Interobserver reliability of visual interpretation of electroencephalograms in children with newly diagnosed seizures
| Autor: | Hans Stroink, Robbert-Jan Schimsheimer, Al W de Weerd, Ada T Geerts, Willem F Arts, Erasmus MC, Els A Peeters, Oebele F Brouwer, A Boudewijn Peters, Cees A van Donselaar |
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| Přispěvatelé: | Neurology, Faculteit Medische Wetenschappen/UMCG |
| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Visual perception Adolescent Visual interpretation ACCURACY CHILDHOOD DUTCH Audiology Electroencephalography Severity of Illness Index Epilepsy Developmental Neuroscience Seizures Surveys and Questionnaires Severity of illness medicine Humans Prospective Studies Child RECURRENCE Prospective cohort study Psychiatry EPILEPSY Observer Variation medicine.diagnostic_test Infant Reproducibility of Results medicine.disease Sleep deprivation nervous system Child Preschool SCALP ICTAL EEG Pediatrics Perinatology and Child Health Visual Perception Sleep Deprivation Female Neurology (clinical) medicine.symptom Psychology Kappa |
| Zdroj: | Developmental Medicine & Child Neurology, 48, 374-377. Wiley-Blackwell Developmental Medicine and Child Neurology, 48(5), 374-377. Blackwell Publishing Ltd |
| ISSN: | 0012-1622 |
| DOI: | 10.1017/s0012162206000806 |
| Popis: | The reliability of visual interpretation of electroencephalograms (EEG) is of great importance in assessing the value of this diagnostic tool. We prospectively obtained 50 standard EEGs and 61 EEGs after partial sleep deprivation from 93 children (56 males, 37 females) with a mean age of 6 years 10 months (SE 5mo; range 4mo-15y 7mo) with one or more newly diagnosed, unprovoked seizures. Two clinical neurophysiologists independently classified the background pattern and the presence of epileptiform discharges or focal non-epileptiform abnormalities of each EEG. The agreement was substantial for the interpretation of the EEG as normal or abnormal (kappa 0.66), almost perfect for the presence of epileptiform discharges (kappa 0.83), substantial for the occurrence of an abnormal background pattern (kappa 0.73), and moderate for the presence of focal non-epileptiform discharges (kappa 0.54). In conclusion, the reliability of the visual interpretation of EEGs in children is almost perfect as regards the presence of epileptiform, abnormalities, and moderate to substantial for the presence of other abnormalities. |
| Databáze: | OpenAIRE |
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