Time is brain: The use of EEG electrode caps to rapidly diagnose nonconvulsive status epilepticus

 

Jake H McKay, Anteneh M Feyissa, Ugur Sener, Caitlin D?Souza, Chris Smelick, Aaron Spaulding, Kirsten Yelvington, William O Tatum

Objective

To perform a feasibility pilot study comparing the usefulness of EEG electrode cap versus standard scalp EEG for acquiring emergent EEGs in emergency department, inpatient, and intensive care unit patients.

Background

Nonconvulsive status epilepticus (NCSE) is a neurological emergency diagnosed exclusively by EEG. Nonconvulsive status epilepticus becomes more resistant to treatment 1 hour after continued seizure activity. EEG technologists are alerted “stat” when there is immediate need for an EEG during oncall hours, yet delays are inevitable. Alternatively, EEG caps can be quickly placed by in-house residents at bedside for assessment.