Asymmetries may be missed by looking at common average montages Oct 13, 2025

I have previously referred to some of the limitations of the common average montage. The following pages highlight this issue. It is far easier to see the differences between the 2 hemispheres on the ...

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Myoclonic movements in sleep Sep 23, 2025

This is a teenager who has developed multiple, nightly "jerks" in sleep, keeping her mother and the referring paediatric neurologist awake at night!

 

The EEG correlate of this video:

 

 

This ...

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11 months, myoclonic jerks, sometimes sequential, since age 6 months Sep 17, 2025

The mother has videos of these myoclonic jerks, which have no remarkable features. They occur while the infant is engaged in activities such as eating or sitting quietly, but not in sleep. 

 

The fo...

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A sleeping adult; identify the wave Sep 16, 2025

Spend some time looking at the first page and try and answer the question; the wave of interest has been arrowed. Which of the following are correct? The wave represents:

1. An asymmetric F-wave

2. ...

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T1, T2 and M1, M2; the basics Sep 14, 2025

What is the point of these electrodes? Have a look at the following images from this study, Relationship Between EEG Electrode and Functional Cortex in the International 10 to 20 System - PubMed, and ...

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Driving and epilepsy; UK legislation, practical advice Sep 13, 2025

I have always based my advice on UK legislation, as US legislation has varied amongst states and I would not want to be accused of cherry-picking regulations. This is not to say that UK law is the bes...

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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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