Effects of Sleep Deprivation on the Pediatric Electroencephalogram

DeRoos, Steven; Chillag, Kipp L.; Keeler, Martina; Gilbert, Donald L.

doi:10.1542/peds.2008-0357

Cited by 31 publications

(37 citation statements)

References 25 publications

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“…In some instances EEGs were impossible to record due to an uncooperative child and in other instances the EEG was impossible to draw any conclusions from because of movement/muscle artefacts and as a consequence high impedance electrode artefacts. In literature reviews unsuccessful EEGs in children has been reported in 4-9% of the recordings which is within the limits of our observations (DeRoos et al, 2009;Olson et al, 2001;Wassmer et al, 2001b). Sander et al (2012) reported more artefacts and higher number of unsuccessful EEGs, but still not significant, in children who got melatonin prior to EEG in comparison with those who were sleep deprived.…”

Section: Discussionsupporting

confidence: 83%

Occurrence of epileptiform discharges and sleep during EEG recordings in children after melatonin intake versus sleep-deprivation

Gustafsson

Broström

Ulander

et al. 2015

Clinical Neurophysiology

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Section: Discussionsupporting

confidence: 83%

Occurrence of epileptiform discharges and sleep during EEG recordings in children after melatonin intake versus sleep-deprivation

Gustafsson

Broström

Ulander

et al. 2015

Clinical Neurophysiology

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“…Interictal discharges are seen more commonly during sleep, with the greatest activation seen during nonrapid eye movement sleep (nREM). Sleep deprivation also facilitates both epileptiform abnormalities and seizures (2,14). Recent clinical practice guidelines for EEG have supported subsequent EEG recording with sleep deprivation after a noninformative routine EEG (7,12).…”

Section: Discussionmentioning

confidence: 99%

“…Recent clinical practice guidelines for EEG have supported subsequent EEG recording with sleep deprivation after a noninformative routine EEG (7,12). A review of the literature demonstrates that EEG laboratories using only awake EEGs as routine EEG recordings report a relatively low prevalence of epileptiform discharges, whereas the higher prevalence of epileptiform discharges is seen in those with more prolonged sleep recordings (14,15). Some studies have found that sleep deprivation is more effective for producing abnormalities in EEG than sleep obtained with pharmacotherapy (15).…”

Section: Discussionmentioning

confidence: 99%

What has changed in the utility of pediatric EEG over the last decade?

Orgun¹,

Arhan²,

Aydın³

et al. 2018

Turk J Med Sci

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Background/aim: We evaluated the utility of electroencephalography (EEG) in children with neurological conditions and compared the results with those of our previous study on excessive uses of pediatric EEG, which was published in 2003. We also evaluated the possibility of subsequent EEGs and satisfactory duration of EEG recordings according to EEG type and admission status. We also evaluated the yield of varying durations of EEG recordings.Materials and methods: All consecutive pediatric EEG records performed at Gazi University EEG laboratory during a 1-year period were retrospectively reviewed. The indications of EEGs, the number of EEGs for each patient, condition and duration of EEG records, and activation techniques were evaluated in terms of detection of abnormalities by EEG. Results:We reviewed a total of 2045 EEGs in children aged 2 months-20 years. Of these, 776 were repeat EEGs (38%) and 485 recordings were ≥30 min (23.7%); 98% of EEG abnormalities appeared in the first 30 min. Overall, 90.5% of EEGs were ordered by a pediatric neurologist. There were similar requests for numbers of EEGs, but the rate of abnormal EEGs (43.6%) was significantly higher when compared to that of our previous study (36.2%). Conclusion:The results of this study show that the utility of EEG becomes more selective and interpretation of pediatric EEG improves depending on the increasing number of pediatric neurologists. A duration of 20-30 min of EEG recording is sufficient, on the condition of inclusion of nREM sleep records.

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“…The existence of relationship between sleep and epilepsy has long been observed but was first validated by Gibbs and Gibbs when they found that paroxysmal discharges occurred more frequently in sleep [8]. Therefore, often a sleep-(deprivation) EEG is performed to elicit EEG abnormalities, although the number needed to test with sleep-deprived EEG to identify one additional child with epileptiform discharges is approximately 11 [3].…”

Section: Discussionmentioning

confidence: 99%

“…In small children, this can increase the amount of information on maturation of brain electrical activity and reduces the occurrence of artifacts due to inadequate cooperation. Moreover, sleep can also increase the yield of the test itself, as for the EEG in certain epileptic syndromes [7], and this seems particularly true for EEG recordings after sleep deprivation [3].…”

Section: Introductionmentioning

confidence: 99%