Electroencephalography during SARS-CoV-2 outbreak: practical recommendations from the task force of the Italian Society of Neurophysiology (SINC), the Italian League Against Epilepsy (LICE), and the Italian Association of Neurophysiology Technologists (AITN): Neurological Sciences

A. Grippo, G. Assenza, M. Scarpino, L. Broglia, R. Cilea, C.A. Galimberti, G. Lanzo, R. Michelucci, L. Tassi, M. Vergari, V. Di Lazzaro, O. Mecarelli, and AITN on behalf of SINC LICE

Research output: Contribution to journalArticlepeer-review

Abstract

Background: During COVID-19 lockdown, non-urgent medical procedures were suspended. Grade of urgency of electroencephalography (EEG) may vary according to the clinical indication, setting, and status of infection of SARS-CoV-2 virus. “Italian Society of Clinical Neurophysiology” (SINC), “Italian League Against Epilepsy” (LICE), and the “Italian Association of Neurophysiology Technologists” (AITN) aimed to provide clinical and technical recommendation for EEG indications and recording standards in this pandemic era. Methods: Presidents of SINC, LICE, and AITN endorsed three members per each society to formulate recommendations: classification of the degree of urgency of EEG clinical indications, management and behavior of physicians and neurophysiology technologists, hygiene and personal protection standards, and use of technical equipment. Results: Scientific societies endorsed a paper conveying the recommendation for EEG execution in accordance with clinical urgency, setting (inpatients/outpatients), status of SARS-CoV-2 virus infection (positive, negative and uncertain), and phase of governmental restrictions (phase 1 and 2). Briefly, in phase 1, EEG was recommended only for those acute/subacute neurological symptoms where EEG is necessary for diagnosis, prognosis, or therapy. Outpatient examinations should be avoided in phase 1, while they should be recommended in urgent cases in phase 2 when they could prevent an emergency room access. Reduction of staff contacts must be encouraged through rescheduling job shifts. The use of disposable electrodes and dedicated EEG devices for COVID-19-positive patients are recommended. Conclusions: During the different phases of COVID-19 pandemic, the EEG should be reserved for patients really benefiting from its execution in terms of diagnosis, treatment, prognosis, and avoidance of emergency room access. © 2020, Fondazione Società Italiana di Neurologia.
Original languageEnglish
Pages (from-to)2345-2351
Number of pages7
JournalNeurol. Sci.
Volume41
Issue number9
DOIs
Publication statusPublished - 2020

Keywords

  • COVID-19
  • EEG
  • Italy
  • Neurophysiology
  • Recommendations
  • ambulatory care
  • Article
  • coronavirus disease 2019
  • electroencephalography
  • emergency ward
  • epilepsy
  • government
  • health behavior
  • hospital patient
  • human
  • medical society
  • medical staff
  • medical technologist
  • neurologic disease
  • neuromonitoring
  • neurophysiology
  • nonhuman
  • outpatient care
  • pandemic
  • patient care
  • personal hygiene
  • polysomnography
  • prognosis
  • sanitation
  • Severe acute respiratory syndrome coronavirus 2
  • shift schedule
  • standard
  • advisory committee
  • Betacoronavirus
  • clinical laboratory personnel
  • Coronavirus infection
  • epidemic
  • pathophysiology
  • practice guideline
  • procedures
  • virus pneumonia
  • Advisory Committees
  • Coronavirus Infections
  • Disease Outbreaks
  • Electroencephalography
  • Epilepsy
  • Humans
  • Medical Laboratory Personnel
  • Pandemics
  • Pneumonia, Viral
  • Practice Guidelines as Topic
  • Societies, Medical

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