do we do EEG? Experience of two years from a new pediatric neurology center”, J. Exp. Clin. Med., vol. 39, no. 4, pp. 1128–1133, 2022.
ISNAD Tekin, Emine - Diler, Betül. “Why Do We Do EEG? Experience of Two Years from a New Pediatric Neurology Center”. Journal of Experimental and Clinical Medicine 39/4 (October 2022), 1128-1133.
JAMA Tekin E, Diler B. Why do we do EEG? Experience of two years from a new pediatric neurology center. J. Exp. Clin. Med. 2022;39:1128–1133.
MLA Tekin, Emine and Betül Diler. “Why Do We Do EEG? Experience of Two Years from a New Pediatric Neurology Center”. Journal of Experimental and Clinical Medicine, vol. 39, no. 4, 2022, pp. 1128-33.
Vancouver Tekin E, Diler B. Why do we do EEG? Experience of two years from a new pediatric neurology center. J. Exp. Clin. Med. 2022;39(4):1128-33.