Prolonged EEGs in adult patients with a first unprovoked seizure: a prospective pilot study

Shapiro, Michelle

Prolonged EEGs in adult patients with a first unprovoked seizure: a prospective pilot study - 2019.


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AimsDefinitions of epilepsy have changed to include a first unprovoked seizure with a high (>60%) risk of recurrence in the next 10 years. A single seizure and an epileptiform discharge on an EEG would suffice for this diagnosis. We hypothesized that an extended six-hour EEG in adult patients presenting with a first unprovoked seizure would demonstrate an increased yield of epileptiform discharges in comparison to a standard 30-minute EEG, and therefore higher rates of epilepsy diagnosis.

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