Driving and Epilepsy; US guidelines Sep 12, 2025

The American Epilepsy Society has recently updated its guidelines. You can find them here:

Seizures, Driver Licensure, and Medical Reporting Update | Neurology

 

Bottom line?

They advise a minimum...

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The brain is not only AP and coronal Sep 11, 2025

The following illustrates a relatively common issue:

 

 

In the above image, the sharp wave and, less clearly, the slow wave, demonstrate phase reversal at F3 and T3. Because F7 is closer than T3...

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Drug of first choice for focal epilepsy? The quick and dirty Sep 09, 2025

This question pertains to the discussion yesterday Newly diagnosed focal epilepsy; be prepared for a battle

When selecting an antiseizure medication, there are a few issues that should enjoy priority...

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Newly diagnosed focal epilepsy; be prepared for a battle Sep 08, 2025

 

 https://jamanetwork-com.ez.sun.ac.za/journals/jamaneurology/article-abstract/2838122

 

Key Points

Question  Can treatment response to antiseizure medication (ASM) in people with newly diagnosed...

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Approximately 8y old Sep 06, 2025

Have a look at the following series of pages, some of which are sequential epochs:

 

The first three are consecutive pages, recorded at 10 uV / mm:

 

 

 

 

This is a short while later:

 ...

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Epilepsy, last seizure more than 48 hours ago Sep 05, 2025

This is the EEG of a 60-year-old patient:

 

 

Figure 2:

 

Figure 3, the AP bipolar montage of the same page:

 

 

Figure 4, the coronal montage of the same page:

 

 

Figure 5:

 

...
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A novel solution to a common problem? Sep 03, 2025

F7 and F8 are 2 of the electrodes that are most prone to come adrift during prolonged recordings. There are various ways to deal with this problem when reviewing the recording, which can look even mor...

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Arising from the background Sep 01, 2025

Do the following represent alpha rhythms that are propagating anteriorly? Or is this drowsiness? Could these waves be spikes? Could this be a benign phenomenon?

 
figure 1:

 

 Figure 2:

 

 Fig...

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Seizures are primarily about neurophysiology and not about neuroradiology Aug 30, 2025

Medial temporal sclerosis (or mesial temporal sclerosis) is essentially a pathological diagnosis; high quality MRI scans interpreted by experts who work in the field are strongly predictive of the pat...

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Suppression of EEG rhythms Aug 28, 2025

This discussion related to an EEG performed on someone in ICU refers ICU, "Not waking up, seizures? Brain dead?"

 

To reiterate, judgements about suppression can be quite tricky, doubly so in the ...

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Scratch your head about this one Aug 27, 2025

This is an adult, reclining with his head above the pillow and reading on his cell phone. The history indicates that he most likely has Genetic Generalised Epilepsy (GGE, also known as idiopathic gene...

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ICU, "Not waking up, seizures? Brain dead?" Aug 26, 2025

This is a common problem. What would you tell the clinician in your clinical interpretation about the EEG?

 

Figure 1. Bipolar anterior-posterior montage, 7 µV per millimetre:

 

 

 

Figure 2. ...

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