EEG random facts and clinical cases 2

Question 1

In bipolar montage channel G1 and G2. If G1 is more negative than G2, in what direction will the diflection go?

Answer 1

It will go up

Question 2

What will the EEG show and what are the initial symptoms in Benign Rolandic Epilepsy?

Answer 2

EEG will show centrotemporal spikes

Patients will have partial onset seizures with hemifacial sensory-motor symptoms, oropharyngeal manifestations, speech arrest and hypersalivation

Question 3

What percent of patients with JME will relapse in adulthood if taken off of seizure meds?

Answer 3

50 to 80% and thus patients should continue on meds

Question 4

EEG findings in JME

Answer 4

4 to 6 Hz spike-wave and polyspike-wave discharges

Photoparoxysmal response