A "pseudoseizure" Jun 19, 2025

There are plenty of discharges on an EEG that mimic seizures and many of these are simply normal physiological relevance, either while awake or asleep. Believe it or not, but sometimes "focal" seizure...

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18y, absence seizures Jun 19, 2025

At the age of 7 years the patient developed absence seizures, with innumerable daily events characterized by brief episodes of staring and unresponsiveness, without warning and without any post-ictal ...

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Triphasic wave vs sharp and slow wave Jun 18, 2025

If this problem vexes you at times, be assured that you are not alone. The distinction between these on morphology alone is often impossible. The former in the title raises the possibility of encephal...

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More cricket Jun 17, 2025

Here are a few more wicket waves. The patient is 52 years old and likely has left temporal lobe epilepsy, with a normal MRI scan.

 

 In the above, the patient is asleep. Notice the low amplitude i...

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On a good wicket Jun 17, 2025

Here are some examples of wicket waves in the occipital and temporal regions from a patient who is 33 years old:

 

It is always a good idea to pay attention to background rhythms whenever you look a...

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45, epilepsy Jun 14, 2025

This is a good example of electropositive wicket waves. Try to invert the waves in your mind; if are able to do so, you might notice the resemblance of these waves to wicket waves posted previously.

...
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19y, seizures? Jun 13, 2025

A lesion on the MRI scan. What do you make of these theta waves on the first page?  Seizure while working on a yacht; his career depends on this.  

 

 

 

 

An isolated wicket wave (not synchr...

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21y, Right-handed, Episodic visual symptoms Jun 12, 2025

4-year history. Once or twice a year, "I would lose peripheral vision" (bilaterally), "objects would look crystallized" and then in some "I could not read, the words appeared jumbled" and others notic...

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Responses to a few questions Jun 11, 2025

Hopefully, in the coming days, there will be a box allowing you to comment or ask questions below each post. Here are some questions that I received

I don't understand, since the first page shown 61,...

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27, clinical diagnosis: probable dominant hemisphere TLE Jun 10, 2025

The following are the same page represented on 3 different montages

 

Referential montage

 

Bipolar AP montage:

 

 

Coronal montage:

 

 While the above resembles spike-and-wave during s...

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6y, "Absences?" Jun 09, 2025

What do you make of these waves?

The same page, viewed on 3 different montages:

Referential:

 

Bipolar anterior-posterior:

 

Coronal:

 

 

 

The following 3 images portray the same ...

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