EEG – Clinica de Neurologie Bucuresti Neuroaxis

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Asa cum EKG-ul ofera medicului indicii asupra modului in care se comporta inima, EEG-ul este folosit pentru investigarea modului in care functioneaza creierului. Scopul principal al aceste analize este diagnosticarea si monitorizarea persoanelor care sufera de epilepsie, dar ofera informatii precise si despre alte afectiuni neurologice. Rezultatele obtinute trebuie, insa, interpretate si incadrate corect in tabloul clinic. La Neuroaxis echipa de medici supraspecializati iti dau rezultatul EEG precis si corect.

Epilepsia este o afectiune care genereaza frica si neliniste pentru oricine si care, pentru a fi tratata corespunzator, are nevoie de un diagnostic precis. Motiv pentru care, automat, a devenit necesara efectuarea unor investigatii mai complexe, iar una dintre acestea este electroencefalograma (EEG). Scopul principal al EEG-ului este de a oferi un diagnostic de certitudine si de a evalua corect tipul de epilepsie.

Un rol important in diagnosticarea precisa si oferirea unui tratament eficient, pe langa aparatura medicala, il joaca echipa medicala Neuroaxis, in special departamentul condus de doamna doctor Ioana Mindruta. Specializarile si supraspecializarile medicilor din echipa, ofera un cadru integrat de diagnosticare, monitorizare si tratament si fac, deseori, diferenta dintre viata si moarte, sanatate si boala.

Totodata, un serviciu integrat Neuroaxis, destinat nevoilor fiecarui pacient in parte, este EpiSuport, un produs unic in Romania prin care asiguram o monitorizare continua si constanta a pacientilor diagnosticati cu epilepsie, in vederea urmaririi evolutiei afectiunii acestora si tratamentului indicat, dar si accesul la informatii medicale relevante si corecte.

Mai exact, EpiSuport integreaza mai multe servicii:

● consultatii (consultatii si controale epileptologice, evaluari neuropsihologice, testari psihologice, planificare traseu diagnostic),
● investigatii (video EEG de zi de 3 sau 8 ore, video EEG nocturn de 12 ore si video EEG de 24 si 48 de ore) si
● servicii suplimentare pentru o evaluare completa (testari genetice; investigatii imagistice – RMN, PET-CT; chirurgia epilepsiei, monitorizare lunara, analize de laborator, consiliere juridica si financiara).

Dupa diagnosticare si stabilirea traseului terapeutic, pacientii intra in programul de monitorizare activa.

DE CE SA FACI ELECTROENCEFALOGRAMA LA NEUROAXIS

✓ Solutii personalizate de tratament

✓ Aparatura de top pentru diagnosticare

✓ Medici dedicati supraspecializati

✓ Expertiza internationala

✓ Coordonarea traseului medical

✓ Monitorizare continua a pacientilor prin EpiSuport

Contacteaza-ne acum pentru mai multe informatii si programari

Electroencefalograma (EEG), în detaliu

Electroencefalografia investigheaza activitatea electrica a creierului, procedura constand in montarea unor senzori speciali numiti electrozi (placi metalice legate prin fire de aparatul de inregistrat) pe suprafata pielii capului.

Prin intermediul acestor electrozi se inregistreaza activitatea electrica a creierului. O modalitate mai eficienta de diagnosticare este video EEG, adica inregistrarea video si audio simultana cu electroencefalografia.

Astfel, se obtin informatii suplimentare, prin care se poate corela activitatea electrica cerebrala cu manifestarile clinice ale pacientului.

Ecografia Doppler pe scurt

Investigatia EEG se realizeaza in cadrul Laboratorului de epileptologie si somnologie din clinica Neuroaxis si consta in urmatoarele etape:

● montarea echipamentului necesar investigatiei de catre un tehnician specializat;
● efectuarea unor teste, numite “Traseu de baza”, realizate tot de tehnicianul EEG;
● inregistrarea propriu-zisa a pacientului care este monitorizat de un asistent medical specializat;
● interpretarea rezultatelor investigatiei de catre echipa de medici neurologi supraspecializati in epilepsie.

