Alterações eletroencefalográficas epileptiformes em indivíduos não epilépticos
revisão de literatura
DOI:
https://doi.org/10.34024/rnc.2015.v23.8012Palavras-chave:
Achados Incidentais, Eletroencefalografia, Testes ObrigatóriosResumo
O eletroencefalograma é um exame de fácil realização que vem sendo amplamente indicado para condições não relacionadas à epilepsia. A identificação de atividade epileptiforme nestas circunstâncias deve ser interpretada de forma cautelosa, pois descargas focais ou generalizadas podem ser encontradas em indivíduos normais e sem quaisquer queixas. O objetivo deste estudo é realizar uma revisão de literatura quanto à presença de alterações epileptiformes no EEG de indivíduos sem epilepsia. O diagnóstico equivocado de epilepsia nestas situações é comum, porém a taxa de ocorrência de crises é muito baixa, o que não deve motivar o uso desnecessário de fármacos antiepilépticos.
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Gregory RP, Oates T, Merry RTG. Eletroencephalogram epileptiform abnormalities in candidates for aircrew training. Electroencephalogr Clin Neurophysiol 1993; 86: 75-77.
Sam MC, So EL. Significance of epileptiform discharges in patients without epilepsy in the Community. Epilepsia 2001;42:1273-8. http://dx.doi.org/10.1046/j.1528-1157.2001.17101.x
Okubo Y, Matsuura M, Asai T, Asai K, Kato M, Kojima T, et al. A follow up of healthy children with epileptiform EEG discharges. J Epilepsy 1993;6:250- 6. http://dx.doi.org/10.1016/0896-6974(93)90010-8
Trojaborg W. EEG abnormalities in 5893 jet pilots applicants registered in 20–year period. Clin Eletroencephalogr 1992;23:72-8. http://dx.doi.org/10.1177/155005949202300206
Oliveira SN, Rosado P. Eletroencefalograma interictal – Sensibilidade e Espe-cificidade no diagnóstico de epilepsia. Acta Med Port 2004;17:465-70.
Aparicio JCR, Dominguez NRC, Acosta, LY. Actividad epileptiforme en transtornos psiquiátricos infantiles. Rev Neurol Mex 2008;47:660-3.
Cabrero CC, Sanz GL, Martínez, EC, Sánchez JMG, Álvarez JS, Aparicio PQ, et al. Alteraciones electroencefalográficas en niños con trastorno por déficit de atención con hiperactividad. Rev Neurol 2003;37:904-8.
Borusiak P, Zilbauer M, Jenke ACW. Prevalence of epileptiform discharges in healthy children: New data from a prospective study using a digital EEG. Epilepsia 2010;51:1185-8. http://dx.doi.org/10.1111/j.15281167.2009.02411.x
Noachtar S, Binnie, C, Ebersole, J, Mauquière F, Sakamomoto A, Westmoreland B. A glossary of terms most commonly used by clinical electroencephalographers and proposal for the report form for the EEG findings. Electroencephalogr Clin Neurophysiol 1999,52:21-41.
Hendriksen IJM, Elderson A. The use of EEG in aircrew selection. Aviat Space Environ Med 2001;72:1025-33.
So EL. Interictal epileptiform discharges in persons without a history of seizures: What do They mean? J Clin Neurophysiol 2010:27:229-38. http://dx.doi.org/10.1097/WNP.0b013e3181ea42a4
Zifkin BG. The electroencephalogram as a screening tool in pilot applicants. Epilepsy Behav 2005;6:17. http://dx.doi.org/10.1016/j.yebeh.2004.10.001
Weber F. Routine electroencephalograms of pilots later killed in crashes: a case control study. Aviat Space Environ Med 2002;73:1114-6.
