The utility of the electroencephalogram in the evaluation of patients presenting with headache

@article{Gronseth1995TheUO,
  title={The utility of the electroencephalogram in the evaluation of patients presenting with headache},
  author={G. Gronseth and M. K. Greenberg},
  journal={Neurology},
  year={1995},
  volume={45},
  pages={1263 - 1267}
}
Electroencephalography has traditionally been considered a useful adjunct to the clinical evaluation of headache. We performed a literature review to determine whether evidence supports the routine use of the electroencephalogram (EEG) for patients with headache. After excluding case reports, case series in which subjects were selected because of abnormal EEGs, abstracts with insufficient information for analysis, and reviews without original data, we found 40 articles describing EEG findings… Expand
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References

SHOWING 1-10 OF 60 REFERENCES
Neurological evaluation of chronic headache patients: Is laboratory testing always necessary?
TLDR
Routine laboratory testing for chronic headache sufferers may not be necessary and should be left to the discretion of a qualified neurologist, according to a review of records. Expand
THE EEG IN MIGRAINE.
Abstract 1.1. EEG records and clinical observations were obtained from a population of 1264 subjects (age 15–45) comprising 1198 patients and 66 normal adult volunteers. In the clinical group 202Expand
OBSERVATIONS ON 500 CASES OF MIGRAINE AND ALLIED VASCULAR HEADACHE
  • G. Selby, J. Lance
  • Medicine
  • Journal of neurology, neurosurgery, and psychiatry
  • 1960
TLDR
In the 1950s, before the Ad Hoc Committee on the Classification of Headache and the more detailed criteria devised by the International Headache Society from 2004 onwards, the separation of headache entities was far from clear. Expand
Topographic EEG Mapping in Childhood Headaches
  • R. Pothmann
  • Medicine
  • Cephalalgia : an international journal of headache
  • 1993
TLDR
Electro EEG mapping showed lateralized parietal diminution of alpha-power more frequently during an attack of migraine than during tension headache, which regressed between attacks. Expand
Diagnosis and treatment of migraine in children
TLDR
Criteria are enumerate criteria that are suitable for the diagnosis of migraine in children that about one-half of all patients had more than a 50 percent reduction in headache frequency in the 6 months following their initial visit to a neurologist. Expand
Migraine and Epilepsy
TLDR
An analysis of cases in which migraine and epilepsy were manifested in the same individual, finding that the incidence of epilepsy in patients with migraine was significantly lower than those in other reports. Expand
Headache and the EEG.
Abstract EEGs showed unspecific abnormal activity in 22% of 113 migrainous patients and in 24% of 76 patients suffering from psychogenic or tension headache. The small difference in the number ofExpand
Cerebral Mapping in Subjects Suffering from Migraine With Aura
TLDR
In comparison with the control group, the migraine patients showed a widespread increase in slow activity (theta and delta) mostly over the temporal regions and a regional increase in delta and theta total power in 20 cases (64.5%). Expand
Clinical diagnoses and EEG interpretation.
TLDR
The results indicate that clinical history influences interpretation, with considerable variation among readers in the number and type of additional tests requested. Expand
Analysis of cerebral responses to flicker in patients complaining of episodic headache.
Abstract 1.1. Frequency analyses of electroencephalograms from 50 subjects with no clinical complaint of headache and 113 suffering from episodic headache provide statistically significant evidenceExpand
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