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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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Article info
Publication history
Received in revised form:
May 1,
1986
Received:
November 15,
1985
Footnotes
☆Presented in part at the Society of Biological Psychiatry Annual Meeting in Dallas, TX, May 18. 1985.
Identification
Copyright
© 1986 Published by Elsevier Inc.