EEG

An EEG records your brain’s electrical activity to help doctors better understand seizures, sleep issues, and other conditions.

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What is an EEG

An electroencephalogram (EEG) is a non-invasive medical test that records the electrical activity of the brain. Brain cells communicate through electrical impulses, and an EEG detects these tiny electrical charges using small metal discs called electrodes that are placed on the scalp. These signals are then amplified and displayed for your doctor to review.

The team at AHN is here to help you understand the test by explaining what you need to know, how to prepare, and being with you every step of the way. Any questions you have will be answered, so you can feel informed and confident in your care and understand the process from start to finish.

Conditions we treat with EEG

Whether you’re being evaluated for seizures, sleep concerns, memory changes, or another neurological condition, AHN provides compassionate care and support throughout the entire process. We understand that medical tests can be daunting, and our team takes time to ensure you feel informed and confident at every step, looking at the full picture of your health.

EEGs are used to help diagnose and monitor various neurological conditions, including:

  • Epilepsy and seizures: It's one of the main tests for diagnosing epilepsy and differentiating epileptic seizures from other events. Learn more about epilepsy.
  • Sleep disorders: EEGs can assess and help understand sleep patterns. Learn more about sleep disorders.
  • Brain trauma: They can show the brain's activity after injuries like concussions or in cases of brain tumors.
  • Dementia and Alzheimer's disease: EEGs can help in understanding how these degenerative diseases affect the brain. Learn more about Dementia and Alzheimer’s disease.
  • Brain infections: Conditions like encephalitis can be monitored with an EEG.
  • Coma: EEGs are used to monitor brain activity in comatose patients.

The EEG is a noninvasive test. Our goal is to support you and your family, answer your questions, and guide your care so you don't feel overwhelmed or concerned. EEG testing and monitoring can be performed in various settings, including outpatient clinics, emergency departments, and inpatient facilities. The duration of EEG testing can vary depending on your specific needs:

  • Routine EEG: This type of EEG typically involves 20 – 40 minutes of recording brain activity. The entire procedure, including preparation, usually lasts about an hour.
  • Extended EEG: For more detailed observation, an extended EEG can last up to 120 minutes.
  • Ambulatory at-home EEG: For longer collection of data, an ambulatory EEG allows you to be hooked up with scalp electrodes for 1–2 days while in the comfort of your own home.

All EEG procedures are generally painless and safe, and we are here to ensure you have a clear understanding of what to expect.

Benefits of an EEG

An EEG is crucial in providing necessary information to your AHN care team about the brain’s electrical activity. This information is essential to help accurately diagnose, monitor, and guide treatment for a broad range of neurological conditions. The key benefits of an EEG are:

  • Accurate diagnosis: An EEG can help accurately diagnose conditions like epilepsy by detecting abnormal electrical discharges associated with seizures and where they occur in the brain. It can differentiate between various seizure types, which is vital for choosing the most effective medication or surgical treatment options.
  • Guiding treatment decisions: For conditions like epilepsy, the EEG results can inform doctors about the best anticonvulsant medications to prescribe, helping to tailor treatment to the specific type of seizure activity observed.
  • Monitoring treatment effectiveness: For patients already on medication for conditions like epilepsy, follow-up EEGs can help monitor if the treatment is effective in reducing or eliminating abnormal brain activity.
  • Identifying causes of symptoms: When patients experience symptoms like unexplained fainting, confusion, memory problems, or repetitive and uncontrolled movements, an EEG can help rule out or identify underlying neurological causes, such as non-convulsive seizures, encephalitis, or other brain disorders.
  • Assessing brain function: It provides an objective measure of brain function. For instance, in cases of coma or suspected brain death, an EEG can help assess the level of brain activity.

EEG care at AHN: Why choose us?

