Do you typically obtain an EEG in patients undergoing workup for cognitive dysfunction?
I do not obtain an EEG unless something in the patient's history leads me to suspect seizures.
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I'm all for the appropriate use of EEGs but I would say a basic EEG should be part of the evaluation. Ideally, a 24-hour ambulatory EEG (no video needed). At the very minimum, a routine EEG. The yield is admittedly low, but in the rare events that suggest seizures, it is a treatable cause of "dement...
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Only if the dementia process is relatively rapid (within 1 year) or if history suggests possible seizures.
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I do it as a second-tier test except when specifically searching for conditions like CJD, NMDA encephalitis, or non-convulsive status. In these particular cases, I prioritize it as a first-tier test.
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I'd request an EEG if there is a suggestion of rapidly progressive dementia.
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