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Seizure Count by Continuous (Prolonged) Electroencephalography

Published: August 9, 2026Updated: August 16, 2026

This test uses a prolonged electroencephalogram (EEG) recording to count and characterize seizure activity over an extended monitoring period. It helps your care team understand how often seizures occur and how they appear on brain-wave recordings.

Quick summary

["A prolonged EEG lets doctors detect and count seizures, including ones that may not be obvious from watching alone."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
60847-1
Short code
Seizure count Ctx EEG
Synonyms
Seizure count Ctx EEG
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
eeg
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

The test reviews an extended EEG recording to identify seizure events and tally how many occurred during the monitoring period. It also documents when seizures happened and how they looked on the brain-wave tracing, so patterns can be assessed over time.

How the Recording Is Done

Sensors are placed on the scalp to record electrical activity from the brain, and the recording runs for an extended period, often hours to days depending on the clinical question. You may be asked to stay in a monitoring unit, and the technologist or nurse will help keep the sensors in place during the session.

Why Your Doctor Ordered It

Prolonged EEG monitoring is commonly used when seizures are suspected but not clearly captured on a routine EEG, when seizure frequency needs to be measured, or when treatment for epilepsy is being evaluated. It can also help distinguish seizures from other events that look similar.

What to Expect

The procedure is generally safe and not painful; the main discomfort is from having sensors attached and staying still for long periods. Your care team will give you instructions about sleep, medications, and activities during monitoring, and will tell you when results are available.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Seizure Count, Prolonged EEG

Frequently asked questions

Does this test hurt?
No. EEG recording does not use needles or electricity into the body; sensors simply detect the brain's electrical signals. You may notice mild skin irritation from the adhesive, and long monitoring sessions can be tiring.
Will it find every seizure?
No test is perfect. Prolonged EEG greatly improves the chance of capturing seizures compared with a short routine EEG, but events that do not produce detectable brain-wave changes, or that occur off recording, may be missed. Your doctor will interpret the count alongside your symptoms.
How should I prepare?
Follow the specific instructions from your care team, which may include washing your hair beforehand, avoiding certain hair products, and adjusting sleep or medications only as directed. Do not change medications on your own; ask your doctor if you are unsure.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy