EEG (electroencephalogram) - Mayo Clinic (2024)

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Overview

EEG brain activity

EEG (electroencephalogram) - Mayo Clinic (1)

EEG brain activity

An EEG records the electrical activity of the brain via electrodes affixed to the scalp. EEG results show changes in brain activity that may be useful in diagnosing brain conditions, especially epilepsy and other conditions that cause seizures.

An electroencephalogram (EEG) is a test that measures electrical activity in the brain using small, metal discs (electrodes) attached to the scalp. Brain cells communicate via electrical impulses and are active all the time, even during asleep. This activity shows up as wavy lines on an EEG recording.

An EEG is one of the main diagnostic tests for epilepsy. An EEG can also play a role in diagnosing other brain disorders.

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Why it's done

An EEG can find changes in brain activity that might be useful in diagnosing brain disorders, especially epilepsy or another seizure disorder. An EEG might also be helpful for diagnosing or treating:

  • Brain tumors
  • Brain damage from head injury
  • Brain dysfunction that can have a variety of causes (encephalopathy)
  • Sleep disorders
  • Inflammation of the brain (herpes encephalitis)
  • Stroke
  • Sleep disorders
  • Creutzfeldt-Jakob disease

An EEG might also be used to confirm brain death in someone in a persistent coma. A continuous EEG is used to help find the right level of anesthesia for someone in a medically induced coma.

More Information

  • Absence seizure
  • Amnesia
  • Cerebral palsy
  • Chronic daily headaches
  • Chronic traumatic encephalopathy
  • Creutzfeldt-Jakob disease
  • Dementia
  • Encephalitis
  • Epilepsy
  • Febrile seizure
  • Frontal lobe seizures
  • Functional neurologic disorder/conversion disorder
  • Huntington's disease
  • Intermittent explosive disorder
  • Lewy body dementia
  • Long QT syndrome
  • Myoclonus
  • Rett syndrome
  • Seizures
  • Temporal lobe seizure
  • Transient global amnesia
  • Tuberous sclerosis

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Risks

EEGs are safe and painless. Sometimes seizures are intentionally triggered in people with epilepsy during the test, but appropriate medical care is provided if needed.

How you prepare

Food and medications

Take your usual medications unless instructed otherwise.

Other precautions

  • Wash your hair the night before or the day of the test, but don't use conditioners, hair creams, sprays or styling gels. Hair products can make it harder for the sticky patches that hold the electrodes to adhere to your scalp.
  • If you're supposed to sleep during your EEG, your health care provider might ask you to sleep less or avoid sleep the night before your EEG.

What you can expect

During the test

EEG electrodes

EEG (electroencephalogram) - Mayo Clinic (2)

EEG electrodes

During an EEG, flat metal discs (electrodes) are attached to the scalp. In a high-density EEG, shown here, the electrodes are close together. The electrodes are connected to the EEG machine with wires. Some people wear an elastic cap fitted with electrodes instead of having the adhesive applied to their scalps.

You'll feel little or no discomfort during an EEG. The electrodes don't transmit any sensations. They just record your brain waves.

Here are some things you can expect to happen during an EEG:

  • A technician measures your head and marks your scalp with a special pencil to indicate where to attach the electrodes. These spots on your scalp might be scrubbed with a gritty cream to improve the quality of the recording.
  • A technician attaches discs (electrodes) to your scalp using a special adhesive. Sometimes, an elastic cap fitted with electrodes is used instead. The electrodes are connected with wires to an instrument that amplifies the brain waves and records them on computer equipment.

    Once the electrodes are in place, an EEG typically takes between 20 and 40 minutes. Testing for certain conditions requires you to sleep during the test. In that case, the test can be longer.

  • You relax in a comfortable position with your eyes closed during the test. At various times, the technician might ask you to open and close your eyes, perform a few simple calculations, read a paragraph, look at a picture, breathe deeply for a few minutes, or look at a flashing light.
  • Video is routinely recorded during the EEG. Your body motions are captured by a video camera while the EEG records your brain waves. This combined recording can help your doctor diagnose and treat your condition.

