Name of the Procedure:

Electroencephalogram (EEG), with continuous, real-time monitoring and maintenance for each increment of 12-26 hours.

Summary

An Electroencephalogram (EEG) is a test that measures electrical activity in the brain using electrodes attached to the scalp. Continuous, real-time EEG monitoring over extended periods (12-26 hours) allows for ongoing observation and assessment of brain activity.

Purpose

The EEG helps diagnose and monitor conditions affecting the brain, such as epilepsy, sleep disorders, and other neurological conditions. The goal is to detect and analyze abnormal brain activity patterns, providing essential information for treatment planning.

Indications

• Persistent, unexplained seizures or epilepsy
• Sleep disorders and disturbances
• Unexplained neurological symptoms
• Assessing brain function in patients with head injuries or strokes

Preparation

• Clean hair, free from oils, sprays, or creams
• Avoid caffeine for at least 8 hours before the test
• Follow specific instructions about medication adjustments as given by the healthcare provider
• Possible need for sleep deprivation before the test, if recommended

Procedure Description

1. The technologist places small, flat metal discs (electrodes) on the patient’s scalp using a specialized paste or adhesive.
2. Real-time EEG monitoring equipment is set up to continuously record brain activity.
3. The patient may be asked to rest, sleep, or perform specific activities to elicit brain responses.
4. Continuous monitoring ensures that real-time data is captured and any issues with the electrodes or equipment are promptly addressed.
5. The patient’s condition is constantly monitored to ensure safety and comfort.

Duration

Typically, the procedure lasts between 12 to 26 hours.

Setting

The procedure is usually performed in a hospital’s EEG monitoring unit or a specialized outpatient clinic equipped with EEG facilities.

Personnel

• EEG Technologist
• Neurologist
• Nursing staff

Risks and Complications

• Skin irritation from electrodes
• Discomfort or inconvenience due to the extended monitoring period
• Rare risk of allergic reactions to electrode adhesive

Benefits

• Accurate diagnosis of neurological conditions
• Tailored treatment plans based on detailed brain activity data
• Improved understanding of seizure patterns and triggers

Recovery

• Minimal recovery time; patients can typically resume normal activities immediately after the procedure.
• Follow any additional instructions provided by the healthcare team.
• A follow-up appointment may be scheduled to discuss the results and next steps.

Alternatives

• Short-term EEG monitoring (1-2 hours)
• Ambulatory EEG, where the patient goes about their daily activities while being monitored
• Neuroimaging tests, such as MRI or CT scans, which can show brain structure but not function

Patient Experience

• Patients might feel mild discomfort from the electrodes but should experience no pain.
• It is essential to remain as still and relaxed as possible for accurate results.
• Sleep aids may be provided to help with resting during the monitoring period.

This markdown provides a comprehensive overview of the continuous, real-time EEG monitoring procedure and is designed to be clear and informative for both patients and healthcare providers.