Abenza Abildúa M J, Olmedo Menchen T, Pérez Villena A, Ruhland Paulete S, José Navacerrad F, de Ojeda Ruíz de Luna J, Algarra Lucas C, Cordero Martín G, Martínez Ubierna S, Jimeno Montero C, Navarro López I J, Suárez Gisbert E, Gómez de la Riva Á, Pérez López C, Herreros Fernández M L
Sección de Neurología, Centro de Medicina del Sueño, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain; Fundación para la Investigación e Innovación Biomédica del Hospital Universitario Infanta Sofía y Hospital Universitario del Henares, Madrid, Spain.
Sección de Neurología, Centro de Medicina del Sueño, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain.
Neurologia (Engl Ed). 2024 Aug 8. doi: 10.1016/j.nrleng.2024.08.001.
We analyze the diagnostic utility of urgent EEG (electroencephalogram) performed in children under 16 years of age in our center.
Descriptive, retrospective, observational study of consecutive patients from 0 to 16 years of age, who underwent an urgent EEG for any reason, from January to December 2022.
Of the 388 patients, 70 were children: 37 (52.85%) women, and 33 (47.14%) men. Average age: 6.27 ± 4.809. Of the 70 patients, 6 (8.57%) had previous epilepsy. Reasons for consultation: 17 febrile seizures, 10 first focal seizures, 10 first TCG seizures, 6 paroxysmal episodes, 6 absences, 3 myoclonus of extremities, 3 syncope, 2 SE, 2 visual alterations, 2 low level of consciousness, 2 cyanosis, 2 suspected meningitis or encephalitis, 1 choking, 1 atypical headache, 1 chorea, 1 presyncope, 1 language delay. Of the 70 patients, 47 had a normal EEG (67.14%). Of the 47 patients with a normal EEG, 10 were diagnosed with epilepsy, and 3 of them began receiving antiepileptic treatment upon discharge. None of the patients with suspected syncope or paroxysmal disorder (17 patients, 24.28%) had EEG abnormalities. Of the 17 patients with atypical febrile seizures, 3 had EEG abnormalities.
A third of the EEG records performed in the Emergency Department showed alterations, probably due to the time taken. Almost half of the patients with suspected epilepsy or EE showed EEG abnormalities, which confirmed the diagnosis in these cases and encouraged the clinician to start drug treatment. No case with a high suspicion of epilepsy was dismissed due to the normality of the EEG recording in our series. No patient diagnosed with syncope or paroxysmal disorder had EEG abnormalities. Nearly a quarter of patients with atypical febrile seizures showed EEG abnormalities. We barely register cases of status epilepticus, probably due to the degree of complexity of our center.
我们分析了在本中心对16岁以下儿童进行紧急脑电图（EEG）检查的诊断效用。
对2022年1月至12月因任何原因接受紧急脑电图检查的0至16岁连续患者进行描述性、回顾性、观察性研究。
在388例患者中，70例为儿童：37例（52.85%）为女性，33例（47.14%）为男性。平均年龄：6.27±4.809。在70例患者中，6例（8.57%）既往有癫痫病史。就诊原因：17例热性惊厥，10例首次局灶性发作，10例首次全面性强直阵挛发作，6例阵发性发作，6例失神发作，3例肢体肌阵挛，3例晕厥，2例癫痫持续状态，2例视觉改变，2例意识水平低下，2例发绀，2例疑似脑膜炎或脑炎，1例窒息，1例非典型头痛，1例舞蹈病，1例晕厥前状态，1例语言发育迟缓。在70例患者中，47例脑电图正常（67.14%）。在47例脑电图正常的患者中，10例被诊断为癫痫，其中3例在出院时开始接受抗癫痫治疗。疑似晕厥或阵发性疾病的患者（17例，24.28%）均无脑电图异常。在17例非典型热性惊厥患者中，3例有脑电图异常。
急诊科进行的脑电图检查记录中有三分之一显示异常，可能与检查时间有关。几乎一半疑似癫痫或癫痫性脑病的患者脑电图异常，这在这些病例中证实了诊断，并促使临床医生开始药物治疗。在我们的系列研究中，没有因脑电图记录正常而排除高度疑似癫痫的病例。诊断为晕厥或阵发性疾病的患者均无脑电图异常。近四分之一的非典型热性惊厥患者脑电图异常。我们几乎没有记录到癫痫持续状态的病例，可能是由于我们中心的复杂程度所致。
