Urgent Video Electroencephalography (EEG) in the Pediatric Emergency Department: Is It Useful?
<h3>Introduction</h3><p dir="ltr">Seizures account for about 1% of Pediatric Emergency Department (PED) visits. Electroencephalography (EEG) is essential for evaluating seizures and other neurological concerns. The utility of urgent video EEG (vEEG) in the PED remains unc...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2025
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| الملخص: | <h3>Introduction</h3><p dir="ltr">Seizures account for about 1% of Pediatric Emergency Department (PED) visits. Electroencephalography (EEG) is essential for evaluating seizures and other neurological concerns. The utility of urgent video EEG (vEEG) in the PED remains unclear. </p><h3>Objective</h3><p dir="ltr">To study the role of urgent vEEG in evaluating children presenting with seizures and other paroxysmal events through a retrospective chart review analysis conducted at a single tertiary children’s hospital over a 3-year period. </p><h3>Results</h3><p dir="ltr">277 patients underwent vEEG (142 females (52%); mean age 7.7 years). Most common indications were new onset paroxysmal events (37%) and first unprovoked seizure (20%). vEEG was performed within 24 hours of the event and sleep was achieved in 92% and 80% of patients respectively. Most patients (61%) had abnormal findings. Perinatal risk factors, pre-existing developmental delay, pre-established epilepsy and an abnormal neurological examination highly correlated with vEEG abnormalities (p< 0.05). Clinical events captured during monitoring differentiated epileptic from non-epileptic episodes (16%). New onset paroxysmal events were diagnosed as epileptic in 60%. Specific epilepsy syndromes were identified in 57% of this subgroup. vEEG contributed to initiation of anti-seizure medications (47%) and impacted decisions to change anti-seizure medications in 67% of known patients with epilepsy. Abnormalities on neuroimaging were found in approximately half of patients with abnormal vEEG who were imaged. </p><h3>Conclusion</h3><p dir="ltr">This study suggests that urgent vEEG in PEDs can lead to early diagnosis and treatment, reduce the need for further investigations, and potentially improve outcomes. However, the cost-effectiveness and availability of vEEG in PEDs need further evaluation.</p><h2>Other Information</h2><p dir="ltr">Published in: Pediatric Neurology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.pediatrneurol.2025.05.024" target="_blank">https://dx.doi.org/10.1016/j.pediatrneurol.2025.05.024</a></p> |
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