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Recognizing epilepsies Dr. Francois Kouya
 
ALPHA waves ,[object Object],[object Object],[object Object],[object Object]
BETA waves ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Eyes Closed, 14 yrs. old. Very clear beta spindles Frontocentral
Eyes Open, 43 yrs. old: Clear frontocentral beta spindles, high-frequency (31-36 Hz).
THETA waves ,[object Object],[object Object],[object Object],[object Object],[object Object]
DELTA waves ,[object Object],[object Object],[object Object],[object Object],[object Object]
Normal EEG
Benign centrotemporal lobe epilepsy of childhood:Benign Rolandic epilepsy   ,[object Object],[object Object],[object Object]
Partial or focal EP Benign rolandic epilepsy (BRE)
Rolandic spikes and Epilepsy with Continuous spike and waves during slow wave sleep (ECSWS)
Juvenile myoclonic epilepsy  (JME)   ,[object Object],[object Object],[object Object]
Polyspike and wave discharges seen in juvenile myoclonic epilepsy
 
Autosomal dominant nocturnal frontal lobe epilepsy ,[object Object],[object Object],[object Object],[object Object]
Frontal lobe EP
Autosomal dominant nocturnal frontal lobe epilepsy
Juvenile absence epilepsy   ,[object Object],[object Object],[object Object]
 
EEG of a 53-year-old man with one day history of acute confusion and slowness of motor responses, showing almost continuous generalized spike wave activity.(status epilepticus)
Partial or focal EP  Benign Rolandic epilepsy (BRE)
EEG of an 11-year-old patient, showing rhythmic midtemporal discharges during drowsiness
EEG of a 26-year-old patient, showing 6 Hz spike wave paroxysms (phantom spike wave).
EEG of a 9-year-old child with benign Rolandic epilepsy, showing a focus of right centrotemporal spike discharges. The right half of the figure shows a spike discharge  with horizontal dipole distribution.
EEG of a 68-year-old patient with a long history of complex partial seizures, showing a focus of sharp waves and low-amplitude slow activity over the right anterior temporal region
Lennox-Gastaut syndrome ,[object Object],[object Object],[object Object]
EEG of an 11-year-old patient with Lennox-Gastaut syndrome, showing generalized paroxysmal fast activity (B)
EEG of a 16-year-old child with mental retardation and tonic seizures, showing slow spike wave activity superimposed on a slow background .
Epilepsies in babies
EEG of a 3-day-old comatose neonate with history of seizures, showing an electrographic "alpha band" seizure pattern without clinical accompaniment
EEG of a 5-day-old neonate, showing focal ictal pattern characterized by rhythmic sharp waves in the left Rolandic region
EEG of a 5-day-old neonate on ventilator, showing "depressed brain seizure" characterized by less than one per second, low-amplitude sharp waves over the right hemisphere.
EEG of a 6-month-old infant with developmental delay and infantile spasms, showing typical hypsarrhythmic pattern
 
Childhood absence epilepsy ,[object Object],[object Object]
Typical 3-Hz spike and wave discharges seen in absence epilepsy
EEG in Creutzfeldt-Jakob disease
Alzheimer's disease (AD) ,[object Object]
EEG in Alzheimer's patients
Doose Syndrome(also called Epilepsy with Myoclonic-Astatic Seizure or EP with Myo-atonic seizure

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EEG patterns in common epilepsies

  • 1. Recognizing epilepsies Dr. Francois Kouya
  • 3.
  • 4.
  • 5. Eyes Closed, 14 yrs. old. Very clear beta spindles Frontocentral
  • 6. Eyes Open, 43 yrs. old: Clear frontocentral beta spindles, high-frequency (31-36 Hz).
  • 7.
  • 8.
  • 10.
  • 11. Partial or focal EP Benign rolandic epilepsy (BRE)
  • 12. Rolandic spikes and Epilepsy with Continuous spike and waves during slow wave sleep (ECSWS)
  • 13.
  • 14. Polyspike and wave discharges seen in juvenile myoclonic epilepsy
  • 15.  
  • 16.
  • 18. Autosomal dominant nocturnal frontal lobe epilepsy
  • 19.
  • 20.  
  • 21. EEG of a 53-year-old man with one day history of acute confusion and slowness of motor responses, showing almost continuous generalized spike wave activity.(status epilepticus)
  • 22. Partial or focal EP Benign Rolandic epilepsy (BRE)
  • 23. EEG of an 11-year-old patient, showing rhythmic midtemporal discharges during drowsiness
  • 24. EEG of a 26-year-old patient, showing 6 Hz spike wave paroxysms (phantom spike wave).
  • 25. EEG of a 9-year-old child with benign Rolandic epilepsy, showing a focus of right centrotemporal spike discharges. The right half of the figure shows a spike discharge with horizontal dipole distribution.
  • 26. EEG of a 68-year-old patient with a long history of complex partial seizures, showing a focus of sharp waves and low-amplitude slow activity over the right anterior temporal region
  • 27.
  • 28. EEG of an 11-year-old patient with Lennox-Gastaut syndrome, showing generalized paroxysmal fast activity (B)
  • 29. EEG of a 16-year-old child with mental retardation and tonic seizures, showing slow spike wave activity superimposed on a slow background .
  • 31. EEG of a 3-day-old comatose neonate with history of seizures, showing an electrographic "alpha band" seizure pattern without clinical accompaniment
  • 32. EEG of a 5-day-old neonate, showing focal ictal pattern characterized by rhythmic sharp waves in the left Rolandic region
  • 33. EEG of a 5-day-old neonate on ventilator, showing "depressed brain seizure" characterized by less than one per second, low-amplitude sharp waves over the right hemisphere.
  • 34. EEG of a 6-month-old infant with developmental delay and infantile spasms, showing typical hypsarrhythmic pattern
  • 35.  
  • 36.
  • 37. Typical 3-Hz spike and wave discharges seen in absence epilepsy
  • 39.
  • 40. EEG in Alzheimer's patients
  • 41. Doose Syndrome(also called Epilepsy with Myoclonic-Astatic Seizure or EP with Myo-atonic seizure