This is a good example of electropositive wicket waves. Try to invert the waves in your mind; if are able to do so, you might notice the resemblance of these waves to wicket waves posted previously.

A lesion on the MRI scan. What do you make of these theta waves on the first page?  Seizure while working on a yacht; his career depends on this.  

An isolated wicket wave (not synchr...

4-year history. Once or twice a year, "I would lose peripheral vision" (bilaterally), "objects would look crystallized" and then in some "I could not read, the words appeared jumbled" and others notic...

Hopefully, in the coming days, there will be a box allowing you to comment or ask questions below each post. Here are some questions that I received

I don't understand, since the first page shown 61,...

The following are the same page represented on 3 different montages

Referential montage

Bipolar AP montage:

Coronal montage:

 While the above resembles spike-and-wave during s...

What do you make of these waves?

The same page, viewed on 3 different montages:

Referential:

Bipolar anterior-posterior:

Coronal:

The following 3 images portray the same ...

"It is better to let 100 criminals go free than to imprison one innocent men". Benjamin Franklin

This applies to EEG interpretation too. I would suggest that "It is better to let 100 people with epil...

Here is another example of a "wicked spike":

 Try and store this image and those below in your memory and try to ensure that:

1. You will have a high index of suspicion for these waves when you...

 The page above is unremarkable

Notice how the EEG recording may be normal at times, despite a very obvious encephalopathy at the bedside

In the middle of the page above there is a burst...

These are consecutive pages

If you think the above is obvious, when I was an epilepsy fellow seeing patients in outpatients, I was interrupted by a telephone call from one of the technologist ups...

Epilepsy?

In the page above, notice how well-developed alpha is over the temporal regions, especially on the left, in the first few seconds of the page

Figure 2:

 In the first few seconds of th...

What do you make of this apiculate wave in the early hours of the morning (01h26)?

In the above bipolar montage, the large deflection in channels 12 and 16 can only be explained by a discharge th...