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Pediatric EEG- Breakout Session Interictal EEG

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Pediatric EEG- Breakout Session Interictal EEG

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    2. Pediatric EEG- Breakout Session Interictal EEG Douglas R. Nordli, Jr., MD Epilepsy Center, Children’s Memorial Hospital Chicago, Illinois, USA

    3. Case 1: School-Age Boy with Nocturnal Paroxysmal Events

    6. Case 1 Focal stereotyped spikes Normal child Idiopathic Localization-Related Epilepsy ILAE 1.1 Benign Rolandic Epilepsy of Childhood Benign Occipital Epilepsy of Childhood

    7. Case 1: Variation A Boy with language delay

    8. Fragile X Can have centro-temporal spikes

    9. Case 1: Variation B Focal stereotyped central spikes Abnormal child Diffuse slowing of the background Girl with progressive microcephaly

    11. Case 1: Variation 1 Focal stereotyped central spikes Abnormal child Diffuse slowing of the background Girl with progressive microcephaly Needle-like spikes central region Induced with finger pulp tapping Rett’s Syndrome

    12. Stereotyped Focal Spikes Normal background Normal child BREC BOEC Other ILAE 1.1 Slowed background Delayed child Rett Fragile X Other conditions

    14. Focal Spikes Pleomorphic spikes Associated slowing, focal attenuation, or both Localization-Related Epilepsy, Symptomatic ILAE1.2

    15. Epilepsies with Focal Seizures

    16. Case 2: Pre-school Child; Recurrent Episodes of Staring

    17. Hyperventilation

    18. Sleep

    19. Awake, Response Testing

    20. Case 2: Variation 1 Pre-school Child Recurrent Episodes of Staring Normal Background Normal Development Idiopathic Generalized Epilepsy, ILAE 2.1 Childhood Absence, Pyknolepsy

    21. Case 2: Variation A

    22. Recurrent Staring Spells

    23. Case 3: 17 Year Old Patient; Possible Seizure

    25. Interictal EEG

    27. Generalized Interictal Epileptiform Discharges Slow spike-wave (<2.5 Hz) LGS, ?MAE Typical spike-wave (3 Hz) CAE Fast or Irregular spike-wave (>3 Hz) JAE, JME, GTCs upon awakening

    28. Epilepsies with Generalized Seizures

    29. Multifocal Spikes Focal epilepsies, particularly with infants West (symptomatic generalized epilepsy) Lennox-Gastaut Syndrome (symp gen) Diffuse symptomatic epilepsies with focal and generalized features (ILAE 3.1)

    30. Case 4: Infant With New Onset of Seizures

    31. Interictal EEG

    32. Case 5: 6 year-old with delay

    33. Conclusion EEG Report: Clinical Indications Description of EEG Summary of Findings Clinical Interpretation

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