Clinical Applications of Electroencephalogram in Children

Introduction: To obtain a baseline for clinical application of Electroencephalography in children and to evaluate the Electroencephalography findings in children with various acute and chronic CNS disorders and non epileptic events.Methods: electroencephalography Electroencephalography records of 250 patients were studied in neurophysiology departments of Queen Rania AL-Abdullah Hospital for children in Jordan. For each patient who had undergone Electroencephalography the following data were recorded: age, sex, source of referral (inpatient or outpatient department), reason for electroencephalography Electroencephalography , diagnostic impressions, clinical presentation, the result of the Electroencephalography examinations and clinical correlation between the seizure type and Electroencephalography finding.Results: Males slightly outnumbered females: 55% males. The majority of cases were Electroencephalography between 6-12 years, Total of 63.2 % of all referrals for Electroencephalography were from outpatient clinics while inpatients accounted for 36.8% of referred cases, with pediatric neurology department referrals being the highest (28.8 %). majority of diagnosis at referral were suspected epilepsy (80%)with epileptiform Electroencephalography abnormalities in 32%. Over all 64 % the Electroencephalography records were normal, including all Electroencephalography records of children with syncope and headache. Discussion: We conclude that there are many unnecessary routine Electroencephalography recordings in children. Investigation of epilepsy and acute encephalopathies appear to be the most valuable indications for routine pediatric Electroencephalography . Electroencephalography can be helpful in classification of seizures. Finding a way to reduce Electroencephalography requests is recommended.