Periodic Lateralized Epileptiform Discharges
1996; Massachusetts Medical Society; Volume: 334; Issue: 10 Linguagem: Inglês
10.1056/nejm199603073341005
ISSN1533-4406
AutoresNathan Watemberg, Lawrence Morton,
Tópico(s)Epilepsy research and treatment
ResumoFigure 1. Electroencephalography in a 13-year-old boy with fever, altered sensorium, and sudden onset of seizures reveals complex repetitive discharges composed of spiky elements mixed with slower waveforms (Panel A). They are seen diffusely in the left (L) hemisphere (leads 1 to 8), occurring at intervals of approximately 2.5 seconds (arrows). The right (R) hemisphere (leads 11 to 18) shows abnormally slow background activity of 2 Hz per second (delta rhythm) compatible with the presence of acute encephalopathy. For comparison, an electroencephalogram obtained in a normal, awake subject is shown in Panel B. There is normal background activity of 11 . . .
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