PMID- 17277572
OWN - NLM
STAT- MEDLINE
DCOM- 20070327
LR  - 20070205
IS  - 0736-0258 (Print)
IS  - 0736-0258 (Linking)
VI  - 24
IP  - 1
DP  - 2007 Feb
TI  - Incorporating abbreviated EEGs in the initial workup of patients who present to 
      the emergency room with mental status changes of unknown etiology.
PG  - 16-21
AB  - Patients frequently present to the emergency room (ER) with mental status changes 
      without obvious cause. The EEG is underused in this population. The authors 
      investigated whether an abbreviated EEG (AbEEG) can be incorporated in the early 
      evaluation of these patients to provide useful information. A 5-minute AbEEG was 
      performed using a preformed electrode placement system on 25 patients who 
      presented to the ER with mental status changes of unknown cause. AbEEG findings 
      were categorized as normal, showing diffuse abnormalities, focal abnormalities, 
      electrographic seizures, or uninterpretable. Using retrospective chart review, 
      the authors determined if the cause of mental status change was a diffuse 
      encephalopathy or a nonneurologic event (DENNE), a focal brain abnormality, 
      nonconvulsive status epilepticus (NCSE), psychogenic, or unknown, and if 
      particular AbEEG findings were associated with specific causes of altered 
      sensorium. The AbEEG identified NCSE in two patients who presented with new-onset 
      seizures. The presence of diffuse slowing on the AbEEG was highly suggestive of 
      mental status changes due to DENNE. AbEEGs can be successfully incorporated in 
      the early evaluation of patients who present to the ER with mental status changes 
      of unknown cause and provide useful information in this setting.
FAU - Bautista, Ramon Edmundo D
AU  - Bautista RE
AD  - Department of Neurology, University of Florida Health Sciences Center, 
      Jacksonville, Florida 32209, USA. ramon.bautista@jax.ufl.edu
FAU - Godwin, Steven
AU  - Godwin S
FAU - Caro, David
AU  - Caro D
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Clin Neurophysiol
JT  - Journal of clinical neurophysiology : official publication of the American 
      Electroencephalographic Society
JID - 8506708
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Brain Mapping/*methods
MH  - Critical Care/*methods
MH  - Electroencephalography/*methods
MH  - Emergency Medical Services/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Mental Disorders/*classification/*diagnosis
MH  - Middle Aged
EDAT- 2007/02/06 09:00
MHDA- 2007/03/28 09:00
CRDT- 2007/02/06 09:00
PHST- 2007/02/06 09:00 [pubmed]
PHST- 2007/03/28 09:00 [medline]
PHST- 2007/02/06 09:00 [entrez]
AID - 00004691-200702000-00003 [pii]
AID - 10.1097/WNP.0b013e318030e8cb [doi]
PST - ppublish
SO  - J Clin Neurophysiol. 2007 Feb;24(1):16-21. doi: 10.1097/WNP.0b013e318030e8cb.