EEG

Alternative names
Electroencephalogram; Brain wave test

Definition

An electroencephalogram (EEG) is a test to detect abnormalities in the electrical activity of the brain.

How the test is performed

Brain cells communicate by producing tiny electrical impulses. In an EEG, electrodes are placed on the scalp over multiple areas of the brain to detect and record patterns of electrical activity and check for abnormalities.

The test is performed by an EEG technician in a specially designed room that may be in your health care provider’s office or at a hospital. You will be asked to lie on your back on a table or in a reclining chair.

The technician will apply between 16 and 25 flat metal discs (electrodes) in different positions on your scalp. The discs are held in place with a sticky paste. The electrodes are connected by wires to an amplifier and a recording machine.

The recording machine converts the electrical signals into a series of wavy lines that are drawn onto a moving piece of graph paper. You will need to lie still with your eyes closed because any movement can alter the results.

You may be asked to do certain things during the recording, such as breathe deeply and rapidly for several minutes or look at a bright flickering light.

How to prepare for the test

You will need to wash your hair the night before the test. Do not use any oils, sprays, or conditioner on your hair before this test.

Your health care provider may want you to discontinue some medications before the test. Do not change or stop medications without first consulting your health care provider.

You should avoid all foods containing caffeine for 8 hours before the test.

Sometimes it is necessary to sleep during the test, so you may be asked to reduce your sleep time the night before.

Infants and children:
The preparation you can provide for this test depends on your child’s age, previous experiences, and level of trust. For general information regarding how you can prepare your child, see the following topics:

     
  • Infant test or procedure preparation (birth to 1 year)  
  • Toddler test or procedure preparation (1 to 3 years)  
  • Preschooler test or procedure preparation (3 to 6 years)  
  • Schoolage test or procedure preparation (6 to 12 years)  
  • Adolescent test or procedure preparation (12 to 18 years)

How the test will feel

This test causes no discomfort. Although having electrodes pasted onto your skin may feel strange, they only record activity and do not produce any sensation.

Why the test is performed

EEG is used to help diagnose the presence and type of seizure disorders, to look for causes of confusion, and to evaluate head injuries, tumors, infections, degenerative diseases, and metabolic disturbances that affect the brain.

It is also used to evaluate sleep disorders and to investigate periods of unconsciousness. The EEG may be done to confirm brain death in a comatose patient.

EEG cannot be used to “read the mind”, measure intelligence, or diagnose mental illness.

Normal Values
Brain waves have normal frequency and amplitude, and other characteristics are typical.

What abnormal results mean

Abnormal findings may indicate the following:

     
  • Seizure disorders (such as epilepsy or convulsions)  
  • Structural brain abnormality (such as a brain tumor or brain abscess)  
  • Head injury, encephalitis (inflammation of the brain)  
  • Hemorrhage (abnormal bleeding caused by a ruptured blood vessel)  
  • Cerebral infarct (tissue that is dead because of a blockage of the blood supply)  
  • Sleep disorders (such as narcolepsy)

EEG may confirm brain death in someone who is in a coma.

Additional conditions under which the test may be performed:

     
  • Arteriovenous malformation (cerebral)  
  • Benign positional vertigo  
  • Cerebral aneurysm  
  • Complicated alcohol abstinence (delirium tremens)  
  • Creutzfeldt-Jacob disease  
  • Delirium  
  • Dementia  
  • Dementia due to metabolic causes  
  • Febrile seizure (children)  
  • Generalized tonic-clonic seizure  
  • Hepatic encephalopathy  
  • Hepatorenal syndrome  
  • Insomnia  
  • Labyrinthitis  
  • Meniere’s disease  
  • Metastatic brain tumor  
  • Multiple sclerosis  
  • Optic glioma  
  • Partial (focal) seizure  
  • Partial complex seizure  
  • Petit mal seizure  
  • Pick’s disease  
  • Senile dementia (Alzheimer’s type)  
  • Shy-Drager syndrome  
  • Syphilitic aseptic meningitis  
  • Temporal lobe seizure

What the risks are
The procedure is very safe. If you have a seizure disorder, a seizure may be triggered by flashing lights or by hyperventilation. The health care provider performing the EEG is trained to take care of you if this happens.

Johns Hopkins patient information

Last revised: December 6, 2012
by Simon D. Mitin, M.D.

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All ArmMed Media material is provided for information only and is neither advice nor a substitute for proper medical care. Consult a qualified healthcare professional who understands your particular history for individual concerns.