When Gibbs and Gibbs first drew attention to these waves in 1952, because they were commonly seen in patients with epilepsies, they classified these discharges as epileptiform in nature. However, thei...
A new study has just been published in Epilepsia that corroborates previous studies demonstrating the efficacy of epilepsy surgery in reducing epilepsy-related mortality. What makes this one different...
The above is a summation of waves that includes the 4th ECG beat. However, it has a large field and hence is more than just the ECG beat. There are suspicions of a small sharp spike that is coinc...
The following is the recording from a 40+y patient, who has been seizure-free for 11 years. Over the past 1-2 years his/her memory has objectively declined, prompting further investigation. The 24-hou...
As healthcare practitioners who primarily see problems in the human brain, it is incumbent on us to ensure that foetuses' brains are protected as best as humanly possible, especially from iatrogenic h...
A paediatrician telephoned me about a nine-year-old who had a generalized tonic-clonic seizure in sleep, wanting to know whether an MRI and EEG should be requested. The child is intellectually and dev...
Herewith another example:
The above looks a little like a sharp and slow wave at F7-M1-F3-FP1.
Then look at it on the standard AP bipolar montage; see below.
It looks far less conspicu...
The patient had an episode of amnesia yesterday. He recalls seeing flashes of multi-coloured "circles and squiggles on the left" and then recalls telephoning his wife, who was not at home. He has no r...
Re this post, Frontal lobe seizures versus functional seizures? Teenager
A colleague asks, "could this be phantom spike-and-wave?"
The short answer is no. Why? Phantom spike-and-wave (also known as...
When reading on the common average montages, I am often reminded of the quote by WS Gilbert, "Things are seldom what the seem".
Take a look at the following page.
The discharge correspond...
Part of the vaccine against the (false positive) spike protein on the EEG is the use of amplitude as a criterion. However, no criterion is absolute, but in disregarding it you need to be very, very, v...
The asymmetry of the following rhythms during transient arousal resembles a seizure at T4-T6. The following are three consecutive pages.
In contradistinction to a seizure, the above...
