Diagnostic Testing

Eeg test explained step by step

A routine EEG records the brain's electrical activity through electrodes placed on the scalp. You arrive with clean hair, electrodes are measured and applied, you lie still with your eyes open and closed on instruction, and the recording is made. Nothing is injected and no sedation is used.

Quick answer

A routine EEG records the brain's electrical activity through electrodes placed on the scalp. You arrive with clean hair, electrodes are measured and applied, you lie still with your eyes open and closed on instruction, and the recording is made. Nothing is injected and no sedation is used.

Before you arrive

Wash your hair and use nothing afterwards: no conditioner, oil, gel, spray or dry shampoo. All of them interfere with electrode contact, and product residue is the single commonest cause of a delayed or repeated study. Eat normally unless told otherwise, because low blood sugar changes the recording. If you have been asked to come sleep-deprived, follow that instruction precisely, since it is done to increase the chance of capturing abnormal activity rather than to inconvenience you. Take your usual medications unless specifically instructed to hold one.

During the recording

The technologist measures your head and marks positions, then attaches electrodes with a paste or gel. This part takes longer than people expect and involves some scrubbing of the scalp to get good contact. You then lie back with your eyes closed and are asked to open and close them on command. Two activation procedures are usually included: hyperventilation, where you breathe deeply for a few minutes, and photic stimulation, where a strobe light flashes at varying rates. Both provoke changes that can reveal abnormalities, and both are stopped if you find them distressing.

Afterwards

The electrodes come off, the paste is removed, and you go home. Most people want to wash their hair straight away, which is entirely reasonable. There is no sedation, so you can drive yourself and return to normal activity. The recording is then interpreted by the neurologist who ordered it rather than by an external reader, and you discuss the findings at a follow-up appointment where the result is read against your history rather than in isolation.

About this practice

Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.

Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.

Emergency & crisis resources: Clinical Neurology Specialists is not an emergency service. For stroke symptoms, a seizure lasting more than five minutes or any medical emergency, call 911 or go to the nearest emergency room. For a mental health crisis, call or text 988 (Suicide & Crisis Lifeline).

Frequently asked

Questions about eeg test explained step by step

What happens during an EEG test?
Electrodes are measured and attached to your scalp, you lie still with your eyes opening and closing on instruction, and the electrical activity is recorded. Most studies include deep breathing and a flashing light, which are used to provoke changes that might otherwise stay hidden.
How should I prepare for an EEG?
Arrive with clean, dry hair and no product in it, because conditioner, gel and spray all block electrode contact. Eat normally unless told otherwise. Follow any sleep-deprivation instruction exactly, since it is there to raise the chance of capturing abnormal activity.
Does an EEG hurt?
No. Electrodes sit on the surface of the scalp and nothing penetrates the skin. The scrubbing needed for good contact can feel vigorous, and the paste is cold, but neither is painful. The flashing light is the part people most often find unpleasant, and it can be stopped.
Why do I have to breathe deeply and look at a flashing light?
Both are activation procedures. Hyperventilation and photic stimulation can bring out abnormal electrical patterns that a resting recording would miss, which makes the study more informative. Tell the technologist if either is distressing, because neither has to be completed. Neither is compulsory, and stopping early still leaves a usable study.
Can I drive home afterwards?
Yes. There is no sedation and no medication involved, so you can drive yourself and go back to work the same day. The only thing most people want first is a hair wash to get the paste out. Bring a hat or a hair tie if you would rather not walk out with paste still in your hair, since not every office has washing facilities.

Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.

Next step

Speak to a board-certified neurologist

Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.