Clinical utility of EEG in diagnosing and monitoring epilepsy in adults

W O Tatum; G Rubboli; P W Kaplan; S M Mirsatari; K Radhakrishnan; D Gloss; L O Caboclo; F W Drislane; M Koutroumanidis; D L Schomer; D Kasteleijn-Nolst Trenite; Mark Cook; S Beniczky

doi:10.1016/j.clinph.2018.01.019

Clinical utility of EEG in diagnosing and monitoring epilepsy in adults

Clin Neurophysiol. 2018 May;129(5):1056-1082. doi: 10.1016/j.clinph.2018.01.019. Epub 2018 Feb 1.

Authors

W O Tatum¹, G Rubboli², P W Kaplan³, S M Mirsatari⁴, K Radhakrishnan⁵, D Gloss⁶, L O Caboclo⁷, F W Drislane⁸, M Koutroumanidis⁹, D L Schomer⁸, D Kasteleijn-Nolst Trenite¹⁰, Mark Cook¹¹, S Beniczky¹²

Affiliations

¹ Department of Neurology, Mayo Clinic, Jacksonville, FL, USA. Electronic address: tatum.william@mayo.edu.
² Department of Neurology, Danish Epilepsy Center, Filadelphia, University of Copenhagen, Copenhagen, Diannalund, Denmark.
³ Johns-Hopkins University, Baltimore, MD, USA.
⁴ Department of Clinical Neurological Sciences, Western University, London, Ontario, Canada.
⁵ Department of Neurology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
⁶ CAMC Department of Neurology, Charleston, WV, USA.
⁷ Department of Neurology, Hospital Israelita Albert Einstein, Saõ Paolo, Brazil.
⁸ Department of Neurology, Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA.
⁹ Department of Neurology, Guys and St Thomas' NHS Trust, King's College, London, United Kingdom.
¹⁰ Brain Center, University Medical Center, Utrecht, The Netherlands; Department of Pediatrics, Sapienza University, Rome, Italy.
¹¹ Department of Neurology, University of Melbourne, Melbourne, Australia.
¹² Department of Clinical Neurophysiology, Aarhus University Hospital, Denmark.

PMID: 29483017
DOI: 10.1016/j.clinph.2018.01.019

Abstract

Electroencephalography (EEG) remains an essential diagnostic tool for people with epilepsy (PWE). The International Federation of Clinical Neurophysiology produces new guidelines as an educational service for clinicians to address gaps in knowledge in clinical neurophysiology. The current guideline was prepared in response to gaps present in epilepsy-related neurophysiological assessment and is not intended to replace sound clinical judgement in the care of PWE. Furthermore, addressing specific pathophysiological conditions of the brain that produce epilepsy is of primary importance though is beyond the scope of this guideline. Instead, our goal is to summarize the scientific evidence for the utility of EEG when diagnosing and monitoring PWE.

Keywords: EEG; Epilepsy; Epileptiform; Guideline; Seizure.

Publication types

Review

MeSH terms

Adult
Brain / physiopathology*
Electroencephalography
Epilepsy / diagnosis*
Epilepsy / physiopathology
Humans
Seizures / diagnosis*
Seizures / physiopathology