Advice to Patients Attending
All of the procedures that we undertake are totally painless and a description of each procedure follows:
A Routine
vEEG is a test for
which we place a stretchy cap containing about 24 recording
electrodes onto your head. Some water-based jelly is inserted into
each electrode and you are made comfortable while the recording takes
place. Once set up, a routine recording will take about 20 minutes
and if you feel drowsy during the procedure, that is fine. There is
absolutely no pain and no after effects. During the recording, you
may be asked to hyperventilate (deep breathe) for about three minutes
and near the end of the recording, a bright flashing light may be
placed in front of you. If you find the light unpleasant, it will not
be continued but many patients report a pleasant relaxing feeling
from it.
In the case of children, we normally manage the vEEG
with parental support, ie the child sitting on parent's knees. If you
do bring a child for EEG, please do not
bring any other children as
it is absolutely crucial that there are no distractions during the
EEG. You could bring their favorite book, toy or even DVD and between
us, we can usually entertain them while the recording takes place.
In about 10% of cases, children will simply not co-operate. In such cases, we will arrange a repeat date with you and try again after sedation which will be arranged by your refering Doctor.
If you are an adult,
please do bring another adult. If it is possible to bring someone who
had witnessed any of your attacks or problems that have required the
vEEG, that would be extremely useful in terms of our being able to
obtain a clear description of the events. Please do not bring more
than one other adult as too many people in the room can be
distracting.
A Sleep-deprived vEEG is usually
undertaken after a Routine vEEG has not provided the level of
required information. This is identical to a Routine vEEG except that
we ask you to take 3-4 hours less sleep than usual on the night prior
to coming along. Recording the vEEG during sleep-deprivation and
during light sleep may add further valuable information to the
recording and you should allow 60-120 minutes of total time here
(depends on if/how quickly you become drowsy).
There are some
risks associated with Sleep-deprivation and your referring Doctor
will explain those risks to you in full prior to referring you - you
may be asked to sign a Consent Form during that discussion.
Video
recording. All of the EEGs undertaken here also include video so
that when we are replaying the EEG for reporting purposes, we may
observe the patient's general state alongside the EEG. These videos
are not retained unless any sort of clinical event takes place as
they are simply too large to store indefinately.
Medication.
If you, the patient or the child patient is taking any prescribed
medicines, these should not be stopped or altered in
any way whatsoever.