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1Clear out junk files and repair common Windows errors2Scan for outdated or missing drivers - takes under a minute3Repair Windows errors before they cause bigger problemsFor most EEG appointments, arrive with clean, product-free hair, bring an accurate medication list, and follow the instructions from your own clinic. Do not change medicines, skip meals, avoid caffeine, or restrict sleep unless your appointment instructions or clinician specifically tell you to. Preparation differs between routine and sleep-deprived EEGs, and between providers.
What to do before an EEG
- Check your appointment letter first. It is the controlling guide for arrival time, sleep schedule, caffeine, medicines, and transport. If any instruction is missing or conflicts with advice from your clinician, contact the EEG clinic or the clinician who ordered the test.
- Wash your hair and leave it free of styling products. Clean hair helps staff attach electrodes. Avoid gel, hairspray, mousse, oils, and similar products. Some clinics specifically ask patients to shampoo and skip conditioner the night before; follow that only if your clinic says so. See Johns Hopkins Medicine’s EEG preparation guidance and Guy’s and St Thomas’ day-case EEG guidance.
- Make a medication and supplement list. Include prescription and over-the-counter medicines, herbal remedies, and supplements. Do not stop or change a prescription on your own. Johns Hopkins advises patients to talk with their provider before stopping medicines. Some sleep-deprived EEG protocols give specific exceptions, so clarify the instructions for your test rather than applying another clinic’s rule.
- Eat and drink according to your clinic’s instructions. Do not assume an EEG requires fasting. Johns Hopkins says not to fast because low blood sugar can affect results; other providers also advise normal meals. Caffeine restrictions differ substantially, so use the period in your own appointment instructions rather than a schedule found online.
- Change your sleep schedule only if instructed. Routine awake EEGs may not require sleep deprivation. Sleep EEG protocols can ask for reduced sleep or overnight wakefulness, with different schedules for adults and children. Do not copy another hospital’s schedule.
- Plan transport if you may be sleepy. Arrange a ride if your clinic recommends it, or if sleep deprivation or sedating medicine could make driving unsafe. Bring anything the clinic specifically requests; for a child, a familiar blanket or comfort toy may be useful if permitted.
Why sleep and caffeine instructions vary
There is no single preparation schedule for every EEG. The instructions depend on whether the recording is routine or intended to capture sleep, the patient’s age, and the local clinical protocol.
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| Preparation issue | What the cited clinics say | How to use that information |
|---|---|---|
| Sleep restriction | Johns Hopkins gives an example of limiting adults to 4–5 hours of sleep and children to 5–7 hours for a sleep EEG. Cambridge gives a different age-specific protocol. Hull asks adults having its sleep-deprived test to reduce sleep by at least half and wake by 5 a.m. These are provider-specific instructions, not a universal schedule. Johns Hopkins; Cambridge University Hospitals; Hull University Teaching Hospitals. | Follow only the schedule given for your appointment. If sleep-triggered seizures make the plan concerning, Cambridge advises contacting the referring doctor. |
| Caffeine | Johns Hopkins specifies avoiding caffeine for 8–12 hours; Guy’s and St Thomas’ says no caffeine before its test; Hull’s sleep-deprived leaflet says to avoid it for 24 hours; UHN sets a cutoff after 3 p.m. before its appointment. Johns Hopkins; Guy’s and St Thomas’; Hull; UHN. | These different cutoffs should not be combined into a single rule. Ask the EEG clinic if your written instructions do not say whether to avoid caffeine. |
| Medication | Instructions vary by protocol. UHN’s sleep-deprived EEG guidance says to take prescribed medicines except sleeping pills; other hospital guidance says to continue usual medicines. UHN; Johns Hopkins. | Do not transfer another provider’s medication instruction to your test. Resolve uncertainty with your own clinic or ordering clinician. |
What happens during the recording
A trained clinician or physiologist places electrodes on the scalp using conductive material, then records brain activity. Staff may ask you to relax, open or close your eyes, breathe deeply, or look at flashing lights, depending on the clinical protocol. These steps are not used for every patient; the team explains what is planned and whether activation procedures are appropriate.
Some clinic guidance notes a very small chance that deep breathing or flashing lights could trigger a seizure or blackout. Sleep deprivation can also slightly increase seizure risk; Hull says there are no definitive figures because testing methods differ. If you are worried about either risk, contact your treating team before the appointment.
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How long it may take and what to bring
Allow the time specified in your appointment letter. Johns Hopkins gives a general EEG duration estimate of 45 minutes to 2 hours; Hull’s adult sleep-deprived EEG leaflet estimates 75 to 90 minutes for its procedure. These estimates refer to different provider guidance and protocols, not a guaranteed appointment length.
- Bring your medication list and any items explicitly requested by the clinic.
- Wear comfortable, loose clothing if your clinic recommends it.
- For a child, consider a familiar sleep item such as a comfort toy or blanket, if appropriate.
- Afterward, conductive paste may remain in your hair. A comb or brush can help tidy it, and shampoo can wash out residue; ask staff what cleanup is available.
If you have an EEG tomorrow
Tonight, check the clinic’s instructions, wash your hair without styling products, and prepare your medication list. Do not deliberately stay awake, skip food, stop medication, or avoid caffeine unless the instructions for your test say to. If they are unclear, call the EEG clinic or ordering clinician rather than guessing.
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