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...
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. ...
The following is a common phenomenon. The million-dollar question is, what is its significance? Attempt to arrive at your own conclusion, before reading my thoughts at the bottom. To reiterate, mine a...
Have a look at the following few pages, which follow one another. These occur at the time of a dissociative seizure. What do you make of the 9-10 Hz alpha frequencies over the frontal regions? Do you ...
This adult is asleep, and the conclusion seems pretty straightforward, doesn't it?
The wave has a "field" and a spike morphology, followed by a typical slow wave that is in the same distribution...
Roland made the point at the bottom of this post Small sharp spikes; wading into the controversy. that small sharp spikes are often missed on bipolar montages and are particularly noticeable on refere...
The patient is 30+ years old and asleep.
What do you make of the following wave that occurs between the 7th and 8th ECG beats?
The following represents the same epoch on the coronal monta...
This young adult is asleep at approximately 02h00. The differential diagnosis is of epilepsy and non-epileptic seizures/functional seizures.
Using the criteria of morphology and field, you m...
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...
