You are on page 1of 22

Normal EEG

iF YOU FIND ANY ABNORMALITY
TRY TO DETECT IF THIS ABNORMALITY IS GENERALIZED PRESENT IN ALL TRACE OR LOCALIZED (LIMITED
TO PARTICULAR TRACE)
LESIONS WHICH OCCUR IN ALL LEADS
*ABSENCE EPILEPSY
*HYPERAARTHYMIA
*SUB ACUTE SCLEROSING PAN ENCEPHALITIS
*GRAND MAL EPILEPSY
*MYOCLONIC EPILEPSY
LESION WHICH MAY BE LOCALIZED ARE:
HERPES ENCEPHALITIS OCCUR MAINLY IN TEMPORAL LOBES
TEMPORAL LOB EPILEPSY (ANT TEMPORAL REGION)
BENIGN ROLANDIC EPILEPSY (CENTRO TEMPORAL REGION)
OVER SPACE OCCUPYING LESION

DETECT THE NATURE OF THE WAVE
IF IT IS SPIKE WAVE OR SLOW WAVE

CLASSIFY THE LESION ACCORDING TO WAVES SEEN IN EVERY ONE
SPIKE WAVES ARE PRESENT IN
1-ABSENCE EPILEPSY
2-GRAND MAL EPILEPSY
3-MYOCLONIC EPILESY
4-CENTROTEMPORAL SPIKE
5-TEMPORAL LOBE EPILEPSY
SLOW WAVES ARE PRESENT IN
1-SUBACUTE SCLEOSING PANENCEPHALITIS
2-HERPES ENCEPHALITIS
3-ACUTE ENCEPHALOPATHY
MIXED SPIKE AND SLOW WAVES:
1-HYPERARRTHYMIA
2-LENNOX GASTAUT

2-amplitude 3-shape 4-the sites on the scalp at which they are recorded.EEG waveforms are generally classified according to their 1-frequency. The most familiar classification uses EEG waveform frequency ( alpha. and delta) . beta. theta.

.

A 2 month old infant presents with tonic spasms and myoclonic seizures. Describe EEG? Which of the following pediatric epilepsy syndromes does this patient have? .

A) Ohtahara syndrome B)Benign rolandic epilepsy C) Childhood absence epilepsy D) Lennox-Gastaut syndrome E) Landau-Kleffner syndrome .

Burst suppression Otahara syndrome .

and has had seizures for the past 2 years. atonic. He is developmentally delayed. which is most likely to have a beneficial effect in the treatment of this boy's seizures? A) Tiagabine B) Oxcarbazepine . Describe EEG? Of the following treatments. tonic. Seizure types include generalized tonic-clinic.Benignrolandic Contraindicated carbamazepine A 3 year-old boy presents to your clinic for evaluation. and absence.

C) Primidone D) Gabapentin E) Topiramate Lennox Gastaut syndrome...toprimate EEG of an 11-year-old patient with learning difficulties describe A & B DX? .

SSPE AND THE SECOND DURING A SEIZURE A previously bright 9 years old girl from a migrant family presented to outpatient clinic with Hx of academic deterioration. Mum reports frequent dropping of cutlery. She was noted to have intermittent jerking of arms and legs EEG and EMG attached .

SSPE Decreased concentration and deterioration if school work Absence seizure .

this morning. and is shown. An EEG is obtained. what is the most likely diagnosis and prognosis? Benign rolandic epilepsy (centrotemporal spikes) . Then. These symptoms resolved fairly quickly on both occasions. The parents state that on 4 occasions over the past several months. with a slight facial droop. The patient had a normal birth history. and no family history of epilepsy. drooling and having difficulty talking.A 9 year-old girl presents to your office accompanied by her parents. the girl has come into their room in the early morning. There is no significant past medical history. she had a generalized motor seizure. and has consistently met her developmental milestones. Physical exam is normal.

an EEG. Her father was also diagnosed with epilepsy as a teenager. Past medical history is otherwise unremarkable. shown below. when she brushes her teeth or combs her hair in the morning. Exam is normal. involuntary jerk in her upper extremities. and remains on antiepileptic medication.Temporal lobe epilepsy Spikes confined to the left temporal region A 16 year old girl presents after having a generalized tonic-clonic seizure. Which of the following statements about the genetics of this syndrome is true? A) This syndrome is associated with an abnormality on chromosome 9 B) This syndrome is associated with an abnormality on chromosome 16 C) This syndrome is associated with an autosomal dominant inheritance pattern . She has noticed that. she occasionally experiences a brief.

D) This syndrome is associated with an X-linked dominant inheritance pattern. E) This syndrome is associated with an abnormality on chromosome 3 Generalized polyspike and waves in Juvenile Myoclonic Epilepsy 10 year with behavioural disorder falling down frequantly and abnormal writting Describe the eeg Diagnosis .

.

.

drooling and speech arrest on awakening at night B) Absence seizures C) Mental retardation D) Hemiballismus E) Tremor C hyptharrthymia ass with developmental delay and infantile spasm west syndrome . What clinical features is this child most likely to have? A) Episodes of mouth twitching.Recurrent paroxysmal burst of high voltage slow wave activity at regular intervals. Periodic complexes SSPE This EEG was recorded from an awake pediatric patient.

This is the EEG from a 10-year old patient in the ICU. What is the diagnosis? A) Locked-in syndrome patient B) Absence epilepsy C) Normal EEG D) Benign rolandic epilepsy E) Alpha coma . He is intubated and unresponsive.

There is no family history of seizures. which agent is the best choice as a first-line monotherapy treatment? No treatment is indicated Phenytoin Gabapentin Carbamazepine Ethosuximide . Describe EEG? Of the following options. The parents state that she has been having frequent staring spells.An 8 year old girl presents to your office accompanied by her parents. Exam is normal. Past medical history is otherwise unremarkable.

Ans E absence seizure EEG of a 16-year-old comatosed patient .

and generalized tonic-clonic D) Generalized tonic-clonic. You obtain an EEG. and myoclonic B) Generalized tonic-clonic. absence. which shows the following finding: Which seizure types are most frequently seen in this child's epilepsy syndrome? A) Focal motor. and absence C) Absence. myoclonic. There is no family history of seizures. Exam is normal. and infantile spasms . complex partial. and absence E) Generalized tonic-clonic.Encephalopathy A 6 year old boy presents to your office. gelastic. generalized tonic-clonic. The parents state that the child has been having frequent staring spells. Past medical history is otherwise unremarkable.