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...
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | , , , , |
| Published: |
2025
|
| Subjects: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1864513546464788480 |
|---|---|
| author | Mohammad Y. Sawahreh (21480203) |
| author2 | Amani Hamid (21480206) AbdelRahman T. Salem (21480209) Khoulod Mohamed (21480212) Colin VE. Powell (21480215) Ruba Benini (17563083) |
| author2_role | author author author author author |
| author_facet | Mohammad Y. Sawahreh (21480203) Amani Hamid (21480206) AbdelRahman T. Salem (21480209) Khoulod Mohamed (21480212) Colin VE. Powell (21480215) Ruba Benini (17563083) |
| author_role | author |
| dc.creator.none.fl_str_mv | Mohammad Y. Sawahreh (21480203) Amani Hamid (21480206) AbdelRahman T. Salem (21480209) Khoulod Mohamed (21480212) Colin VE. Powell (21480215) Ruba Benini (17563083) |
| dc.date.none.fl_str_mv | 2025-05-30T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.pediatrneurol.2025.05.024 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Urgent_Video_Electroencephalography_EEG_in_the_Pediatric_Emergency_Department_Is_It_Useful_/29235218 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Neurosciences Paediatrics electroencephalography (EEG) Emergency department (ED) pediatrics seizures |
| dc.title.none.fl_str_mv | Urgent Video Electroencephalography (EEG) in the Pediatric Emergency Department: Is It Useful? |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <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> |
| eu_rights_str_mv | openAccess |
| id | Manara2_e8077918490aba8c162136901a87863e |
| identifier_str_mv | 10.1016/j.pediatrneurol.2025.05.024 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29235218 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Urgent Video Electroencephalography (EEG) in the Pediatric Emergency Department: Is It Useful?Mohammad Y. Sawahreh (21480203)Amani Hamid (21480206)AbdelRahman T. Salem (21480209)Khoulod Mohamed (21480212)Colin VE. Powell (21480215)Ruba Benini (17563083)Biomedical and clinical sciencesNeurosciencesPaediatricselectroencephalography (EEG)Emergency department (ED)pediatricsseizures<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>2025-05-30T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.pediatrneurol.2025.05.024https://figshare.com/articles/journal_contribution/Urgent_Video_Electroencephalography_EEG_in_the_Pediatric_Emergency_Department_Is_It_Useful_/29235218CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/292352182025-05-30T09:00:00Z |
| spellingShingle | Urgent Video Electroencephalography (EEG) in the Pediatric Emergency Department: Is It Useful? Mohammad Y. Sawahreh (21480203) Biomedical and clinical sciences Neurosciences Paediatrics electroencephalography (EEG) Emergency department (ED) pediatrics seizures |
| status_str | publishedVersion |
| title | Urgent Video Electroencephalography (EEG) in the Pediatric Emergency Department: Is It Useful? |
| title_full | Urgent Video Electroencephalography (EEG) in the Pediatric Emergency Department: Is It Useful? |
| title_fullStr | Urgent Video Electroencephalography (EEG) in the Pediatric Emergency Department: Is It Useful? |
| title_full_unstemmed | Urgent Video Electroencephalography (EEG) in the Pediatric Emergency Department: Is It Useful? |
| title_short | Urgent Video Electroencephalography (EEG) in the Pediatric Emergency Department: Is It Useful? |
| title_sort | Urgent Video Electroencephalography (EEG) in the Pediatric Emergency Department: Is It Useful? |
| topic | Biomedical and clinical sciences Neurosciences Paediatrics electroencephalography (EEG) Emergency department (ED) pediatrics seizures |