About this Toolkit

This toolkit was developed by the American Epilepsy Society (AES) Practice Management Committee to provide practical examples of standardized electroencephalography (EEG) reporting templates for use in clinical practice. The sample reports are intended to serve as reference tools for clinicians and neurophysiology laboratories seeking to develop or refine structured EEG documentation. The templates were designed to succinctly convey relevant clinical information, technical and procedural details, EEG findings, interpretations, and key documentation elements that support both patient care and billing requirements.

The committee recognizes that there is currently no universally accepted standard for the structure or formatting of adult and non-neonatal pediatric EEG reports. Reporting practices vary among institutions and individual practitioners, reflecting differences in clinical workflows, documentation preferences, and interpretation styles. Consequently, the templates presented in this toolkit should not be considered official society-sanctioned guidelines or mandatory reporting standards. Rather, they represent minimum recommended reporting elements and organizational approaches based on the collective expert opinion of committee members. The toolkit includes sample templates for routine EEG, long-term monitoring (LTM) EEG, epilepsy monitoring unit (EMU) EEG, neonatal EEG, and ambulatory EEG studies. For neonatal EEG reporting, users may additionally refer to published ACNS terminology and reporting recommendations for neonatal EEG (1).

For long-term monitoring and critical care EEG studies, the ACNS Standardized Critical Care EEG Terminology (2021) may be incorporated as clinically appropriate to promote consistency in the description of EEG findings (2). In addition, the 2HELPS2B scoring system may assist clinicians in estimating seizure risk and determining the optimal duration of continuous video-EEG monitoring based on findings identified during the first hour of recording (3). These resources are intended to complement, rather than replace, clinical judgment and local institutional practices.