Shelley MB, Trimble MR, Boutros NN. Eletroencephalographic cerebral dysrhytmic abnormalities in the trinity of nonepileptic general population, neuropsychiatric, and neurobehavioral disorders. J Neuropsychiatric Clin Neurosci 2008;20:7-22. http://dx.doi.org/10.1176/appi.neuropsych.20.1.7
Richer LP, Shevell MI, Rosenblatt BR. Epileptiform abnormalities in children with attention deficit hyperactivity disorder. Pediatr Neurol 2002;26:125-9. http://dx.doi.org/10.1016/S0887-8994(01)00370-8
Millichap JG, Millichap JJ, Stack CV. Utility of electroenphalogram in attention Deficit Hyperactivity disorder. Clin EEG Neurosci 2011;42:180-4. http://dx.doi.org/10.1177/155005941104200307
Bridgers SL. Epileptiform abnormalities discovered on electroencephalographic screening of psychiatric in patients. Arch Neurol 1987;44:312-6. http://dx.doi.org/10.1001/archneur.1987.00520150056022
Abrams R, Taylor MA. Differential EEG patterns in affective disorder and schizophrenia. Arch Gen Psychiatr 1979;36:1355. http://dx.doi.org/10.1001/archpsyc.1979.01780120085010
Lancman ME, Lambraki CC, Steinhardt MI. Psycogenic pseudoseizures: a general overview. In: Ettinger AB, Kramer AM (eds). Psychiatric Issues in Epilepsy. A practical guide to diagnosis and treatment. Philadelphia: Psychiatric Issues in Epilepsy, 2001, p.341-54.
Kotsopoulos I, de Krom M, Kessels F, Lodder J, Troost J, Twellaar M, et al. Incidence of epilepsy and predictive factors of epileptic and non-epileptic seizures. Seizure 2005;14:175-82. http://dx.doi.org/10.1016/j.seizure.2005.01.005
Reuber M, Fernández G, Bauer J, Singh DD, Elger CE. Interictal EEG abnormalities in patients with psychogenic nonepileptic seizures. Epilepsia 2009;43:1013-20. http://dx.doi.org/10.1046/j.1528-1157.2002.52301.x
Tuchman R, Rapin I. Epilepsy in autism. Lancet Neurol 2002;1:351-8 http://dx.doi.org/10.1016/S14744422(02)00160-6
Kauffman RGS, Shuper A. Attention deficit disorders and epilepsy in childhood: incidence, causative relations and treatment possibilities. J Child Neurol 2009;24:727-33. http://dx.doi.org/10.1177/0883073808330165
Rotta NW, Ohlweiler L, Riesgo RS. Transtornos da Aprendizagem - abordagem neurobiológica e multidisciplinar. Porto Alegre: Artmed, 2006, 362p.
Hemmer SA, Pasternak JF, Zecker SG, Trommer BL. Stimulant therapy and seizure risk in children with TDAH. Pediatr Neurol 2001;24:99-102. http://dx.doi.org/10.1016/S0887-8994(00)00240-X
Cavazzuti GB, Cappella L, Nalin A. Longitudinal study of epileptiform EEG patterns in normal children. Epilepsia 1980;21:43-55. http://dx.doi.org/10.1111/j.1528-1157.1980.tb04043.x
Jabbari B, Russo MB, Russo ML. Eletroencephalogram of asymptomatic adult subjects. Clin Neurophysiol 2000;111:102-5. http://dx.doi.org/10.1016/S1388-2457(99)00189-3
Hersdorffer DC, Hauser WA, Annegers JF, Kokmen E, Rocca WA. Dementia and adult-onset unprovoked seizures. Neurology 1996;46:727-30. http://dx.doi.org/10. 1212/ WNL. 46. 3. 727
Sand T. Electroencephalography in migraine: a review with focus on quantitative eletroencephalography and the migraine vs. epilepsy relationship. Cephalalgia 2003;23:5-11. http://dx.doi.org/10.1046/j.14682982.2003.00570.x
Benbadis SR. “Just like EKGs!” should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology 2013:80(suppl 1):S47-51.
Chadwick D. Diagnosis of epilepsy. Lancet 1990;336:291-5. http://dx.doi.org/10.1212/WNL.0b013e3182797539
Engel J. A practical guide for routine EEG studies in epilepsy. J Clin Neurophysiol
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Publicado: 2015-09-30