EEG is an essential clinical tool: Pro and con

被引：38
作者：
Fountain, Nathan B.
Freeman, John M.
机构：
[1] Univ Virginia, Comprehens Epilepsy Program, Charlottesville, VA 22908 USA
[2] Johns Hopkins Med Inst, John M Freeman Pediat Epilepsy Ctr, Baltimore, MD USA
来源：
EPILEPSIA | 2006年 / 47卷
关键词：
seizure; epilepsy; EEG; sensitivity;
D O I：
10.1111/j.1528-1167.2006.00655.x
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
The authors debate whether routine EEG is an essential clinical tool for evaluation of a first seizure. One author suggests that because of the positive predictive value of interictal spikes for seizure recurrence, the EEG is a useful tool. The other author argues that since many clinicians would not treat after a single seizure, even if the EEG were abnormal, the EEG is not essential. Both authors agree that the EEG should only be ordered with forethought to answer a specific question.
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页码：23 / 25
页数：3
相关论文
共 10 条
[1]  
Blume Warren T., 2001, Epilepsia, V42, P1212, DOI 10.1046/j.1528-1157.2001.22001.x
[2]   Epileptic seizures and epilepsy: Definitions proposed by the International League against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE) [J].
Fisher, RS ;
Boas, WV ;
Blume, W ;
Elger, C ;
Genton, P ;
Lee, P ;
Engel, J .
EPILEPSIA, 2005, 46 (04) :470-472
[3]   Practice parameter: Evaluating a first nonfebrile seizure in children - Report of the Quality Standards Subcommittee of the American Academy of Neurology, the Child Neurology Society, and the American Epilepsy Society [J].
Hirtz, D ;
Ashwal, S ;
Berg, A ;
Bettis, D ;
Camfield, C ;
Camfield, P ;
Crumrine, P ;
Elterman, R ;
Schneider, S ;
Shinnar, S .
NEUROLOGY, 2000, 55 (05) :616-623
[4]   Epileptology of the first-seizure presentation: a clinical, electroencephalographic, and magnetic resonance imaging study of 300 consecutive patients [J].
King, MA ;
Newton, MR ;
Jackson, GD ;
Fitt, GJ ;
Mitchell, LA ;
Silvapulle, MJ ;
Berkovic, SF .
LANCET, 1998, 352 (9133) :1007-1011
[5]  
KRUMHOLZ A, UNPUB PRACTICE PARAM
[6]   Early identification of refractory epilepsy. [J].
Kwan, P ;
Brodie, MJ .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (05) :314-319
[7]   FACTORS RELATED TO OCCURRENCE OF TYPICAL PAROXYSMAL ABNORMALITIES IN EEG RECORDS OF EPILEPTIC PATIENTS [J].
MARSAN, CA ;
ZIVIN, LS .
EPILEPSIA, 1970, 11 (04) :361-+
[8]  
PEDLEY TA, 2003, CURRENT PRACTICE CLI, P507
[9]   EFFECTIVENESS OF MULTIPLE EEGS IN SUPPORTING THE DIAGNOSIS OF EPILEPSY - AN OPERATIONAL CURVE [J].
SALINSKY, M ;
KANTER, R ;
DASHEIFF, RM .
EPILEPSIA, 1987, 28 (04) :331-334
[10]   VALUE OF THE ELECTROENCEPHALOGRAM IN ADULT PATIENTS WITH UNTREATED IDIOPATHIC 1ST SEIZURES [J].
VANDONSELAAR, CA ;
SCHIMSHEIMER, RJ ;
GEERTS, AT ;
DECLERCK, AC .
ARCHIVES OF NEUROLOGY, 1992, 49 (03) :231-237
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