Lurie Children’s Epilepsy Center provides an advanced treatment approach made possible by state-of-the-art imaging, EEG trending software and Video EEG diagnostic systems.
Our specialized pediatric epileptologists will interpret EEGs while using video monitoring to help link the child's brain electrical patterns to the physical seizure. This multifaceted measurement gives us the building blocks for the best and most personalized treatment for your child.
The Epilepsy Monitoring Unit is specially designed and equipped to care for pediatric patients undergoing Video EEG Monitoring. Patients in the EMU are admitted for classification of spells, seizure characterization and quantification, medication management, or evaluation for surgery. The multidisciplinary team approach enables us to provide tailored care plans while providing a tranquil environment for our pediatric patients.
During the EMU process, patients are monitored by a team of pediatric trained Neurodiagnostic Technologists 24 hours a day. The team of Neurodiagnostic Technologists monitor the patients via real-time video EEG systems. It is important to note that audio and video are being recorded during the monitoring process. This is necessary in order to recognize behavior changes, events, or other activity requiring response by the Epilepsy Monitoring team.
Neurodiagnostic Technology Training Program
The Lurie Children’s Neurodiagnostic Training Program is one of only a few hospital-based training programs in the United States. Lurie Children’s goal is to grow a qualified workforce by promoting patient safety and providing standardized education for Neurodiagnostic Technologists. The program focuses on pediatric care within Clinical Neurophysiology, Epilepsy Monitoring and Neurocritical Care.
The Neurodiagnostic Technologist will use precise measurements on your child’s scalp to apply the electrodes, which are the small node-like conductors that transmit your child’s brain signals to Video EEG system. Applying electrodes will not hurt your child. The EEG connection process takes about 1 hour.
For most children, we use paste to adhere the electrodes. Some children may require collodion application, which is applied utilizing a portable air compressor. This helps the glue to dry quickly and adhere to the scalp.
After the EEG setup is complete, the patient EEG head box is connected by a cord to the Video EEG system. The cord is 30 feet long which provides ample length for the patient to move around in their room as long as they’re in view of the camera. Your child will not be sedated during the procedure.
The adhesive on the electrodes may irritate sensitive skin on scalps, particularly if they are connected longer than 23 hours. This is especially true for children with allergies or eczema.
Preparing for an EEG
The night before the EEG, wash your child’s hair with regular shampoo. Do not apply conditioner or any other hair products. The Neurodiagnostic Technologist will part the hair in order to reach your child’s scalp for proper placement of electrodes.
One parent/caregiver is expected to stay with the patient AT ALL TIMES for the duration of the visit to help identify seizure activity or events of concern. The Neurodiagnostic Technologist will provide a push button to the parent/caregiver to press when events occur.
Please have your child wear a button down shirt or pajama set. Otherwise, we cannot change soiled clothing after the electrodes are in place.
If you are bringing your child for a daytime study, please put them to bed as late as possible the night before the test and wake them up as early as possible so they’re tired the day of the test. EEGs have better results when children nap during the test.
You should give your child all of their regular medications unless otherwise specified by your doctor.
After overnight studies, your child will be disconnected from the equipment between 5 a.m. and 6 a.m. the following morning and then discharged.
If your child is on the ketogenic diet or another special diet, please bring the needed food. Your child can eat breakfast before coming to the monitoring unit.
Please bring all of your child’s current medications.
Please call 312.227.3540 to inform us of any special needs your child may have such as tracheostomy, home ventilator support, g-tubes, feeding pump, etc.
Please bring all of your child’s special equipment including airway support device, g-tube extension, trach emergency bag, and any other special materials used at home.
Test results will be forwarded to the referring physician who in turn will provide results directly to you. Please allow 7-14 business days for your physician to receive a complete report of the Video EEG test.
Other Important Information
Parents are responsible for contacting insurance companies for pre-authorization of services.
If you or your child has been exposed to any contagious illnesses such as chicken pox or has any signs of illness or infection, please call 312.227.3540 prior to arrival.
It is very important that you arrive on time. If you are late, you may need to wait to be seen or your visit may need to be rescheduled. If you think you are going to be late, please call 312.227.3540 to let us know.