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EEG

What is EEG?

An electroencephalogram (EEG) is a non-invasive test that records electrical activity in the brain. It works by picking up abnormal brain waves via electrodes that are attached to the scalp. EEGs are usually done to detect seizures and to diagnose epilepsy, but they can be used to evaluate or diagnose other conditions, such as sleep disorders or brain injuries. EEGs are also often used to monitor brain activity in someone who is in an induced coma or undergoing certain types of surgery. 
 
An EEG may be ordered by a general practitioner or by a neurologist a doctor who specializes in disorders that affect the brain, spinal cord, and nerves.

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How EEG Works

To understand how an electroencephalogram (EEG) works, it is useful to understand some basics about how the brain itself works. Brain activity consists of a flurry of electrical signals flowing through cells, called neurons. When a neuron “fires,” or becomes active, an electric current ripples down the cell. And when many neurons fire at the same time, sensors on the scalp can detect this shift in voltage a process that forms the basis of EEG. A typical EEG cap consists of many sensors small metal discs, called electrodes which monitor signals from a number of locations around the head.

EEG charts comprise a series of wavy lines, which represent rising and falling voltages within different groups of neurons. Often referred to as “brain waves,” these ripples are measured in hertz, or cycles per second, and are classified according to their frequency. Brain wave categories include: delta (0.5-4 hz), alpha (8-12 hz), beta (12-35 hz), theta (40-8hz), and gamma (32-100 hz) waves. 

 

Why it's done

An EEG can find changes in brain activity that might be useful in diagnosing brain disorders, especially epilepsy or another seizure disorder. 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

Results

Doctors trained to analyze EEGs interpret the recording and send the results to the doctor who ordered the EEG. You might need to schedule an office appointment to discuss the results of the test.

If possible, bring along a family member or friend to the appointment to help you remember the information you’re given.

Write down questions to ask your doctor, such as:

  • Based on the results, what are my next steps?
  • What follow-up, if any, do I need?
  • Are there factors that might have affected the results of this test in some way?
  • Will I need to repeat the test?

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