ELECTROENCEPHALOGRAPHY
Electroencephalograms (EEG) are commonly obtained for children who have sustained TBI. In the practice parameter developed by the American Academy of Neurology concerning antiepileptic drug (AED) prophylaxis in severe TBI, the authors note that in their review of studies, they did not find sufficient data to be able to make a recommendation concerning the use of EEG (46).
In one report of 22 children between the ages of 1 week to 14 years at the time of TBI, the degree of EEG abnormality (mild, moderate, or severe) combined with admission Glasgow Coma Scale (GCS) were predictive of outcome in the young children. This was not the case for older children. Degree of EEG abnormality was statistically significantly correlated with full-scale intelligence quotient (IQ), attention and executive function, and memory (47). Additional evaluation of the usefulness of EEG in predicting outcome is needed.
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