Abnormal Brain Waves: Causes and Concerns - Neurology

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Abnormal brain waves


Hello Doctor: For the past six months, I have been experiencing a feeling of pressure in my head, and occasionally when I look down, my vision becomes blurry on both sides.
Yesterday, the EEG report showed abnormalities with localized slow waves.
I was diagnosed with stage II breast cancer last year, which has not metastasized, and I have been undergoing hormone therapy.
Additionally, I have been taking sleeping pills regularly for insomnia over the past year.
The doctor is concerned about the possibility of cancer metastasis, so further examinations, including an MRI and another EEG, are scheduled for the end of the month.
I would like to know if hormone therapy or sleeping pills could potentially cause slow waves in the EEG.
Is it possible for the EEG to return to normal in the next examination? Thank you, Doctor.

G, 50~59 year old female. Ask Date: 2023/02/14

Dr. Jiang Junyi reply Neurology


Hello Ms.
G: You mentioned that "the EEG report shows abnormalities with localized slow waves...
I would like to ask if hormone therapy or sleeping pills could cause slow waves in the EEG?" Sleeping pills typically increase beta waves.
Insufficient sleep may lead to the presence of slow waves.
These temporary EEG abnormalities may return to normal with improved sleep.
For localized abnormalities, it is recommended to undergo a brain MRI to rule out any focal brain lesions.
For nerve repair, it is suggested to supplement with B vitamins.
Thank you for your inquiry, and I welcome further discussion.
I recommend consulting a neurologist for evaluation and treatment.
Wishing you good health, peace, and happiness.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Medical Center, cares about you.

Reply Date: 2023/02/14

More Info


Hello! Thank you for your question regarding your recent EEG results and the potential implications of your medication on your brain wave activity. It’s understandable to feel concerned, especially given your medical history and current symptoms.

From your description, it seems that your EEG showed abnormal findings, specifically localized slow waves. Slow waves in an EEG can indicate various conditions, including potential cortical dysfunction. In your case, the presence of slow waves could be related to several factors, including your history of breast cancer and the medications you are currently taking.

To address your specific question about whether anti-hormonal medications or sleep aids could contribute to the presence of slow waves in your EEG:
1. Anti-hormonal Medications: These medications, often used in the treatment of hormone-sensitive cancers like breast cancer, can have various side effects. While they are not typically associated with causing slow waves directly, they can influence overall brain function and mood, which may indirectly affect EEG readings. Some patients report cognitive changes or fatigue while on these medications, which could potentially manifest as changes in brain wave patterns.

2. Sleep Aids: On the other hand, sleep medications are known to affect brain wave activity. They can increase beta waves during wakefulness and may alter the normal sleep architecture, which can lead to changes in the EEG. Chronic sleep deprivation, which you mentioned, can also lead to an increase in slow wave activity as the brain attempts to compensate for lack of restorative sleep. This is particularly relevant since sleep is crucial for cognitive function and overall brain health.

Regarding your upcoming MRI and follow-up EEG, these tests are essential for further evaluation. An MRI can provide detailed images of the brain and help identify any structural abnormalities that might explain your symptoms or EEG findings. It can also rule out any potential metastasis or other serious conditions that could be affecting your brain function.

As for the possibility of your EEG returning to normal, it largely depends on the underlying cause of the slow waves. If the slow waves are primarily due to transient factors such as sleep deprivation or medication effects, there is a good chance that with improved sleep and possibly adjusting your medications, your EEG could normalize. However, if there are structural or more persistent functional issues, further evaluation and management may be necessary.

In the meantime, it’s crucial to maintain open communication with your healthcare provider. Discuss your symptoms, concerns about your medications, and any lifestyle changes you can make to improve your sleep quality. Additionally, consider incorporating stress-reducing activities, such as mindfulness or relaxation techniques, which can also positively impact your overall well-being.

In summary, while your current medications and sleep issues may contribute to the EEG findings, further evaluation through MRI and follow-up EEG will provide more clarity. It’s essential to work closely with your healthcare team to monitor your symptoms and adjust your treatment plan as necessary. Wishing you the best in your upcoming evaluations and a smooth path to recovery!

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