The importance of interictal electroencephalography in paroxysmal states.

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The importance of interictal electroencephalography in paroxysmal states.

Bratisl Lek Listy. 2014;115(3):168-70

Authors: Kollar B, Carnicka Z, Siarnik P, Krizova L, Sutovsky S, Traubner P, Klobucnikova K

INTRODUCTION: Electroencephalography (EEG) is a non-invasive investigation method playing an important role in differential diagnostics of seizures. In this article authors point out to its importance, but also limitations.
MATERIAL AND METHODS: Native interictal EEG findings were evaluated in inpatients after solitary unprovoked epileptic seizures (n=84), patients with sporadic epileptic seizures (n=179), patients with "chronic" epilepsy (n=324), outpatients with epilepsy (n=300), patients with syncope (n=100), patients with neurocardiogenic syncope (n=70), patients with migraine (n=100) and patients with tetanic syndrome (n=100). EEG findings were evaluated as normal or abnormal and abnormal findings were further divided into epileptic and non-epileptic, focal and generalized.
RESULTS: In native EEG, epileptic manifestations were registered in 14.29 % of patients after solitary unprovoked epileptic seizures, in 25.7 % of patients with sporadic epileptic seizures, in 37.34 % of patients with chronic epilepsy and in 32 % of outpatients with epilepsy. Interictal EEG abnormalities (epileptiform and non-epileptiform) in non-epileptic diagnoses were at least registered in patients with syncope, but also in this group abnormal findings occurred in 30 % of them. We registered epileptiform abnormalities in 5 % of patients with migraine, in 4 % of patients with tetanic syndrome and in 2 % of patients with syncope.
CONCLUSION: The diagnosis of epilepsy and non-epileptic seizures is a only a clinical diagnosis. EEG is a very important investigational method in this group of patients, but still only additional (Tab. 4, Fig. 2, Ref. 14).

PMID: 24579687 [PubMed - indexed for MEDLINE]

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