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hyperventilation, and photic stimulation increase

the yield of EDs in some patients.

The EEG is the most useful laboratory test to help

establish the diagnosis of epilepsy and assist in
the accurate classification of seizures and specific
epileptic syndromes. Characteristic interictal EDs
strongly support the diagnosis of epilepsy, but
absence of EDs does not exclude it. EDs are
recorded on the first EEG in 30% to 50% of
patients with epilepsy and in 60% to 90% by the
third EEG. Additional EEGs do not increase the
yield further. Thus, 10% to 40% of patients with
epilepsy will not have interictal discharges, even
with repeated EEGs. Sleep, sleep deprivation,

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First page: Merrits Neurology