Transient impairment of consciousness require a rapid and accurate diagnostic approach. The first step is to establish whether a paroxysmal clinical event was an epileptic seizure or something else. There is little data regarding the usefulness of emergent EEG (EmEEG) in acute care situations like syncope, epileptic seizure or confusional state. The aim of this study was to evaluate the incidence of admission in a 2nd level Emergency Room for transient impairment of consciousness and to correlate syncope, epileptic seizure and confusional state with the execution or not of EEG recording in emergency. Even though the total number of hospitalizations for transient impairment of consciousness (no 595/20332 pts in 107 days) was relevant (3%), only in a small percentage of cases EmEEG was requested (9%). The EmEEG was requested for syncope in 18/357 pt (5%), for epileptic seizure in 20/123 pt (16%) and for confusional state in 16/115 pt (14%). Our experience demostrate that, although the EmEEG is a usefull tool for the evaluation of acute transient impairment of consciousness, however it is poorly requested by consultant neurologist.
|Translated title of the contribution||Transient impairment of consciousness in a 2nd level emergency room: An electroclinical correlation|
|Number of pages||3|
|Journal||Bollettino - Lega Italiana contro l'Epilessia|
|Publication status||Published - Apr 2010|
ASJC Scopus subject areas
- Clinical Neurology