OUR SERVICES

 

Our team of experts partner with hospitals and neurology practices to provide turnkey solutions that enable comprehensive EEG programs.  Including, but not limited to staffing, education and training, and extended monitoring services, we provide broad assistance to enhance clinical neurophysiology services.

Routine EEG

Ambulatory Video-EEG

EEG in Critical Care Setting

EEG for Clinical Trials                  

We highly recommend you consult your neurologist with questions regarding EEG Services. We are also available to discuss EEG services with you at any time. To reach a member of the clinical services team, call us at (855) 522-7233, Option 5.


 

Routine EEG

Inpatient & Outpatient

This is a 20-30 minute assessment of brainwave activity and may or may not include video.  The routine EEG includes traditional activation procedures such as hyperventilation and photic stimulation designed to reveal potential epileptic and non-epileptic abnormalities.   

Many routine EEGs can be challenging to interpret because of inadequate attainment of the alpha rhythm, diverse artifacts and inadequate attention to electrode impedance.  Our technologists are thoroughly trained in both the performance and interpretation of EEGs, so that they are able to determine whether a recording meets standards for easy interpretation.  We also include specialized maneuvers to bring out the background rhythms in order to facilitate interpretation by the reading physician.

The routine EEG in the hospital setting may be adequate in some circumstances as a screening tool for epilepsy, and for other focal or diffuse brain conditions such as dementing disorders.  Sometimes the presence of focal abnormalities may lead to neuroimaging that identifies a structural abnormality.  Careful interpretation of waveforms seen during the more limited duration of the routine EEG is especially crucial to exclude the presence of eating, chewing or movement artifact that can be easily mistaken for cerebral activity.

A hospital, practice or specialized healthcare facility partners with SafePassage to provide patients with high quality EEG services.

 

 

Ambulatory Video-EEG

Inpatient & Outpatient

While the routine EEG can be invaluable in screening for brain disorders like epilepsy, some patient presentations warrant more intensive EEG monitoring.  This is because the routine EEG is a relatively brief snapshot in time of brainwave activity.  While it may detect some interictal abnormalities, it is less likely to capture clinical episodes such as seizures.  The routine EEG may also fail to display epileptiform abnormalities that occur with low frequency and does not permit study of abnormalities of deep sleep.

Video-EEG is a recording of brainwave activity that is performed simultaneous with video recording of the patient’s clinical activities.  Video-EEG is typically performed for a minimum of several hours and more typically for 24 to 72 hours or more. It is ideal for seeing changes in brainwave activity that occur at the time of a patient’s seizures or other types of episodes and can even detect seizures that the patient may not even be aware of.   While video-EEG used to be performed exclusively in hospitals, major improvements in computer technology now often permit this test to be performed in the patient’s home, offering many advantages.   These include the ability to capture episodes occurring in a natural setting rather than the artificial environment of the hospital, as well as comfort and convenience for the patient.

In the attempt to confirm suspected epilepsy, continuous EEG monitoring through ambulatory EEG offers the possibility of capturing specific episodes of clinical interest.  Reviewing the EEG correlation of episodes is the first step in arriving at a diagnosis.  With the addition of video, one can capture the clinical manifestations of the events.   In some cases, the possible absence of changes on the scalp EEG associated with some types of seizures makes the review of the clinical behaviors evident on video the only way to definitively distinguish epileptic from non-epileptic events.

Ambulatory EEG can be an ideal option for diagnostic assessments of individuals who present to the emergency room but do not necessarily require admission, or for hospitalized patients who are being discharged but require further diagnostic testing.  Ambulatory video-EEG can therefore reduce the need for admissions in some cases, while shortening length of stay for others.

EEG in Critical Care Setting

Inpatient

SafePassage EEG Services provides routine and extended EEG monitoring in the critical care setting such as the intensive care unit, where continuous video-EEG monitoring can be crucial in the diagnosis and management of subclinical, subtle or identified status epilepticus, in assessing prognosis after cardiac arrest and in determining ischemia and vasospasm.  Our team of experts provides both equipment and technical services, along with physician interpretation support.

EEG for Clinical Trial

SafePassage EEG Services partners with pharmaceutical companies and clinical research organizations (CRO’s) to deliver comprehensive EEG services in clinical trials. Our medical director has decades of experience conducting clinical trials, as an advisor to numerous pharmaceutical companies and as the author of many drug-related publications. Our team conducts routine and long term EEG, can provide technical pruning and marking of long-term or routine EEG studies, well as physician interpretation and reporting. Please contact our Medical Director, Dr. Alan Ettinger, for any research-related inquiries.