
Nasopharyngeal Sleep EEGs in a Community Hospital Setting
P. L. Schraeder, MD
Dept of Neurology The Medical College of Pennsylvania 3300 Henry Ave Philadelphia, PA 19129
M. Humphries, RN
EEG Laboratory Berkshire Medical Center Pittsfield, MA 01201
Arch Neurol. 1977;34(12):788.
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To the Editor.—
For almost 30 years, nasopharyngeal (NP) EEG electrodes have been used to record epileptogenic discharges in the mesial temporal regions of the brain,1-3 but are not commonly used in community hospital EEG laboratories. Published studies using this technique included a rather preselected referral patient population.4-6 This study was conducted in a community hospital EEG laboratory over 18 months. Each of 72 patients having an NP sleep EEG had a recent history suggestive of complex partial seizures. Routine EEG findings were normal or inappropriate for the suspected diagnosis of complex partial seizures. Nasopharyngeal electrodes were placed by a neurologist, using standard insertion techniques.7 Sleep was obtained naturally or with chloral hydrate (500 to 1,500 mg). Twelve (16.6%) of the patients had paroxysmal abnormalities. Eight patients (11%) had findings in the NP electrodes; five (6.9%) had paroxysmal discharges only in the NP leads with no diagnosable
. . . [Full Text PDF of this Article]
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