PREGATIREA PENTRU ELECTROENCEFALOGRAMA

Electroencefalograma presupune o minima pregatire pentru ca rezultatele sa fie optime si pentru ca pacientii sa se simta comfortabil pe parcursul investigatiei. Astfel, acestia trebuie:

● sa isi spele parul in ziua in care vin pentru investigatia video EEG;
● sa isi aduca haine comode sau pijamale, in functie de durata investigatiei (video EEG de 3 ore, de 8 ore, de 12 ore, de 24 de ore);
● sa isi aduca obiecte de igiena personala, in functie de durata investigatiei (video EEG de 3 ore, de 8 ore, de 12 ore, de 24 de ore).

ELECTROENCEFALOGRAMA, PAS CU PAS

Primul pas este alegerea castii care va fi folosita pentru video EEG, pe baza unor masuratori care difera de la persoana la persoana. Casca contine mai multe orificii speciale in care sunt montati electorzi prin care se preia semnalul electric de la nivelul scalpului. Fiecare orificiu corespunde unei zone distincte a creierului. Casca este asigurata cu o centura toracala, prin doua cureluse ajustabile, pentru a nu se misca in timpul investigatiei video EEG.

Dupa ce casca a fost fixata, al doilea pas este degresarea scalpului, in zonele in care exista orificiile din casca. Acest proces ajuta la o transmitere mai buna a semnalului electric de la scalp la electrod.

Substanta cu care se realizeaza degresarea este usor abraziva si nu prezinta nici un fel de risc sau pericol.

Degresarea se realizeaza prin masarea usoara a scalpului cu un betisor cu vata pe care a fost aplicata substanata abraziva.

Dupa ce a fost degresat scalpul, urmeaza al treilea pas: montarea electrozilor. Acestia vor prelua semnalul electric de la nivelul scalpului si il vor transmite in electoencefalograf (EEG), unde va fi decodificat si transpus intr-o serie de unde care vor fi interpretate de medicul neurolog cu specializare in epileptologie. Electrozii nu transmit spre scalp niciun impuls electric, ci doar preiau semnalul emis de creier.

Al patrulea pas este aplicarea unui electrogel in orificiile in care au fost fixati electrozi pentru a asigura o impedanta potrivita transmiterii semnalului electric. Electrogelul este, de fapt, o substanta salina care nu pateaza sau nu produce reactii adverse cu pielea capului.

Ultimul pas consta in montarea unor senzori corporali, care ajuta la definirea corecta a rezultatului investigatiei video EEG. Acestia sunt:

● senzor de pulsoximetrie – montat de degetul inelar de la mana dreapta. Acesta inregistreaza pulsul pacientului si saturatia de oxigen;
● senzor EMG – montat pe cotul mainii drepte. Acesta inregistreaza miscarile bratului in cazul producerii unei crize;
● senzori EKG – montati deasupra inimii si sub umarul drept. Acestia inregistreaza activitatea cardiaca.

TRASEUL DE BAZA AL ELECTROENCEFALOGRAFIEI

Traseul de baza al electroencefalogramei consta in efectuarea unor teste care ajuta la stabilirea unor repere pentru medicul neurolog care va realiza interpretarea investigatiei. Testele recreeaza, de fapt, cateva situatii specifice pentru creier, de relaxare si de stres.

Structura traseului de baza este urmatoarea:

● 5 minute pacientul tine ochii inchisi;
● 5 minute pacientul tine ochii deschisi;
● 5 minute pacientul tine ochii inchisi si hiperventileaza;
● 5 minute pacientul tine ochii deschisi;
● 5 minute pacientul tine ochii inchisi;
● pacientul trebuie sa se uite catre un stroboscop care va transmite semnale luminoase; cu intensitate diferita timp de mai multe minute.

INREGISTRAREA PROPRIU-ZISA IN EEG

Dupa finalizarea traseului de baza, pacientul poate efectua orice activitate doreste: sa citeasca, sa manance, sa lucreze pe laptop etc.

In functie de durata investigatiei (video EEG de 3 ore, de 8 ore, de 12 ore, de 24 de ore sau de 48 de ore), acesta trebuie sa doarma sau sa stea relaxat pentru o anumita perioada.

In timpul investigatiei, pacientul va fi supravegheat de un asistent medical, specializat in epilepsie si in monitorizare video EEG. Intreaga investigatie este inregistrata video si audio, pentru a putea corela activitatea cerebrala cu eventualele manifestari corporale.

