Do not routinely order electroencephalogram as part of initial syncope work-up.
|Rationale and Comments:||Electroencephalogram will be negative in a large portion of patients with epilepsy, and may be positive in patients without epilepsy. False positive electroencephalogram findings commonly lead to unnecessary use of antiepileptic drugs and may delay the syncope diagnosis and treatment. Electroencephalogram are most helpful in specific situations when there is high pre-test probability for epilepsy based on history and exam, and clinical presentation.|
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