Routine and sleep EEG: Minimum recording standards of the International Federation of Clinical Neurophysiology and the International League Against Epilepsy

• Published in: Clinical neurophysiology Vol. 147; pp. 108 - 120
• Main Authors: Peltola, Maria E., Leitinger, Markus, Halford, Jonathan J., Vinayan, Kollencheri Puthenveettil, Kobayashi, Katsuhiro, Pressler, Ronit M., Mindruta, Ioana, Mayor, Luis Carlos, Lauronen, Leena, Beniczky, Sándor
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.03.2023
• Subjects: Advisory Committees; EEG activations; EEG provocations; EEG technical standards; Electroencephalography - methods; Epilepsy - diagnosis; Humans; Neurophysiology; Sleep; Sleep-deprived EEG; Standard EEG; EEG activations; EEG technical standards; EEG provocations; Standard EEG; Sleep-deprived EEG
• ISSN: 1388-2457; 1872-8952
• DOI: 10.1016/j.clinph.2023.01.002

•Minimum standards are needed to improve the accuracy, efficacy, and reliability of recording routine and sleep electroencephalography (EEG).•The overall quality of research evidence was low, leading to conditional recommendations based on consensus.•We formulated 16 recommendations for minimum standards for recording routine and sleep EEG.•Implementation strategies need to be tailored by local organizations or chapters. This article provides recommendations on the minimum standards for recording routine (“standard”) and sleep electroencephalography (EEG). The joint working group of the International Federation of Clinical Neurophysiology (IFCN) and the International League Against Epilepsy (ILAE) developed the standards according to the methodology suggested for epilepsy-related clinical practice guidelines by the Epilepsy Guidelines Working Group. We reviewed the published evidence using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. The quality of evidence for sleep induction methods was assessed by the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) method. A tool for Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) was used to assess the risk of bias in technical and methodological studies. Where high-quality published evidence was lacking, we used modified Delphi technique to reach expert consensus. The GRADE system was used to formulate the recommendations. The quality of evidence was low or moderate. We formulated 16 consensus-based recommendations for minimum standards for recording routine and sleep EEG. The recommendations comprise the following aspects: indications, technical standards, recording duration, sleep induction, and provocative methods.