Pe parcursul investigatiei video EEG pacientul se poate deplasa la toaleta sau se poate plimba, deoarece aparatul functioneaza wireless.

INTERPRETAREA ELECTROENCEFALOGRAMEI

Electroencefalograma (EEG si video EEG) este interpretata de catre un medic de specialitate, care coroboreaza rezultatele investigatiei cu examenul clinic pentru a obtine un diagnostic cat mai precis.

Investigatia EEG se efectueaza la recomandarea unui medic neurolog, care decide durata pentru care pacientul trebuie monitorizat.

O electroencefalografie (EEG si video EEG) dureaza de la minimum 3 ore, pana la 24 de ore, in cadrul clinicii Neuroaxis. Daca se efectueaza in timpul noptii, este necesara internarea pacientului in laboratorul de epileptologie.

DE CE E BINE SA FACI ELECTROENCEFALOGRAMA?

Electroencefalograma poate investiga:

✓ epilepsia (diagnosticarea acestei boli, supravegherea tratamentului (monitorizarea efectelor medicatiei anti-epileptice) si evolutia ei);

✓ determinarea gradului de activitate cerebrala a persoanelor aflate in coma;

✓ studierea fiziologiei somnului si a tulburarilor de somn (narcolepsia);

✓ evaluarea leziunilor cerebrale – atac vascular cerebral (AVC), traumatisme;

✓ controlarea profunzimei anesteziei;

✓ evaluarea tulburarile de memorie;

✓ evaluarea dementelor, psihozelor;

✓ diagnosticarea starilor de lesin;

✓ modificarile electrofiziologice ale cortexului cerebral care pot reprezenta malformatii ale substantei cenusii/cortexului;

✓ inflamatii ale creierului (encefalite, meningoencefalite);

✓ boli genetice;

✓ tumori;

✓ monitorizarea fluxului sangvin cerebral in timpul unei proceduri/interventii chirurgicale;

✓ evaluarea intoxicatiei medicamentoase;

✓ diagnosticarea unor probleme ale coloanei vertebrale.

Ce spun pacientii tratati de noi?

"Doctorii au dat dovada de foarte mult profesionalism si timp. S-a alocat foarte mult timp pentru consultatie. Explicatiile despre diagnostic au fost pe intelesul pacientului."

Claudiu

"Am incredere ca doamna doctor ma va scapa de durerea de cap. Este un doctor deosebit si deja tratamentul a inceput sa dea roade. Durerile sunt mai rare, ceea ce imi da incredere ca pana la urma voi avea o viata normala."

Monica

* Părerile aparțin întru totul clienților noștri iar tratamentele precum și rezultatele vor diferi în funcție de fiecare caz în parte.

INTREBARI FRECVENTE DESPRE CONSULTATIE IN NEUROLOGIE – FAQ

Cat costa Electroencefalograma?

pret electroencefalograma (video EEG) de 3 ore – 950 de lei;
pret electroencefalograma (video EEG) de 8 ore – 1550 de lei;
pret electroencefalograma (video EEG) de 12 ore (nocturn) – 2150 de lei;
pret electroencefalograma (video EEG) de 24 ore – 3550 de lei;
pret electroencefalograma (video EEG) cu source localization (Mapping EEG) – 2750 de lei.

Cat dureaza EEG-ul?

Un test eficient trebuie sa dureze cel putin 3 ore, dar poate ajunge pana la cateva zile.

EEG-ul prezinta contraindicatii?

Nu exista contraindicatii pentru realizarea acestei investigatii.

La pacientii care sufera de epilepsie, probele de stimulare (SLI si hiperventilatia) pot declansa aparitia anomaliilor si chiar a unei crize de epilepsie.

Atentie! In cazul in care va aflati sub tratament cu anumite medicamente, este bine sa va consultati medicul specialist in privinta intreruperii acestora inaintea efectuarii unei investigatii de tip EEG.

De asemenea, cu 12-24 de ore inainte de efectuarea acestei investigatii, nu se consuma alcool, cafea, cola, ceai negru si alte tipuri de energizante.

Contact:

M: 021 9965
T: 031 425 1825

Adresa: Strada Iordache Golescu, nr. 17, Cod 011302, Sector 1, Bucuresti, ROMANIA

Mail: contact@neuroaxis.ro

Program Neuroaxis:

Luni – Vineri: 09:00 – 19:00