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July 1, 1983

Organic Brain Syndrome: Diagnostic Value of the EEG-Reply

Author Affiliations

Thomas Jefferson Medical College Philadelphia

JAMA. 1983;250(1):35. doi:10.1001/jama.1983.03340010020018

In Reply.—  We are in complete agreement with the comments of Dr Alberto and colleagues about the value of using EEG recordings to differentiate organic brain disease from functional psychosis. The results of their study reaffirm the importance of the EEG in the diagnostic workup of the acutely confused patient. We did not discuss the EEG in our article because our study was carried out in an emergency department setting. Although our study focused on patients who were medically cleared, our psychiatric emergency service receives a large number of direct referrals who are acutely confused and have had no prior medical evaluation of their conditions. It would be logistically impossible to perform EEGs on such a large number of patients. Therefore, the purpose of our article was to help increase the physician's awareness of the potential for patients with organic brain disease to seem to be psychiatric patients. Without a