Getting an EEG test at AHN is far more than just a routine diagnostic test. We understand that behind every EEG is a patient with unique concerns and a complex health picture. Our commitment goes beyond simply conducting the procedure; we focus intensely on patient education and comfort and a coordinated, multidisciplinary interpretation of results. This comprehensive approach ensures that every EEG contributes meaningfully to personalized treatment planning, guiding you toward the most effective care for your neurological health. Our focus is on:

  • Advanced diagnostic testing: AHN utilizes the latest testing to diagnose conditions of the nervous system accurately and quickly. We offer routine, extended, and ambulatory (24-hour to 72-hour) EEGs. Learn more about our neurodiagnostic testing.
  • Collaborative approach: Our care teams for conditions like epilepsy include epileptologists (neurologists with specialized epilepsy training), neurosurgeons, and psychologists who work together to streamline diagnosis and treatment.
  • Research focus: AHN's specialists are involved in research, which means they can offer promising treatments, including novel medications, that might not be widely available elsewhere.

Types of EEG

An electroencephalogram (EEG) is a versatile neurophysiological test, and there are different types that are used depending on the patient's needs. It's helpful to understand the different types available, tailored to individual diagnostic needs.

While most EEGs also include video monitoring to capture any movements or behaviors occurring during the recording of the brain's electrical activity—whether you are awake, drowsy, or asleep—the core methods vary.

These tests can be performed across various settings, including scheduled outpatient appointments, in the emergency department (ED), or for hospitalized patients. Here are the primary types of EEG tests:

  • Routine EEG: This is the most common type, typically lasting about 20–40 minutes. It's performed in a clinical setting to capture a snapshot of brain activity under standard conditions.
  • Extended EEG: An EEG recording that lasts longer than a routine EEG, typically up to 120 minutes. This allows for a more detailed observation of brain activity to detect intermittent patterns that might be missed in a shorter study.
  • Ambulatory EEG: For continuous monitoring over a longer period, a patient wears a portable device at home that records brain activity for 1–3 days. This allows for data collection while they perform their normal daily activities.
  • Stereo-EEG (sEEG): This is an invasive procedure where electrodes are surgically placed within the brain to precisely localize seizure activity. Due to its invasive nature, sEEG is typically reserved for complex epilepsy cases to determine surgical candidacy.

Please note that longer EEG tests, such as continuous monitoring over several days, often take place on hospitalized patients, whereas ambulatory EEGs provide extended recording in a home environment.

Once your test is complete, your AHN team works with you to determine your diagnosis and establish your ongoing treatment plan. Your care will continue through follow-up care, monitoring, and patient support.

EEG side effects

An electroencephalogram (EEG) is generally considered a safe and painless procedure with very few side effects. The electrodes used during an EEG only record brain activity; they do not produce any sensation or pose a risk of electric shock. However, there are a few minor considerations and rare occurrences.

Minor and temporary side effects

While an EEG is generally very safe and non-invasive, some patients may experience minor, temporary side effects related to the procedure. These are typically mild and resolve quickly:

  • Skin irritation or redness: The adhesive paste used to attach the electrodes can sometimes cause slight irritation or redness on the scalp, which usually fades within a few hours.
  • Headache: A mild headache can occasionally occur, possibly due to tension from the electrode cap or sensitivity to the procedure.
  • Fatigue: If sleep deprivation was part of the preparation, or if sedation was used, the patient may feel drowsy or fatigued afterward.

Potential triggers (rare, primarily for those with epilepsy)

For individuals with epilepsy or a high risk for seizures, certain elements of an EEG are intentionally designed to stimulate brain activity and potentially cause a seizure, which aids in diagnosis. It's crucial to understand that these are very low risk for individuals without epilepsy, and even for those with epilepsy, these procedures are performed under controlled medical supervision. Risks include:

  • Photic stimulation: This involves flashing bright lights at different frequencies, which can trigger seizures in individuals with photosensitive epilepsy.
  • Hyperventilation: Asking the patient to breathe deeply and rapidly can alter brain chemistry and sometimes provoke seizure activity in susceptible individuals.
  • Sleep deprivation: Being deprived of sleep before an EEG can lower the seizure threshold in epileptic patients, making it easier to capture abnormal brain activity.

What to expect

Your AHN care team will give you specific instructions, guidance, and will help you feel confident and ready for your EEG.

