First EEG

Paisley's first EEG. I will post the second when it is available for me in medical records.

CLINICAL: A 7-month-old with CNS dysgenesis and suspected seizures,
INTERPRETATION: Study begins with the baby awake and taking a bottle. The background is continuously abnormal with frequent paroxysmal high amplitude theta and delta, mostly over the posterior quadrents; also at times more diffuse. There is general suppression of activity over the frontal regions. There is an 8-9 Hz rhythm also in the posterior quadrents which is intermittent and fairly uniform and of moderate amplitude. Sharp waves are present and of very high amplitude. Late in study, there are some apparent myoclonic twitches or jerks. During this stretch, sharp waves appear somewhat more distinct but are not synchronized with the jerks and they are also during this stretch brief 1-second epochs of relative background attenuation. Sleep is seen late in the study. There is no normal sleep architecture and overall little change in the background. rhythms during this stretch.
IMPRESSION: This is an abnormal EEG consistent with the child's history of widespread migrational dysgenesis. There is evidence of diffuse cortical dysfunction. There also appears to be an increased potential for seizures, given the presence of frequent sharp waves. Although the background is at times demonstrating chaotic slowing, hisarrhythmia is not present.