American Clinical Neurophysiology Society Guideline 5: Minimum Technical Standards for Pediatric Electroencephalography

John Kuratani, Phillip L. Pearl, Lucy R. Sullivan, Rosario Maria S. Riel-Romero, Janna Cheek, Mark M. Stecker, Daniel San Juan Orta, Olga Selioutski, Saurabh R. Sinha, Frank W. Drislane, Tammy N. Tsuchida

    Research output: Contribution to journalArticle

    Abstract

    This revision to the EEG Guidelines is an update incorporating the current electroencephalography technology and practice. It was previously published as Guideline 2. Similar to the prior guideline, it delineates the aspects of Guideline 1 that should be modified for neonates and young children. Recording conditions for photic stimulation and hyperventilation are revised to enhance the provocation of epileptiform discharges. Revisions recognize the difficulties involved in performing an EEG under sedation in young children. Recommended neonatal EEG montages are displayed for the reduced set of electrodes only since the montages in Guideline 3 should be used for a 21-electrode 10-20 system array. Neonatal documentation is updated to use current American Academy of Pediatrics term “postmenstrual age” rather than “conceptional age.” Finally, because therapeutic hypothermia alters the prognostic value of neonatal EEG, the necessity of documenting the patient’s temperature at the time of recording is emphasized.

    Original languageEnglish (US)
    Pages (from-to)266-275
    Number of pages10
    JournalNeurodiagnostic Journal
    Volume56
    Issue number4
    DOIs
    StatePublished - Oct 1 2016

    Keywords

    • Children
    • EEG
    • conceptional age
    • electrode
    • electroencephalography
    • filter
    • guideline
    • hyperventilation
    • montage
    • neonate
    • pediatric
    • photic stimulation
    • postmenstrual age
    • technical
    • therapeutic hypothermia

    ASJC Scopus subject areas

    • Clinical Neurology
    • Medical Laboratory Technology

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  • Cite this

    Kuratani, J., Pearl, P. L., Sullivan, L. R., Riel-Romero, R. M. S., Cheek, J., Stecker, M. M., Orta, D. S. J., Selioutski, O., Sinha, S. R., Drislane, F. W., & Tsuchida, T. N. (2016). American Clinical Neurophysiology Society Guideline 5: Minimum Technical Standards for Pediatric Electroencephalography. Neurodiagnostic Journal, 56(4), 266-275. https://doi.org/10.1080/21646821.2016.1245568