Study of EEG Findings in Patients Referred from Psychiatrists

Authors

  • RN Chowdhury Assistant Professor of Neurology, Dhaka Medical College Hospital
  • S Daisy Associate Professor of Neurology, Dhaka Medical College Hospital
  • KM Rahman Assistant Professor of Neurology, Dhaka Medical College Hospital
  • SU Khan Assistant Professor of Neurology, Dhaka Medical College Hospital
  • ATMH Hasan Registrar, Cardiology, Dhaka Medical College Hospital
  • ZR Khan Assistant Professor of Psychiatry, National Institute of Mental Health, Dhaka
  • B Haque Indoor Medical Oficer, Dept of Neurology, Dhaka Medical College Hospital
  • MA Hoque Associate Professor of Neurology, Dhaka Medical College Hospital
  • BA Mondol Associate Professor of Neurology, Dhaka Medical College Hospital
  • M Habib Professor of Neurology, Dhaka Medical College Hospital
  • QD Mohammad Professor Head, Dept of Neurology, Dhaka Medical College Hospital

DOI:

https://doi.org/10.3329/jbcps.v30i1.11363

Keywords:

Generalized epilepsy (GE), Localization related epilepsy (LRE), psychogenic nonepileptic seizures (PNES)

Abstract

EEG is not so commonly used in patients attending psychiatry  department. It is predominantly required to rule out any  organic cause behind the behavioral changes. Purpose of  this study was to assess the referred cases from psychiatry  department and determine the clinical factors associated with  an abnormal EEG in patients with psychiatric problem. We  retrospectively reviewed and analyzed the data of all the cases  referred to EEG lab. of Dept. of Neurology, Dhaka Medical  College Hospital from psychiatrist. A total of 50 patients from  July 2009 to January 2011 were selected. From the EEG  register following information were noted eg. age, sex,  socioeconomic status, habitat, rural or urban, clinical  features, associated features, probable clinical diagnosis and  EEG findings. The results showed that most of the patients  belonged to age group 11-20years, comprising 46 % (n-23),  66% (n-33) were female. Though the total rate of abnormal  EEG in psychiatry patients are low (n-20). 44% of the patients  having seizure as the presenting complaint had the largest  number of EEG abnormality (n-16), p value <.001. Patients  with primary psychiatric disorders did not have any  epileptiform activity (n-22). Where as most of the patients (n-  27) who were undiagnosed at the time of referral had the  largest number of EEG abnormality (n-19), p value<.002.  So any patient presenting to psychiatry department with  seizure disorder or any patient with diagnostic confusion  should be evaluated with EEG.

DOI: http://dx.doi.org/10.3329/jbcps.v30i1.11363

J Bangladesh Coll Phys Surg 2012; 30: 24-29

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Published

2012-07-22

How to Cite

Chowdhury, R., Daisy, S., Rahman, K., Khan, S., Hasan, A., Khan, Z., Haque, B., Hoque, M., Mondol, B., Habib, M., & Mohammad, Q. (2012). Study of EEG Findings in Patients Referred from Psychiatrists. Journal of Bangladesh College of Physicians and Surgeons, 30(1), 24–29. https://doi.org/10.3329/jbcps.v30i1.11363

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Section

Original Articles