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Comparison of the yields of different electroencephalography recording durations in patients with epilepsy and seizure-like event
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Citation of this paper:LUO Wen-yi,DING Jing*,FENG Yu,ZHANG Yi-jun,WANG Xin.Comparison of the yields of different electroencephalography recording durations in patients with epilepsy and seizure-like event[J].Chinese Journal of Clinical Medicine,2018,25(4):565-567
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LUO Wen-yi,DING Jing*,FENG Yu,ZHANG Yi-jun,WANG Xin Department of Neurology, Zhongshan Hospital, Fudan University, Shanghai 200032, China 
Abstract:Objective:To compare the yields of pathological discharges or waves in different electroencephalography (EEG) recording durations. Methods:One hundred and twenty five patients diagnosed with epilepsy or seizure like event in our hospital from May 2015 to May 2017 were enrolled. All the patients underwent a 2-hour 21-channel EEG examination (according to the international 10-20 system). Yields of epileptiform discharges (EDs) and pathological slow waves (SWs) were compared between the first 15 minutes, 30 minutes, 1 hour, and 2 hours in the recording duration. Results:The yields of EDs were 50.40% in the 15-min group, 62.40% in the 30-min group, 71.29% in the 1-h group, and 75.20% in the 2-h group. The yields of EDs in the 1-h and 2-h groups were higher than those in the 15-min group (P<0.05). No obvious difference was found between the 2-h and 1-h group. The yields of sporadic spikes, sharps, spike- and sharp-slow complexes were 44.00% in the 15 min group, 57.60% in the 30-min group, 66.40% in the 1-h group, and 69.60% in the 2-h group. The yields in the 30 min, 1-h, and 2-h groups were higher than those in the 15-min group (P<0.05). No obvious difference was found between the 2-h and 1-h groups. No significant differences were observed in the yields of paroxysmal, focal, and diffused SWs in different durations. Conclusions:Yields of EDs in different EEG recording durations differed significantly in patients with epilepsy and seizure-like event, especially for the sporadic spikes, sharps, spike- and sharp-slow complexes. One hour and over recording yielded a significant higher incidence of EDs. No obvious difference was found between the 1-h and 2-h recordings.
keywords:epilepsy  electroencephalography  epileptiform discharge
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