Ambulatory EEGs (aEEGs) allow for longer monitoring outside an office or a hospital setting. But these types of EEGs aren't always an option. This test can record brain activity over several days, which increases the chances of recording during seizure activity. However, compared with inpatient video EEG monitoring, an ambulatory EEG is not as good at determining the difference between epileptic seizures and nonepileptic seizures.

After the test

The technician removes the electrodes or cap. If you didn't have a sedative, you should feel no side effects after the procedure. You should be able to return to your typical routine.

If you used a sedative, it will take time for the medication to begin to wear off. Arrange to have someone drive you home. Once you're at home, rest and don't drive for the rest of the day.

Results

Doctors trained to analyze EEGs interpret the recording and send the results to the doctor who ordered the EEG. You might need to schedule an office appointment to discuss the results of the test.

If possible, bring along a family member or friend to the appointment to help you remember the information you're given.

Write down questions to ask your doctor, such as:

  • Based on the results, what are my next steps?
  • What follow-up, if any, do I need?
  • Are there factors that might have affected the results of this test in some way?
  • Will I need to repeat the test?

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May 11, 2022

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  1. Moeller J, et al. Electroencephalography (EEG) in the diagnosis of seizures and epilepsy. https://www.uptodate.com/contents/search. Accessed April 15, 2022.
  2. Neurological diagnostic tests and procedures fact sheet. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Neurological-Diagnostic-Tests-and-Procedures-Fact. Accessed April 15, 2022.
  3. Hirsch LJ, et al. Video and ambulatory EEG monitoring in the diagnosis of seizures and epilepsy. https://www.uptodate.com/contents/search. Accessed April 15, 2022.
  4. EEG. The Epilepsy Foundation. https://www.epilepsy.com/learn/diagnosis/eeg. Accessed April 15, 2022.
  5. Graff-Radford J (expert opinion). Mayo Clinic. April 19, 2022.
  6. EEG procedure. The Epilepsy Foundation. https://www.epilepsy.com/learn/diagnosis/eeg/procedure. Accessed April 15, 2022.

Related

  • Absence seizure
  • Amnesia
  • Cerebral palsy
  • Chronic daily headaches
  • Chronic traumatic encephalopathy
  • Coma
  • Creutzfeldt-Jakob disease
  • Dementia
  • Dysarthria
  • EEG brain activity
  • EEG electrodes
  • Encephalitis
  • Epilepsy
  • Febrile seizure
  • Frontal lobe seizures
  • Functional neurologic disorder/conversion disorder
  • Huntington's disease
  • Intermittent explosive disorder
  • Lewy body dementia
  • Long QT syndrome
  • Myoclonus
  • Rett syndrome
  • Seizures
  • Temporal lobe seizure
  • Tonic-clonic (grand mal) seizure
  • Transient global amnesia
  • Tuberous sclerosis

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EEG (electroencephalogram)

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  • EEG (electroencephalogram)
EEG (electroencephalogram) - Mayo Clinic (2024)

FAQs

How reliable are EEG tests? ›

Approximately one-half of all EEGs done for patients with seizures are interpreted as normal. Even someone who has seizures every week can have a normal EEG test. This is because the EEG only shows brain activity during the time of the test.

Can EEG detect brain problems? ›

An EEG can find changes in brain activity that might be useful in diagnosing brain disorders, especially epilepsy or another seizure disorder. An EEG might also be helpful for diagnosing or treating: Brain tumors. Brain damage from head injury.

What are three different conditions that an EEG could be used to diagnose? ›

EEG can help diagnose a number of conditions, including epilepsy, sleep disorders and brain tumours. Another name for EEG is brain wave test.

