Frontal lobe seizures versus functional seizures? Teenager Jul 17, 2025

The EEG is normal during wakefulness. What do you make of the following discharges during sleep?

 

The epoch is taken from sleep:

 




Here is the above page, represented on the anterior-posterior bi...

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Six years old, encephalopathy? Jul 17, 2025

What you make of the following three consecutive pages of the EEG?

 

Figure 1.

 

 

Figure 2: This follows the previous page.

 

 

Figure 3.

 

 

 Here are a few other pages from the sam...

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Triphasic waves vs spikes Jul 16, 2025

If you want to start an argument, wading into the territory of triphasic waves is sure to have the desired effect! Some authors suggest that spikes and triphasic waves rarely coexist, but I doubt that...

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Who should interpret routine EEGs? Jul 14, 2025

This is from a survey performed in the USA:

Journal of Clinical Neurophysiology

 

 

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7y Jul 14, 2025

As a sequel to the case posted on Friday (13y, Friday Frown), have a look at the following waves in sleep. 


Figure 1:

 

In figure 1 above there are spikes at T4-C4 (red vertical lines) and vertex...

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13y, Friday Frown Jul 11, 2025

Have a look at the following pages: the patient is initially awake and later asleep. Do you see any abnormalities during wakefulness or sleep?

 

Figure 1. Awake:

 

 

Figure 2. Awake, the eyes a...

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Rhythmic occipital waves, 10y Jul 10, 2025

One doesn't see the following waves very often:

 

 

In the above page, the occipital rhythmic delta waves are seen on the left, but in the following examples these are seen bilaterally;

 

 

...
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Parietal spike and wave versus generalized spike and wave? Jul 08, 2025

Have a look at the following few pages from an EEG of a patient who is asleep. Try to come to a conclusion before reading the comments at the bottom.

.

 

 

 

Page two:

 

 

Page 3:

 

 

P...

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8 months old. Jul 08, 2025

You may or may not have heard of migrating partial seizures of infancy (Epilepsy of infancy with migrating focal seizures). One of the characteristic features of these seizures are runs of alpha frequ...

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What is wrong with the "double banana" montage? Jul 07, 2025

Have a look at the following page of the EEG and count the number of spikes. 

 

 

In the days predating digital EEG, the bulk of the routine EEG recording was performed in the above manner. Depen...

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A brief electrographic seizure? Jul 06, 2025

 

This is certainly not a seizure, but the fleeting appearance of alpha frequencies over the parietal regions in a patient who is drowsy.

 

Contrast this with fleeting alpha rhythms upon eye clos...

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Discharges with a variable appearance, SSS vs multifocal spikes or both? Jul 05, 2025

Consider the following page of a young adult. Try and identify the nature of the discharges that correspond to the red lines at the bottom of the page. The patient is asleep.

 

 

 

 

 

 

In t...

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