I found the recent report by Harmon and colleagues on inpatient electroencephalography (EEG) very interesting.
1 The authors concluded that “inpatient EEGs rarely contributed to clinical decision making and in no case resulted in a change in diagnosis or management.”
1 Thus, the question that remains is whether inpatient EEG is useless. In fact, the study was retrospective, and there are many factors that could not be controlled. I believe it is important to consider the rational use of investigation.
2 In other words, similar to any investigation in medicine, the inpatient EEG should be used only if there is indication. Harmon and colleagues
1 did not determine whether all cases had fulfilled indication. The inpatient EEG can be very useful—if the physician has been well educated on proper procedures and indications.