Posted 2/25/2005 7:25 PM (GMT 0)
Yes, he ordered a Sleep-deprived EEG, because the brain waves are considerably different and even act different while you are sleeping, then when you are awake.
If they only allow you to get 4-5 hours of sleep the night before the test, then usually because you haven't slept you will be able to sleep for 30 minutes during the test, and they can see things on the EEG that don't show up normally. Epileptiform discharges show up readily, and if someone has a "hidden" seizure disorder, that they haven't caught with regular EEGs, then this would catch it, and allow for further investigation.
I had 4 of them, and all of them were abnormal with spikes and slow waves in the L-TL region, and some generalized activity, as well.
I had come to Phoenix with suspected seizure activity so, they put me on Tegretol XR when I was living in Louisiana and I took it for about 3 years. The first neuro after running the tests (physical, neurological, EEGs, MRIs, CTs, and PETs) added Neurontin to the Tegretol XR, and sent me to my now current epileptologist, who ran more tests, another EEG (again it was abnormal), and added Topamax to the other two, and waited for some kind of improvement and nothing, so they admitted me to the EMU, and they found things like a continous intermittent spiking pattern 24/7, sometimes I had CSWDS (Continuous Spike-and-Wave activity During Sleep--it occurs with certain seizures, but can occur for no reason at all, like mine). It isn't like that during the day, but at night when I am sleeping it comes alive.
Results vary from person to person. Just because someone has chaotic activity running on their tracing, doesn't mean they have epilepsy. People with out epilepsy (who have NEVER had a seizure in their life) can have very abnormal patterns that mimic the discharges of real seizures.
People with epilepsy, on the other hand, can have very normal looking EEGs, and can be having seizures daily, and it won't be caught until the sleep-deprived test is done.
If that doesn't do it, then they move onto the VEEG, and monitor you and your brain waves at the same time. This one is the most reliable source.
Certain temporal lobe seizures show up with greater chaos with out sleep. Also if a person is suspected as having epilepsy at all, the neurologist will order one or more, and do a series every 4-6 weeks. I had mine done every 5 weeks. It was a pain, they made me stop taking my meds 48 hours before the first few tests, so there was a better chance of the discharges acting up, but mine were so strong, that they let me keep my meds, because they broke through them.
Does this help any?
Nancy