Electroencephalogram (EEG) and 24-hour Ambulatory EEG
What is an EEG?
An EEG records the electrical activity of the
brain. Highly sensitive monitoring equipment records the activity
through electrodes that are placed at measured intervals on the
patient’s scalp for the duration of the EEG test.
Will an EEG Hurt and How Long Will it Take?
An EEG is not painful. The head is
measured and electrodes are placed on the scalp with water-based glue or
gel. The EEG procedure itself usually takes about 60 minutes.
Why Would My Doctor Order an EEG?
EEG tests assist physicians in the diagnosis
of a variety of neurological disorders, from common headaches and
dizziness to seizure disorders, strokes, and degenerative brain disease.
EEG testing is also used to look for organic causes of psychiatric
symptoms and disabilities in children.
What is a 24-hour Ambulatory EEG?
The 24-hour ambulatory EEG test uses a small
digital recorder. Electrodes are applied to the scalp, as with any EEG
test, but the patient is sent home with the electrodes in place. A diary
is used by the patient to record the activities of the day and any
symptoms that may occur during the 24-hour period of EEG testing. The
patient returns to the testing center the next day to have the
electrodes removed and turn in the diary.
What is a Sleep EEG?
Physicians may want to observe brain
patterns that occur during sleep. For a sleep EEG, the patient may be
asked to stay awake during most of the night prior to the EEG
appointment. This should help induce sleep at the time of the EEG test.
Before Your EEG Test
Prepare for your EEG test as instructed. Wash
and dry your hair but do not use any hair styling products. Your scalp
and hair should be clean and free of excess oil. Take your routine
medications unless told not to. You may be asked to sleep during the EEG
test. To help you do this, you should go to bed at midnight the night
before the EEG test and wake up at 4:00 a.m. the next morning. This
should help induce sleep at the time of your EEG procedure.
During Your EEG Test
During your EEG test, you will sit in a reclining chair or
lie down on an exam table in a softly lit room. The technologist will
measure certain points on your head. He or she will use a special pencil
to mark the spots where the electrodes will be placed on your scalp for
the EEG test. You may be asked to do the following:
- Relax, and open and close your eyes
- Breathe rapidly and deeply for a few minutes
- Sense a flashing light through your closed eyes
- Relax and go to sleep
After Your EEG Test
When your EEG test is done, all of the
electrodes will be removed. At home, wash your hair to remove any
remaining glue. You can get right back to your normal routine. If you
stopped taking any medications before the EEG test, ask your doctor when
you can restart them. Your doctor will let you know when the results of
your EEG test are ready.