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Article| Volume 21, ISSUE 13, P1236-1238, November 1986

The value of nasopharyngeal recording in psychiatric patients

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      Abstract

      The utility of nasopharyngeal (NP) recording in psychiatry is controversial. To assess its value, 302 NP recordings from patients with psychiatric illnesses were reviewed. Among the 81 patients whose electroencephalograms (EEGs) demonstrated spikes or sharp waves, 10 patients (12%) were found to have epileptic foci at the mesiobasal temporal region recorded exclusively by NP leads. However, all of these recordings showed additional independent epileptic foci detected by scalp electrodes. Five patients (6%) had epileptic discharges simultaneously recorded from NP and scalp electrodes. No recording showed all epileptic discharges to be exclusively recorded by NP leads. These findings suggest that although NP recording may not be absolutely required w determine if an EEG contains epileptiform discharges, in a psychiatric population, it may be useful to detect additional epileptic foci at the mesiobasal temporal region.
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      References

        • deJesus PV
        • Masland WS
        The role of nasopharyngeal electrodes in clinical electroenceph-alography.
        Neurology (Minneap). 1970; 20: 869-878
        • DeJong RN
        Psychomotor or temporal lobe epilepsy.
        Neurology. 1957; 7: 1-12
        • Gastaut H
        The Epilepsies, Electroclinical Correlations.
        in: Charles C Thomas, Springfield, IL1954: 61-62
        • Grinker RR
        • Serota H
        Studies on the corticohypothalamic relations in cat and man.
        J Neurophysiol. 1938; 1: 573
        • Malamud N
        Psychiatric disorder with intracranial tumors of the limbic system.
        Arch Neurol. 1967; 17: 113-123
        • Nielsen H
        • Kristensen O
        Personality correlates of sphenoidal EEG-foci in temporal lobe epilepsy.
        Acta Neurol Scand. 1981; 64: 289-300
        • Ramani V
        • Loewenson RB
        • Torres F
        The limited usefulness of nasopharyngeal EEG recording in psychiatric patients.
        Am J Psychiatry. 1985; 142: 1099-1100
        • Schraeder PL
        • Humphries M
        Nasopharyngeal sleep EEGs in a community hospital setting.
        Arch Neurol. 1977; 34: 788
        • Sperling MR
        • Engel J
        Electroencephalographic recording from the temporal lobes: A comparison of ear, anterior temporal and nasopharyngeal electrodes.
        Ann Neurol. 1985; 17: 510-513
        • Struve FA
        • Feigenbaum ZS
        Experience with nasopharyngeal electrode recording with psychiatric patients: A clinical note.
        Clin Electroencephalogr. 1981; 12: 84-88