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The most definitive test to distinguish epilepsy from PNES is long term video-EEG monitoring, with the aim of capturing one or two episodes on both video recording and electroencephalography (EEG) simultaneously (some clinicians may use suggestion to attempt to trigger an episode). [21]
It is an abnormal interictal pattern, consisting of high amplitude and irregular waves and spikes in a background of chaotic and disorganized activity seen on electroencephalogram (EEG), and frequently encountered in infants diagnosed with infantile spasms, although it can be found in other conditions such as tuberous sclerosis.
Non-epileptic seizures (NES), also known as pseudoseizures, non-epileptic attack disorder (NEAD), functional seizures, or dissociative seizures, are paroxysmal events that appear similar to an epileptic seizure, but do not involve abnormal, rhythmic discharges of neurons in the brain. [1]
Absence seizures are generalized epileptic seizures that can be divided into two types, typical and atypical. Typical and atypical absence seizures display two different kinds of spike-and-wave patterns. Typical absence seizures are described by generalized spike-and-wave patterns on an EEG with a discharge of 2.5 Hz or greater.
“We finally got our EEG. They say it’s going to be a 24-hour EEG. If nothing happens, then it’s most likely not seizures or it’s definitely not seizures,” Andalusia says.
A paper published in 2023 showed that burst suppression and epilepsy may share the same ephaptic coupling mechanism. [6] When inhibitory control is sufficiently low, as in the case of certain general anesthetics such as sevoflurane (due to a decrease in the firing of interneurons [7]), electric fields are able to recruit neighboring cells to fire synchronously, in a burst suppression pattern.
Landau–Kleffner syndrome is characterized by the sudden or gradual development of aphasia (the inability to understand or express language) and an abnormal electroencephalogram (EEG). [5] LKS affects the parts of the brain that control comprehension and speech ( Broca's area and Wernicke's area ).
Electroencephalogram (EEG) is also used to detect abnormal brain waves and activity that is reflected as slow waves, or spikes on the recordings. For occipital epilepsy, commonly identified abnormalities on the EEG when a seizure is not occurring (inter-ictal) includes posterior lateralized slow waves, asymmetrical alpha and photic following ...
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