Will an EEG show past seizures?

The likelihood of recording a seizure during a routine EEG is small. The EEG generally records brain waves between seizures, called interictal brain waves. These waves may or may not show evidence of seizure activity.
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Will an EEG show a previous seizure?

An EEG can usually show if you are having a seizure at the time of the test, but it can't show what happens to your brain at any other time. So even though your test results might not show any unusual activity it does not rule out having epilepsy.
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How do they test for past seizures?

An electroencephalogram (EEG).

The electrodes record the electrical activity of your brain, which shows up as wavy lines on an EEG recording. The EEG may reveal a pattern that tells doctors whether a seizure is likely to occur again.
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Will a past seizure show up on an MRI?

Does epilepsy show up on MRI scans? No, not necessarily. An MRI scan can help your doctor understand some of the possible underlying structural causes of your seizures. However, for many people there is no structural cause behind their epilepsy and so the brain scan comes back 'normal'.
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How accurate is an EEG for seizures?

Based upon our positive likelihood ratios, and assuming a pre-test probability of 50%, an adult with ED on routine EEG after a first unprovoked seizure has a 77% probability of having a second seizure, whilst a child with similar findings has a 66% probability.
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EEG in generalized onset seizures



What does seizure activity look like on an EEG?

The EEG is used to evaluate several types of brain disorders. When epilepsy is present, seizure activity will appear as rapid spiking waves on the EEG. People with lesions of their brain, which can result from tumors or stroke, may have unusually slow EEG waves, depending on the size and the location of the lesion.
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What can an EEG tell you about seizures?

It is most often used to determine the type and origin of seizures. For example, if you have a seizure disorder, the EEG can show where abnormal activity in your brain comes from and can help distinguish between generalized or focal seizures.
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How long after a seizure can it be detected?

If performed within 24-48 hours of a first seizure, EEG shows substantial abnormalities in about 70% of cases. The yield may be lower with longer delays after the seizure. If the standard EEG is negative, sleep-deprived EEG will detect epileptiform discharges in an additional 13-31% of cases.
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Which is better MRI or EEG?

MRI has a higher spatial resolution than electroencephalography (EEG). MRI with hyperintense lesions on FLAIR and DWI provides information related to brain activity over a longer period of time than a standard EEG where only controversial patterns like lateralized periodic discharges (LPDs) may be recorded.
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What are 10 conditions diagnosed with an EEG?

10 Conditions Diagnosed With an EEG
  • Seizure Disorders. The primary use of EEG is diagnosing epilepsy and other seizure disorders. ...
  • Sleep Disorders. Sleep disorders range from insomnia to narcolepsy. ...
  • Brain Tumors. There are many types of brain tumors. ...
  • Brain Injury. ...
  • Dementia. ...
  • Brain Infections. ...
  • Stroke. ...
  • Attention Disorders.
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How do I know if I have had a seizure?

A staring spell. Uncontrollable jerking movements of the arms and legs. Loss of consciousness or awareness. Cognitive or emotional symptoms, such as fear, anxiety or deja vu.
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How do you tell if you've had a seizure in your sleep?

During a nocturnal seizure, you may:
  1. cry out or make unusual noises, especially before muscles tense.
  2. suddenly appear very rigid.
  3. lose bladder control.
  4. twitch or jerk.
  5. bite your tongue.
  6. fall out of bed.
  7. wake up for no clear reason [3].
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Can a CT scan tell if you had a seizure?

People sometimes think that imaging tests such as an EEG, CT scan or an MRI will determine that they have had a seizure. However, information from tests alone can't always confirm that a seizure has occurred, or that the person has epilepsy.
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How common is it to have a second seizure?

The chance of another seizure can range from 16% to 61%, depending on the circumstances surrounding the seizure and results of a neurological exam or other tests.
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What are non epileptic seizures?

PNES are attacks that may look like epileptic seizures but are not epileptic and instead are cause by psychological factors. Sometimes a specific traumatic event can be identified. PNES are sometimes referred to as psychogenic events, psychological events, or nonepileptic seizures (NES).
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Can you have an abnormal EEG and not have seizures?

This means that sometimes the EEG is described as 'abnormal' (that is 'not normal' brain activity) but does not 'prove' that the person has epilepsy. To complicate this further, some people have 'abnormal' EEGs but do not have epilepsy.
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Can an EEG show brain damage?

Electroencephalography (EEG) was the first clinical neurodiagnostic assessment that revealed abnormal brain function following traumatic brain injury. To detect brain injury, EEG may be more sensitive than clinical neurological examination.
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What is a drawback of having an EEG scan?

One of the big disadvantages of EEG/ERP is that it's hard to figure out where in the brain the electrical activity is coming from. By putting lots of electrodes all over the scalp (in our lab we use 64 or 128 electrodes), we can get some idea of where the ERP components are strongest.
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Can a EEG be wrong?

Yes, EEG can be bad for you. The consequences of being misdiagnosed with epilepsy are obvious and serious [9]. When the diagnosis is based largely on an abnormal EEG, no amount of subsequent normal EEGs will 'cancel' the previous abnormal one, and the wrong diagnosis is very difficult to undo.
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Can stress cause seizures without epilepsy?

Even in people without epilepsy, stress and anxiety can trigger PNES, which are also known as pseudoseizures. PNES are physiologically different from the neurological seizures found in epilepsy.
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What causes seizures in adults out of nowhere?

Seizures in adults with no seizure history can be caused by a number of factors ranging from high blood pressure, drug abuse and toxic exposures to brain injury, brain infection (encephalitis) and heart disease.
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What conditions can an EEG diagnose?

An EEG might also be helpful for diagnosing or treating:
  • Brain tumors.
  • Brain damage from head injury.
  • Brain dysfunction that can have a variety of causes (encephalopathy)
  • Sleep disorders.
  • Inflammation of the brain (herpes encephalitis)
  • Stroke.
  • Sleep disorders.
  • Creutzfeldt-Jakob disease.
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What does an EEG tell a neurologist?

An EEG (electroencephalogram) measures your brain's activity. Brain activity can help your healthcare provider diagnose and monitor brain-related conditions like epilepsy. Your healthcare provider may order an EEG if you have symptoms such as seizures or confusion. An EEG is safe and painless.
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What does a 3 day EEG show?

“By performing the test over three days, especially in a setting the patient is used to, we can capture what may be going on abnormally in the brain and when it's happening,” explains Shawn Brown, a lead field technician for NeuLine Health.
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What do spikes in EEG mean?

Spikes or sharp waves are terms commonly seen in EEG reports. If these happen only once in a while or at certain times of day, they may not mean anything. If they happen frequently or are found in specific areas of the brain, it could mean there is potentially an area of seizure activity nearby.
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