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Could someone help me understand this EEG?
Fri, 11/06/2015 - 18:13
Thank you so much in advance
TECHNICAL SUMMARY: The occipital dominant rhythm is 9.5-10 Hz. It is well sustained, and reaticve to eye opening and eye closure. It is occasionally intermixed with some fused slower waveforms. Low voltgage 18-22 Hz activity is present in the frontal leads bilaterally. Scattered moderate voltage 4-6 Hz activity is seen in the central regions. Recurrent fragmentary busts with spike, sharp and slow wave discharges were seen, especially over the left and right central head regions. Rare generalized frontal dominant high voltgage abortive spike, polyspike and slow wave discharges were seen.
SLEEP: During sleep, the fequency of occurence of the abortive generalized frontal dominant high voltage spike, polyspike and slow wave discharges, as well as the fragmentary bursts increased during sleep.
PHOTIC STIMULATION: During 14 Hz, 18 Hz and 20 Hz of photic stimulation, there were photoparoxysmal responses with gernalized frontal dominant high voltgage abortive spike, polyspike and slow wave discharges that were not resporduced by repeating those frequencies.
HYPERVENTILATION: During 3 mintues of adequate over breathing, ther ewas moderate build up of genralized slowing. There was no persitence of this effect after cessasion of hyperventilation
IMPRESSION: This patient's electroencephalogram is abnormal. It reveals recurrent frontal dominant generalized high voltgage spike. polyspike, and slow wave discharges, along with along with photoparoxysmal responses as described agove, with discharges exacerbated during sleep. Findings suggesting the presence of generalized epileptiform process. Clinical correlation is advised
MPRESSION: This patient's
Submitted by just_joe on Wed, 2015-11-11 - 13:09
MPRESSION: This patient's electroencephalogram is abnormal <<< is all that is needed to diagnosis epilepsy electroencephalogram <<< EEG Abnornalities are spikes or waves. With some neurologists it is called seizure activity. The neurologist will discus this EEG with you or you need to ask him about it.