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Clinical Indications for Electroencephalography Use in Child Psychiatry

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An EEG may be indicated to rule out nonconvulsive status epilepticus or frequent nonconvulsive seizures. CNS infections, such as herpes encephalitis manifesting with altered mental status, can have either generalized or lateralizing periodic epileptiform discharges that are not seizures but signify the ongoing disease process. Patients who are in the postictal state may present similarly and may demonstrate generalized or focal slowing on EEG. In general, the degree of slowing of the EEG correlates with the severity of the clinical state.

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Table Reference Number
TABLE 10–4. Paroxysmal nonepileptic events in children and adolescents

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