Your EEG

Preparing for an EEG is straightforward and helps ensure the best possible results. Whether your test is conducted in a hospital or an outpatient clinic, understanding the process will help you feel more comfortable and confident. Here are some general things to consider before your EEG:

  • Hair preparation: Please wash your hair the night before or the morning of your EEG. It's crucial to arrive with clean, dry hair free of any conditioners, hairsprays, gels, oils, or styling products, as these can interfere with electrode adhesion.
  • Medications: Unless otherwise instructed by your doctor, continue taking all prescribed medications as usual. If you have specific questions about medication, please consult your physician.
  • Caffeine and stimulants: Avoid caffeine and other stimulants for at least 8–12 hours before your test, as they can affect brain activity and alter EEG results.
  • Sleep: Depending on the type of EEG ordered, you may receive specific instructions regarding sleep. For some EEGs, your doctor might ask you to be sleep-deprived (e.g., sleeping only 4-5 hours the night before) to increase the likelihood of capturing certain brain wave patterns. Follow these instructions carefully if provided.
  • Meals: Eat normally before your test unless instructed otherwise.

Here’s what to expect:

  • Electrodes on the scalp: During an EEG, about 21 small metal discs called electrodes are placed on your scalp. These electrodes are strategically positioned on different parts of the head to precisely locate where activity is happening. Sometimes, an elastic cap fitted with electrodes is used instead of individual discs.
  • Detecting signals: The electrodes pick up these faint electrical signals that pass between your brain cells. The electrodes themselves don't transmit any sensations; they only record your brain waves.
  • Amplification: Since brain signals are incredibly weak, the detected signals are sent to an amplifier. This device strengthens the signals so they can be analyzed.
  • Recording and display: The amplified signals are then recorded and displayed on a screen, often as wavy lines. These patterns of brain waves change depending on whether you're awake, asleep, or if something is affecting your brain. The recording may also be printed out.
  • Interpretation: A healthcare provider or neurologist reviews the recorded brain wave patterns to look for any abnormal activity. They pay close attention to the basic waveform, as well as brief bursts of energy and responses to stimuli like flashing lights. The location of the brain waves within brain regions is further narrowed by using various electrode combinations, called montages.

What to expect after your EEG

After the test, the technologist will carefully remove the electrodes from your scalp, and any remaining conductive gel will be cleaned off. Your hair might feel a bit sticky from the gel, so you'll want to wash it thoroughly as soon as possible after leaving the clinic. You can immediately go home and resume your normal activities, including driving, working, or other daily tasks, unless you were given specific instructions due to sedation.

Your care team will then thoroughly review the EEG results, often in coordination with other specialists, to interpret the results in the context of your overall health. They will then talk with you about what the results mean for your diagnosis and treatment plan. If further care, additional testing, or specialist consultations are needed, AHN can help coordinate those next steps to ensure you receive comprehensive, integrated care.

The AHN Epilepsy Program

The Joseph and Kathleen Guyaux Comprehensive Epilepsy Center is Designated as a Level 4 Epilepsy Center by the National Association of Epilepsy Centers (NAEC), the highest ranking possible, the location at Allegheny General hospital provides comprehensive epilepsy care, which includes EEG technology.

EEG FAQs

Questions before an EEG are common. AHN is here to help get you answers. Your care team can expand on these answers, so you can get the information you need to feel confident in the test.

What is an EEG?

An EEG, or Electroencephalogram, is a safe, non-invasive medical test that records the electrical activity of your brain. It measures the tiny electrical impulses that brain cells use to communicate, providing valuable insights into how your brain is functioning.

How long does an EEG take?

A routine EEG typically takes about 60 minutes from start to finish, including preparation and electrode removal, with the actual recording lasting about 20–40 minutes. However, some longer EEGs, such as ambulatory, at-home, or inpatient continuous EEG monitoring, can last several hours to multiple days. Your care team will inform you of the expected duration for your specific test.

What does an EEG test for?

An EEG tests for abnormalities in brain electrical activity that can be associated with various neurological conditions. It is commonly used to help diagnose and monitor conditions such as epilepsy and seizures, evaluate sleep disorders, and assess brain function in other neurological conditions like encephalopathy or dementia.

Contact us

To schedule an appointment or learn more about services at the AHN neuroscience services, visit our neurodiagnostic testing page.