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Choosing an EEG cap size

Seven sizes, a colour code, and one measurement to take before ordering. That is all, and it decides the quality of the trace.

Measure before ordering

Head circumference is taken with a tape measure, horizontally, passing above the eyebrows at the front and over the bump of the inion at the back. It is the same circumference used to compute the 10-20 positions, which is no coincidence.

A department seeing general adults covers the great majority of its patients with three sizes: 50-54, 54-58 and 58-62 cm. A paediatric department needs the lower range, and neonatology goes below 34 cm, where you move to the Multicap Cup.

Between two sizes, take the smaller. A slightly stretched cap presses the electrodes down; a cap that is too wide lets them float, and no amount of gel makes up for a contact that does not press.

EEG cap sizes and colour code
Head circumference Population Electrodes Head circumference
34 à 38 cm Brown Child 10
38 à 42 cm Pink Child 10
42 à 46 cm Light blue Child 20
46 à 50 cm Green Adult 20
50 à 54 cm Yellow Adult 20
54 à 58 cm Red Adult 20
58 à 62 cm Blue Adult 20

Measure head circumference above the eyebrows and the inion before ordering. A size too large does not press the electrodes down, a size too small leaves a mark by morning.

How many caps you actually need

A reusable cap has to be washed and dried flat between two patients. Drying takes several hours, and that is what sizes the stock, not the number of studies.

For a lab running two patients a day on the same size, at least three caps of that size are needed: one on the patient, one drying, one ready. With only two, the third day runs on a cap that is still damp, and damp makes bridges between electrodes.

That is where disposable changes the calculation. A Dispocap or a Netcap removes the drying, so it removes the buffer stock. On irregular activity or in isolation, it often works out cheaper than reusable once the cleaning time is counted.