FIVE EPILEPTIFORM PATTERNS THAT YOU SHOULD NEVER MISS

[@shayaanp9207]

Thank you so much, I have learnt so from this video, I am PGY2 Neurology resident, all these are tested in the in service exam, I was trying to understand them, by viewing your lecture I understood it. My developing my interest in doing fellowship in epilepsy.

[@EEGucation]

Thank you . I wish you all the best in your career as an epileptologist!

[@salmashaikh8726]

​@@EEGucation My 5year old kid eeg report is abnormal showing result as multifocal epileptiform discharges with secondary generalization Please tel what it means..it can be cureable na?

[@tramanarayanarao2656]

Thank you very much for your eeg videos .

[@maensaleh6363]

we need more videos please!!

[@Settingsun39]

Very beautifully explained.....very knowledgeable

[@hammadahmad920]

Love u from pakistani doctors

[@mehmoodahmed1825]

Thanks.. Needs more vedeos from u

[@Impassive_Bru]

Thank you for these, im interested in this stuff and am so ambitious about psychology and the study of the moment but idk where to start, I have all of this information but no one-standard way to organize it

[@PTJ.]

Thank you great video 👍

[@EEGucation]

Thanks for your support.

[@monicarose8948]

I really appreciate all of your videos. They are very informative. So I know this may come off as a really strange request but I’m a concerned mother that is running out of options. My son who just turned two presents like he has several seizure types but is unmedicated, so very much uncontrolled because all of his EEGs have come back normal. I live in a state that only has two pediatric neurologists that have just finished their residencies and don’t have a lot of real world experience, especially for difficult cases. We finally were able to get a referral to an out of state epileptologist but are unable to see him for 4 months. My son is starting to show cognitive decline and an increase in activity, with many of them clustering without much of a break in between. His autonomic system is involved and he has been having episodes of bradycardia and oxygen desaturation after his episodes. I recently was able to get a copy of his last 24 hour eeg and I recorded a couple of sections that look almost exactly like your first example of hypsarrhythmia. Obviously I’m not educated in how to properly read an eeg but I’ve researched enough to see the similarities, and it seems as though I can’t find anything else that resembles what I see on my sons EEG besides hypsarrhythmia. To me this is terrifying because I know hypsarrhythmia and spasms more often than not, have very poor prognosis. I was hoping, that you would find it in you heart to possibly review the couple minute portion that I recorded and give me your educated opinion.? I just need to know if I need to expedite a trip to a children’s hospital to help get my son diagnosed in a timely manner. It breaks my heart to see him go through this without the appropriate team to advocate for him or any medical guidance as far as seizures go. I will pay you if you’d like? I’ve searched high and low all over the internet, in hopes that I could find a neurologist that could read his eeg remotely but haven’t had any luck.

[@EEGucation]

EEG is just one element of a comprehensive evaluation. A neurologist needs to make an electro-clinical correlation. I strongly recommend to have your child seen by a pediatric neurologist to ensure that treatable conditions are not missed.

[@monicarose8948]

@@EEGucation thank you so much for your response. We originally saw a pediatric neurologist when my son was 10 months old because he was having extreme startle reflexes when falling asleep and he would do a mild crunching movement during the day in a series. He also had developmental delay and had hypotonia and left sided preference. At that time he had his first MRI and an hour eeg. They said his eeg was normal and the mri was mostly normal with an incidental finding of a microhemorrage and mild diffuse in the left posterior cerebellar hemisphere. I believe that it was due to trauma caused at birth that wasn’t treated. I believe he suffered from 4 hours of partial asphyxia due to him being stuck in the canal for 4 hours with several heart decelerations during that time. When delivered he wasn’t breathing, he had a double nuchal cord and shoulder dystocia. We weren’t told about any of this and we weren’t educated at the time of warning signs to watch out for. At 10 months the neurologist diagnosed him with benign sleep myoclonus. Since then we have been through it but I don’t want to write a novel on here. Just know that I have been trying to advocate for my child. Every doctor I have showed videos to has said his movements look like seizures but then his eeg comes back normal and then I get dismissed, We have had several EEGs with a few of them being 24-48 hours. It seems as though my son never shows the same type of activity that he does at home when he is in the hospital for some reason. My son has regression of speech at around 1 year old. He lost a couple of his first words and would seem frustrated when we asked him to say the word. We have tested his genetics with no answers, and we did the pre-screening for autism and he didn’t qualify. His current neurologist has been very dismissive and thinks that I’m looking for things that aren’t there. But my sons activity has progressed so much and I don’t understand why they can’t pick anything up on an eeg. I’m sorry for the novel. I just have exhausted our options locally and will have to travel out of state for another opinion which won’t be for a couple of months. I’m terrified that since my son has been undiagnosed and uncontrolled for so long that he is going to suffer from irreversible damage. The eeg that I was concerned about was rediscovered recently when going through old videos end it drew my attention because it looks a lot like hypsarrhythmia, but again I’m not trained at reading an eeg. I just wanted to know more or less, from the look of that eeg, if I need to bring my son to a Children’s hospital 9 hours away or if I just wait a couple more months for our second opinion.

[@MisTy-777]

Hi Monica, I know your comment was made 2 years ago, but I just saw it now. My heart hurts for you. How is your sweetheart?

[@gerasol85]

Dear colleague, I really like your videos! Thank you! One important thing needs to be said: The voiceover is not loud enough. Please normalize your audio. With the volume turned up the advertisement is regularly killing my ears. Thanks :)

[@EEGucation]

Noted. Thanks.

[@ShayleaGudenswager-qs4ym]

Is there an email address to contact you ? I am in Australia and I'm very concerned that my son has IS. The "specalist" we have seen here says its not but the videos are very obvious IS. He had a 2hr eeg when he was 3 months old but since then the spasms have gotten much worse and much more frequently.

[@EEGucation]

It is very important to see a local specialist. You can always get a second opinion from a local pediatric neurologist who can examine your son. I wish you all the best.

[@shafikhan4036]

👍💐