What does an EEG not show? ›

An EEG can usually show if you are having a seizure at the time of the test, but it can't show what happens to your brain at any other time. So even though your test results might not show any unusual activity it does not rule out having epilepsy. Some types of epilepsy are very difficult to identify with an EEG.

Can an EEG be wrong? ›

For patients with seizures, up to 30% referred to epilepsy monitoring units are ultimately discovered to have an alternate diagnosis. A significant number of patients identified with psychogenic nonepileptic events have had at least one EEG that was misinterpreted as abnormal.

What is a major drawback of an EEG? ›

EEG poorly measures neural activity that occurs below the upper layers of the brain (the cortex). Unlike PET and MRS, cannot identify specific locations in the brain at which various neurotransmitters, drugs, etc.

What are 10 conditions diagnosed with an EEG? ›

Neurologists use EEG testing, mainly, to diagnose and treat epilepsy as well as sleep problems, such as narcolepsy and insomnia, a variety of brain tumors, brain injury, infections of the brain, dementia, attention deficit disorder, behavioral delays in children, and behavioral disorders that disrupt normal daily ...

Can an EEG predict dementia? ›

Therefore, temporospatial analysis of the EEG record is a useful indicator of cortical dysfunction in dementia and correlates with the degree of cognitive impairment. Apparently, temporospatial analysis may be useful in distinguishing patients with dementia from those experiencing normal aging.

Can EEG show dementia? ›

3.2.

EEG can diagnose the two most common types of dementia (i.e., AD and VaD) because both of these types are cortical, and EEG reflects hidden brain abnormalities [72, 73]. The first EEG clinical observation was illustrated by Berger in the beginning of the last century [74, 75].

Why would a neurologist order an EEG? ›

The main use of an EEG is to detect and investigate epilepsy, a condition that causes repeated seizures. An EEG will help your doctor identify the type of epilepsy you have, what may be triggering your seizures and how best to treat you. Less often, an EEG may be used to investigate other problems, such as: dementia.

Will an EEG show a stroke? ›

Electroencephalography is particularly useful following stroke if the initial CT excludes hemorrhage but does not detect infarction. In conjunction with clinical details, the EEG can then be used to indicate the likelihood of cortical involvement and thus suggest the likely pathophysiologic mechanism of infarction.

Can EEG detect anxiety? ›

Bosl and Bosquet Enlow found that EEG signals at age 7 most robustly distinguished children with an anxiety disorder from healthy controls. However, there were signals even at 3 and 5 years of age. Recordings from two or three time points (excluding infancy) gave much better results than the age 7 recordings alone.

Will an EEG show a past seizure? ›

An EEG only shows if a person has a seizure at the time of the test, not if they have had seizures before. An EEG also looks for abnormalities that may indicate they are at risk of seizures. Therefore, even if a person's EEG results do not show any unusual brain activity, it will not rule out epilepsy.

Can an EEG show memory loss? ›

Conclusion. High EEG upper/low α power ratio was associated with cortical thinning and lower perfusion in temporoparietal areas. Moreover, both atrophy and lower perfusion rate significantly correlated with memory impairment in MCI subjects.

How far back can an EEG detect a seizure? ›

Everybody is different, but one study found that EEG can identify epileptiform activity in about half of people in the first 16 hours after a seizure. After more than 16 hours, it becomes harder to 'spot' the activity.

What is the success rate of EEG? ›

The success rate of residents for correct responses was between 17% and 50%. On the other hand, the success rate for each question varied between 0% and 91%. Overall, benign variants and focal ictal onset patterns were the most difficult to recognize.

How often are EEG abnormal? ›

More than 10% of normal people may have non-specific EEG abnormalities and approximately 1% may have 'epileptiform paroxysmal activity' without seizures.

Is an EEG more accurate than an MRI? ›

How Does an EEG Compare to an MRI? MRI scans are very popular and are often used to diagnose many different medical conditions. However, they do not provide real-time physiological data as EEGs do. Thus, an MRI can only provide information about structures and tissues at one point in time.

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