HUS Diagnostic Center, Clinical Neurophysiology, Clinical Neurosciences, Epilepsia Helsinki, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Department of Neurology, Christian Doppler University Hospital, Paracelsus Medical University, Salzburg, Austria.
Epilepsia. 2023 Mar;64(3):602-618. doi: 10.1111/epi.17448. Epub 2023 Feb 10.
This article provides recommendations on the minimum standards for recording routine ("standard") and sleep electroencephalography (EEG). The joint working group of the International Federation of Clinical Neurophysiology (IFCN) and the International League Against Epilepsy (ILAE) developed the standards according to the methodology suggested for epilepsy-related clinical practice guidelines by the Epilepsy Guidelines Working Group. We reviewed the published evidence using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. The quality of evidence for sleep induction methods was assessed by the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) method. A tool for Quality Assessment of Diagnostic Studies (QUADAS-2) was used to assess the risk of bias in technical and methodological studies. Where high-quality published evidence was lacking, we used modified Delphi technique to reach expert consensus. The GRADE system was used to formulate the recommendations. The quality of evidence was low or moderate. We formulated 16 consensus-based recommendations for minimum standards for recording routine and sleep EEG. The recommendations comprise the following aspects: indications, technical standards, recording duration, sleep induction, and provocative methods.
本文提供了记录常规（“标准”）和睡眠脑电图（EEG）的最低标准建议。国际临床神经生理学联合会（IFCN）和国际抗癫痫联盟（ILAE）的联合工作组根据癫痫相关临床实践指南工作组建议的方法制定了这些标准。我们使用系统评价和荟萃分析的首选报告项目（PRISMA）声明审查了已发表的证据。睡眠诱导方法的证据质量通过推荐评估、制定和评估（GRADE）方法进行评估。用于诊断研究质量评估（QUADAS-2）的工具用于评估技术和方法学研究中的偏倚风险。在缺乏高质量已发表证据的情况下，我们使用修改后的德尔菲技术达成专家共识。GRADE 系统用于制定建议。证据质量为低或中。我们为记录常规和睡眠 EEG 的最低标准制定了 16 项基于共识的建议。这些建议包括以下方面：适应证、技术标准、记录持续时间、睡眠诱导和激发方法。
