Electroencephalogram in Children who Experienced First Unprovoked Seizure

Highlight: • Epiletiform abnormalities on the EEG provide additional clinical infromation about seizures • The majority of patients who have a first unprovoked seizure have an abnormal EEG (Abnormal II). • Using EEG as a supporting diagnostic tool in patients experiencing their first unprovoked...

Full description

Bibliographic Details
Main Authors: Arinda Putri Auna Vanadia, Prastiya Indra Gunawan, Abdurachman Abdurachman, Martono Tri Utomo, Hanik Badriyah Hidayati
Format: Article
Language:English
Published: Universitas Airlangga 2022-07-01
Series:Aksona
Subjects:
Online Access:https://e-journal.unair.ac.id/aksona/article/view/35814
_version_ 1797448688863281152
author Arinda Putri Auna Vanadia
Prastiya Indra Gunawan
Abdurachman Abdurachman
Martono Tri Utomo
Hanik Badriyah Hidayati
author_facet Arinda Putri Auna Vanadia
Prastiya Indra Gunawan
Abdurachman Abdurachman
Martono Tri Utomo
Hanik Badriyah Hidayati
author_sort Arinda Putri Auna Vanadia
collection DOAJ
description Highlight: • Epiletiform abnormalities on the EEG provide additional clinical infromation about seizures • The majority of patients who have a first unprovoked seizure have an abnormal EEG (Abnormal II). • Using EEG as a supporting diagnostic tool in patients experiencing their first unprovoked seizures may provide more information to improve treatment   ABSTRACT Introduction: The first unprovoked seizure is defined as a series of seizures that occur within 24 hours and are followed by recovery of consciousness with unknown triggering causes such as head trauma, central nervous system infections, tumors, or hypoglycemia. The first unprovoked seizure is a thing that cannot be underestimated. According to a previous study, less than half of those who experience their first unprovoked seizure will have another. An electroencephalogram (EEG) is one of the supporting examinations for the first unprovoked seizure. Objective: This study aims to determine the EEG as the first unprovoked seizure supporting examination. Methods: This is a retrospective, descriptive, observational study with sampling from the patient's medical record at Dr. Soetomo General Hospital Surabaya from January 2017 to December 2018 based on predetermined inclusion and exclusion criteria. Results: The EEG results in children who experienced their first unprovoked seizure were more abnormal (52.9%) than normal (47.1%), with an abnormal EEG breakdown of abnormal II (17.6%) and abnormal III (35.3%). There were no patients in this study who had EEG abnormal I. All patients with EEG abnormal II (17.6%) had an intermittent slow EEG waveform, while all patients with EEG abnormal III (35.3%) had a sharp waveform. The most common location of EEG wave abnormalities was temporal (55.6%). Conclusion: In the first unprovoked seizure, an EEG examination can assist clinicians as a seizure diagnostic assistant tool. It is hoped that the results of the EEG can provide better management of the first unprovoked seizure.
first_indexed 2024-03-09T14:13:58Z
format Article
id doaj.art-a273883d1d6f44b5b7be79ce14c03b7c
institution Directory Open Access Journal
issn 2807-7970
language English
last_indexed 2024-03-09T14:13:58Z
publishDate 2022-07-01
publisher Universitas Airlangga
record_format Article
series Aksona
spelling doaj.art-a273883d1d6f44b5b7be79ce14c03b7c2023-11-29T05:11:28ZengUniversitas AirlanggaAksona2807-79702022-07-0122525610.20473/aksona.v2i2.3581433830Electroencephalogram in Children who Experienced First Unprovoked SeizureArinda Putri Auna Vanadia0Prastiya Indra Gunawan1https://orcid.org/0000-0003-3199-2826Abdurachman Abdurachman2Martono Tri Utomo3Hanik Badriyah Hidayati4https://orcid.org/0000-0002-6825-1311Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Pediatrics, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, IndonesiaDepartment of Anatomy and Histology, Faculty of Medicine, Universitas Airlangga; Dr. Soetomo General Academic Hospital, Surabaya IndonesiaDepartment of Pediatrics, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, IndonesiaDepartment of Neurology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, IndonesiaHighlight: • Epiletiform abnormalities on the EEG provide additional clinical infromation about seizures • The majority of patients who have a first unprovoked seizure have an abnormal EEG (Abnormal II). • Using EEG as a supporting diagnostic tool in patients experiencing their first unprovoked seizures may provide more information to improve treatment   ABSTRACT Introduction: The first unprovoked seizure is defined as a series of seizures that occur within 24 hours and are followed by recovery of consciousness with unknown triggering causes such as head trauma, central nervous system infections, tumors, or hypoglycemia. The first unprovoked seizure is a thing that cannot be underestimated. According to a previous study, less than half of those who experience their first unprovoked seizure will have another. An electroencephalogram (EEG) is one of the supporting examinations for the first unprovoked seizure. Objective: This study aims to determine the EEG as the first unprovoked seizure supporting examination. Methods: This is a retrospective, descriptive, observational study with sampling from the patient's medical record at Dr. Soetomo General Hospital Surabaya from January 2017 to December 2018 based on predetermined inclusion and exclusion criteria. Results: The EEG results in children who experienced their first unprovoked seizure were more abnormal (52.9%) than normal (47.1%), with an abnormal EEG breakdown of abnormal II (17.6%) and abnormal III (35.3%). There were no patients in this study who had EEG abnormal I. All patients with EEG abnormal II (17.6%) had an intermittent slow EEG waveform, while all patients with EEG abnormal III (35.3%) had a sharp waveform. The most common location of EEG wave abnormalities was temporal (55.6%). Conclusion: In the first unprovoked seizure, an EEG examination can assist clinicians as a seizure diagnostic assistant tool. It is hoped that the results of the EEG can provide better management of the first unprovoked seizure.https://e-journal.unair.ac.id/aksona/article/view/35814childrendiseaseeegfirst unprovoked seizure
spellingShingle Arinda Putri Auna Vanadia
Prastiya Indra Gunawan
Abdurachman Abdurachman
Martono Tri Utomo
Hanik Badriyah Hidayati
Electroencephalogram in Children who Experienced First Unprovoked Seizure
Aksona
children
disease
eeg
first unprovoked seizure
title Electroencephalogram in Children who Experienced First Unprovoked Seizure
title_full Electroencephalogram in Children who Experienced First Unprovoked Seizure
title_fullStr Electroencephalogram in Children who Experienced First Unprovoked Seizure
title_full_unstemmed Electroencephalogram in Children who Experienced First Unprovoked Seizure
title_short Electroencephalogram in Children who Experienced First Unprovoked Seizure
title_sort electroencephalogram in children who experienced first unprovoked seizure
topic children
disease
eeg
first unprovoked seizure
url https://e-journal.unair.ac.id/aksona/article/view/35814
work_keys_str_mv AT arindaputriaunavanadia electroencephalograminchildrenwhoexperiencedfirstunprovokedseizure
AT prastiyaindragunawan electroencephalograminchildrenwhoexperiencedfirstunprovokedseizure
AT abdurachmanabdurachman electroencephalograminchildrenwhoexperiencedfirstunprovokedseizure
AT martonotriutomo electroencephalograminchildrenwhoexperiencedfirstunprovokedseizure
AT hanikbadriyahhidayati electroencephalograminchildrenwhoexperiencedfirstunprovokedseizure