COMPARISON OF VARIOUS EEG ELECTRODE PLACEMENT SYSTEMS TO DETECT EPILEPTIFORM ABNORMALITIES IN INFANTS

Background: Technical difficulties in placement of whole 10-20 electrode system is not uncommon in neonates and infants. Apart from the full channel many centers uses the modified and amplitude integrated EEG montages to identify seizures. Objective: Efficacy of standard, modified and amplitude i...

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Autores principales: Sajeesh Parameswaran, Thankappakurup Vijayamma Anil Kumar, Ajith Mohan, John Thomas, Nikhil Sajeev, Kamala Swarnam, Ananthanarayana Marthanda Pillai
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Publicado: University of Brawijaya 2021
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Acceso en línea:https://doaj.org/article/3710774880cc403e9e9ea3c58b6a55d6
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spelling oai:doaj.org-article:3710774880cc403e9e9ea3c58b6a55d62021-11-23T03:06:46Z COMPARISON OF VARIOUS EEG ELECTRODE PLACEMENT SYSTEMS TO DETECT EPILEPTIFORM ABNORMALITIES IN INFANTS10.21776/ub.mnj.2021.007.01.72407-67242442-5001https://doaj.org/article/3710774880cc403e9e9ea3c58b6a55d62021-01-01T00:00:00Zhttps://mnj.ub.ac.id/index.php/mnj/article/view/469https://doaj.org/toc/2407-6724https://doaj.org/toc/2442-5001Background: Technical difficulties in placement of whole 10-20 electrode system is not uncommon in neonates and infants. Apart from the full channel many centers uses the modified and amplitude integrated EEG montages to identify seizures. Objective: Efficacy of standard, modified and amplitude integrated EEG electrode placement in infants to detect epileptiform abnormalities. Methods: All routine EEGs from June 2015 to April 2018 were taken. Age ≤ 2years at the time of recoding was the inclusion criteria. Digital EEG was performed according to standard 10-20 electrode placement system in all patients. Abnormal EEGs were reanalyzed in different montages like A) 21 electrodes- full channel, B) 10 electrodes- modified long distance and C)4 electrodes- (centro/parietal) respectively. Inter ictal epileptiform discharges (IEDs), seizures, periodic complexes and non-specific dysfunctions were tabulated in all patients. Full channel montages are considered bench mark for the analysis Results: A total 129 EEGs analyzed. A) Full channel standard 21 electrodes montages could identify IEDs in 35, non-specific electrophysiological dysfunction in 9 and burst-suppression pattern in 2 EEGs. B) Modified electrode placement consists of 10 electrodes could identify IEDs only in 26 EEGs and non-specific electro physiological dysfunction in 6 EEGs. A total of 28 nonconvulsive seizures (NCS) recorded in 6 patients; 20 numbers of NCS (71.4%) seen in modified electrode placement (B) and only 16 (57.1%) seen in centro/parietal electrode placement (C).. Conclusion: Standard EEG electrode placement has higher yield in detecting epileptiform abnormalities.Sajeesh ParameswaranThankappakurup Vijayamma Anil KumarAjith MohanJohn ThomasNikhil SajeevKamala SwarnamAnanthanarayana Marthanda PillaiUniversity of Brawijayaarticleeegelectrode placementepilepsyinfantsMedicineRNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENIDMalang Neurology Journal, Vol 7, Iss 1, Pp 30-33 (2021)
institution DOAJ
collection DOAJ
language EN
ID
topic eeg
electrode placement
epilepsy
infants
Medicine
R
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle eeg
electrode placement
epilepsy
infants
Medicine
R
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Sajeesh Parameswaran
Thankappakurup Vijayamma Anil Kumar
Ajith Mohan
John Thomas
Nikhil Sajeev
Kamala Swarnam
Ananthanarayana Marthanda Pillai
COMPARISON OF VARIOUS EEG ELECTRODE PLACEMENT SYSTEMS TO DETECT EPILEPTIFORM ABNORMALITIES IN INFANTS
description Background: Technical difficulties in placement of whole 10-20 electrode system is not uncommon in neonates and infants. Apart from the full channel many centers uses the modified and amplitude integrated EEG montages to identify seizures. Objective: Efficacy of standard, modified and amplitude integrated EEG electrode placement in infants to detect epileptiform abnormalities. Methods: All routine EEGs from June 2015 to April 2018 were taken. Age ≤ 2years at the time of recoding was the inclusion criteria. Digital EEG was performed according to standard 10-20 electrode placement system in all patients. Abnormal EEGs were reanalyzed in different montages like A) 21 electrodes- full channel, B) 10 electrodes- modified long distance and C)4 electrodes- (centro/parietal) respectively. Inter ictal epileptiform discharges (IEDs), seizures, periodic complexes and non-specific dysfunctions were tabulated in all patients. Full channel montages are considered bench mark for the analysis Results: A total 129 EEGs analyzed. A) Full channel standard 21 electrodes montages could identify IEDs in 35, non-specific electrophysiological dysfunction in 9 and burst-suppression pattern in 2 EEGs. B) Modified electrode placement consists of 10 electrodes could identify IEDs only in 26 EEGs and non-specific electro physiological dysfunction in 6 EEGs. A total of 28 nonconvulsive seizures (NCS) recorded in 6 patients; 20 numbers of NCS (71.4%) seen in modified electrode placement (B) and only 16 (57.1%) seen in centro/parietal electrode placement (C).. Conclusion: Standard EEG electrode placement has higher yield in detecting epileptiform abnormalities.
format article
author Sajeesh Parameswaran
Thankappakurup Vijayamma Anil Kumar
Ajith Mohan
John Thomas
Nikhil Sajeev
Kamala Swarnam
Ananthanarayana Marthanda Pillai
author_facet Sajeesh Parameswaran
Thankappakurup Vijayamma Anil Kumar
Ajith Mohan
John Thomas
Nikhil Sajeev
Kamala Swarnam
Ananthanarayana Marthanda Pillai
author_sort Sajeesh Parameswaran
title COMPARISON OF VARIOUS EEG ELECTRODE PLACEMENT SYSTEMS TO DETECT EPILEPTIFORM ABNORMALITIES IN INFANTS
title_short COMPARISON OF VARIOUS EEG ELECTRODE PLACEMENT SYSTEMS TO DETECT EPILEPTIFORM ABNORMALITIES IN INFANTS
title_full COMPARISON OF VARIOUS EEG ELECTRODE PLACEMENT SYSTEMS TO DETECT EPILEPTIFORM ABNORMALITIES IN INFANTS
title_fullStr COMPARISON OF VARIOUS EEG ELECTRODE PLACEMENT SYSTEMS TO DETECT EPILEPTIFORM ABNORMALITIES IN INFANTS
title_full_unstemmed COMPARISON OF VARIOUS EEG ELECTRODE PLACEMENT SYSTEMS TO DETECT EPILEPTIFORM ABNORMALITIES IN INFANTS
title_sort comparison of various eeg electrode placement systems to detect epileptiform abnormalities in infants
publisher University of Brawijaya
publishDate 2021
url https://doaj.org/article/3710774880cc403e9e9ea3c58b6a55d6
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