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Detection of Cortical Arousals in Children Using Frontal EEG Leads in Addition to Conventional Central Leads
Journal article   Open access

Detection of Cortical Arousals in Children Using Frontal EEG Leads in Addition to Conventional Central Leads

Joseph Kaleyias, Mitzie Grant, Farzana Darbari, Olukunle Ajagbe, Julianna Cepelowicz-Rajter and Sanjeev V. Kothare
Journal of clinical sleep medicine, v 2(3), pp 305-308
01 Jan 2006
PMID: 17561542
url
https://doi.org/10.5664/jcsm.26590View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Science & Technology
Study Objective: This study was designed to assess the efficacy of using Fz as an additional electrode in screening arousals during polysomnography in children. Methods: Polysomnograms from 24 children were randomly selected from a sleep-study database of children from different diagnostic categories. Of the children whose polysomnograms selected, 5 were normal, 5 had severe obstructive sleep apnea syndrome, 5 had mild obstructive sleep apnea syndrome, 5 had snoring, and 4 had periodic limb movement disorder. American Academy of Sleep Medicine criteria for arousal were applied to Fz only, C3/C4 only, or both electrode sites combined. Results: C3/C4 electrode sites picked up 96.33% of arousals in the polysomnograms of children, compared with 87.46% arousals identified at Fz. An additional 3.3% of arousals were identified at Fz that were not detected at C3/C4. The average median number of arousals per subject, accompanied by the interquartile range, was 29 (19.2-39.7) at C3/C4 and 27.5 (19.2-33.7) at FZ, reflecting a significant difference between the two (p = .005). The use of both electrodes sites resulted in the detection of the highest number of arousals per subject, with a median of 29 (20.2-40.7). Conclusion: Unlike findings recently reported in adults, our study detected a higher number of arousals from central electrodes rather than frontal, with the maximum number of arousals obtained using a combination of frontal and central electrodes. A possible explanation for differences in the optimal location for detection of arousals between adults and children is discussed.

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Clinical Neurology
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