The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Hyperventilation during electroencephalography: Safety and efficacy
Open accessAbstract
Purpose To determine safety and efficacy of hyperventilation (HV) during electroencephalography (EEG).Methods We report the findings of a prospective multicentre National Service Evaluation of the occurrence of adverse events, seizures and interictal epileptiform discharges seen in association with HV during EEG, in a relatively unselected, largely out patient population of 3475 being investigated predominantly for possible epileptic seizures.Results Adverse events occurred rarely, and there were no reported significant cerebrovascular, cardiovascular or respiratory events. Of the 3170 patients suspected of 'epilepsy or possible epilepsy' 69 patients (2.2%) had seizures provoked by HV, but only one (0.03%) had a generalised tonic clonic seizure. The elicitation or increase of interictal epileptiform discharges (IEDs) was seen in 387 (12.2%) of the total 3170 patients with suspected epilepsy who hyperventilated. Furthermore 31 patients (0.9%) had psychogenic non-epileptic seizures.Conclusion HV is rarely associated with adverse events, but contributes to the diagnosis and classification of seizure disorders in an appreciable proportion of patients with epilepsy and non-epileptic attacks. These findings confirm that HV in selected patients is a valid activation technique in diagnostic EEG, where the potential benefits out weigh the risks, and also provide information that may assist the informed consent process.
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“Another electroencephalography with activation by hyperventilation 3 weeks later also revealed normal results without any sign of epilepsy (in particular absence and temporal lobe epilepsy) (91–93).”
From Combined Fainting and Psychogenic Non-epileptic Seizures as Significant Therapy Hurdles in Blood-Injury-Injection Phobia: A Mini-Review and Case Report (2022) · cites this paper as [93]
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Metadata
- Authors
- Kane, N., Grocott, L., Kandler, R., Lawrence, S., & Pang, C.
- Affiliations
- Frenchay Hospital (GB)
- Royal Stoke University Hospital (GB)
- Royal Hallamshire Hospital (GB)
- University Hospital Coventry (GB)
- Corresponding author
- Kane, Nick
- ORCID
- Grocott, Lesley
- Venue
- Seizure
- Publisher
- Elsevier BV
- Published
- 2014-02
- Volume
- 23
- Issue
- 2
- Pages
- 129-134
- ISSN
- 1059-1311 (ISSN-L)
- OpenAlex
- W2001188480
- Cited by
- 61
- References
- 37
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 10 · 2023: 7 · 2022: 2 · 2021: 9 · 2020: 2 · 2019: 6 · 2018: 3 · 2017: 8 · 2016: 1 · 2015: 3
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 365 d)
- Locations
- Seizure (publishedVersion)
- PubMed (publishedVersion)
- Funders
- British Society for Clinical Neurophysiology and Association of Neurophysiological Scientists
- Topics
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- hyperventilation, EEG, seizure provocation, interictal epileptiform discharges, adverse events, psychogenic non-epileptic seizures, epilepsy diagnosis, informed consent
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Brain, Child, Child, Preschool, Electroencephalography, Epilepsy, Female, Humans, Hyperventilation, Infant, Male, Middle Aged, Prospective Studies, Seizures, Young Adult
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