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Electroencephalographic monitoring in the emergency department.

Authors
  • Privitera, M D
  • Strawsburg, R H
Type
Published Article
Journal
Emergency Medicine Clinics of North America
Publisher
Elsevier
Publication Date
Nov 01, 1994
Volume
12
Issue
4
Pages
1089–1100
Identifiers
PMID: 7956889
Source
Medline
License
Unknown

Abstract

EEG is the single most important test in diagnosing epilepsy and related conditions. We urge immediate EEG for patients with persistent, unexplained, altered consciousness. In our prospective study, 37% of patients referred for emergency EEG had combined EEG and clinical evidence of SE that was not tonic-clonic that would have gone undetected without EEG. In some cases, EEG provides useful diagnostic information or clarifies the severity of brain dysfunction in comatose patients. Finally, EEG is essential in monitoring patients who require pentobarbital coma for refractory SE.

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