II.Q Electrographic correlates to clinical / non-clinical e Flashcards
A 14 year old female with history of “body jerks” in the morning presents with first time seizure. What would you expect to see on the EEG?
A) Centro-temporal spikes
B) Generalized slowing
C) Continuous spike and wave during sleep
D) 3-6 Hz generalized polyspike and wave
3-6 Hz generalized polyspike and wave
Delta bursts that reappear 3 to 5 minutes after cessation of HV is a common feature in which of the following diseases?
A) Parkinson’s disease
B) Alzheimer’s disease
C) Acid Lipase disease
D) Moyamoya disease
Moyamoya Disease
ANOXIC ENCEPHALOPATHY
A) BIPLEDS (BIPLDS)
B) POSTS
C) SREDA
D) OIRDA
BIPLEDS
Which EEG pattern is NOT the result of cerebral anoxia?
A) Alpha coma
B) Phantom spike and wave
C) Burst-suppression
D) Electrocerebral inactivity
Phantom spike and wave
EMG artifacts time locked with the flash frequency of photic stimulation
A) Delta Driving
B) Photomyogenic Response
C) Photic Driving
D) Photoparoxysmal responce
Photomyogenic Response
The tonic phase of a generalized tonic-clonic seizure is associated with
A) low voltage rhythmic beta.
B) multiple spike and wave complexes.
C) rhythmic slowing.
D) 3/sec spike and wave complexes.
low voltage rhythmic beta.
What type of seizure is associated with Lennox-Gastaut Syndrome?
A) All are correct
B) Atypical Absence
C) Atonic seizures
D) Generalized Tonic-Clonic seizures
All are correct: Atypical Absence, Atonic seizures, Generalized Tonic-Clonic seizures
An electrographic seizure is characterized by
A) Intermittent temporal spike
B) Episodic rhythmic activity
C) Irregular polymorphic delta
D) Single bifrontal spike and wave
Episodic rhythmic activity
ALPHA COMA
A) Seizures
B) Locked-in syndrome
C) Cardiac arrest
D) Focal lesion
Cardiac arrest
Periodic lateralized epileptiform discharges are found most commonly in the EEGs of patients with
A) cephalgia.
B) acute cerebral infarction.
C) brain stem tumors.
D) multiple sclerosis.
acute cerebral infarction.
Which of the following is the most common EEG correlate of an epileptic aura?
A) 3 Hz spike-and-wave discharges
B) OIRDA
C) Temporal epileptiform discharges
D) FIRDA
Temporal epileptiform discharges
A common electrographic correlate of a seizure:
A) Single bifrontal spikes
B) Intermittent temporal spikes
C) Rhythmic activity
D) Irregular polymorphic delta
Rhythmic activity
Immediately following a generalized tonic-clonic seizure, the EEG typically shows: (No TIRDA or BS pattern)
A) Suppression
B) Normal activity
C) Paroxysmal fast activity
D) Generalized slowing
Normal activity
A prolonged series of generalized convulsions without any period of consciousness between them is referred to as
A) Todd’s paralysis.
B) status epilepticus.
C) complex partial seizures.
D) pseudobulbar palsy.
status epilepticus.
Immediately following an absence seizure, the EEG is most likely to show:
A) Paroxysmal fast activity
B) Generalized slowing
C) Suppression
D) Normal activity
Normal activity
PARTIAL SEIZURE DISORDER
A) PLEDS (PLDS)
B) photoparoxysmal discharges
C) anterior temporal spike focus
D) 3 hertz spike and wave
anterior temporal spike focus
Hypothalamic Hamartoma:
A) Absence seizure
B) Gelastic seizure
C) Myoclonic seizure
D) Reflex seizure
Gelastic seizure
Rhythmic theta activity in the temporal region is most commonly associated with which seizure type?
A) Complex partial
B) Generalized tonic-clonic
C) Absence
D) Akinetic
Complex partial
Difference between epileptic seizures vs. non-epileptic events.
A) Biting the inner cheeks
B) Occurring suddenly out of sleep
C) Tongue Biting
D) Prolonged duration loss of consciousness
Prolonged duration loss of consciousness
Alpha coma is most often seen following:
A) drug overdose
B) stroke
C) concussion
D) cardiac arrest
cardiac arrest
A seizure discharge arising from the right frontal lobe is likely to be characterized clinically by
A) deviation of head and eyes.
B) visual hallucinations.
C) auditory hallucinations.
D) thrusting of the tongue.
deviation of head and eyes.
Which of the following EEG pattern is MOST likely associated with seizures?
A) OIRDA
B) SREDA
C) FIRDA
D) TIRDA
TIRDA
A 7 year old male presents with a 6 month history of spells involving numbness and tingling of his tongue. He remains conscious the entire time and occasionally with drool during the spells. What do you expect to see on the EEG?
A) 14-16 spikes
B) 3 Hz Generalized spike and wave
C) Centro-temporal spikes
D) Triphasic waves
Centro-temporal spikes
Which of the following is most characteristic of complex partial seizures?
A) Drop attacks
B) Immediate return to full consciousness
C) 3 Hz spike and wave
D) Automatisms and impaired consciousness
Automatisms and impaired consciousness
During which of the following types of seizures would a patient be likely to experience deja vu?
A) Complex partial
B) Myoclonic
C) Generalized non-convulsive
D) Atonic
Complex partial
SKULL DEFECT
A) Alpha squeak
B) Diffuse slowing
C) Breach rhythm
D) Periodic complexes
Breach rhythm
In patients with myoclonic epilepsy of Janz, seizures are most likely to occur:
A) During exercise
B) In the evening
C) Early in the morning
D) After a meal
Early in the morning
ALPHA COMA
A) Headache
B) Cardiopulmonary Arrest
C) Post traumatic stress disorder
D) Stroke
Cardiopulmonary Arrest
Non-epileptic events (PNES) typically result in which of the following?
A) Injury to patient
B) Normal EEG
C) Nocturnal events
D) Clinical improvement to antiepileptic drugs
Normal EEG
Patients with temporal lobe epilepsy may display ictal automatisms, which are:
A) Auditory hallucinations, such as hearing music
B) Forced head turn to the left or right
C) Stereotyped, repetitive movements, such as lip smacking or rubbing fingers together
D) Rhythmic shaking of both lower extremities
Stereotyped, repetitive movements, such as lip smacking or rubbing fingers together
Beta coma most commonly results from:
A) drug overdose
B) hepatic encephalopathy
C) hypoglycemia
D) anoxic insult
drug overdose
The clonic phase in a generalized tonic-clonic seizure is characterized by:
A) Diffuse rhythmic spikes followed by diffuse SSW activity
B) Diffuse rhythmic slowing without spikes
C) Diffuse delta with focal SSW discharges
D) Diffuse 3 Hz spike and wave
Diffuse rhythmic spikes followed by diffuse SSW activity
Which neurologic syndrome may be associated with focal epilepsy?
A) Guillian-Barre syndrome
B) Tolosa Hunt syndrome
C) Lambert_Eaton syndrome
D) Tuberous Sclerosis Complex
Tuberous Sclerosis Complex
Excessive beta frequency activity may be the result of which of the following?
A) Skull breach
B) Age
C) Drowsiness
D) Sleep deprivation
Skull breach
Landau-Kleffner syndrome is characterized by
A) electrical status epilepticus of sleep
B) persistent synchronous occipital spike and wave
C) electrodecremental seizures
D) 16-20 Hz bilaterally occipital spike and wave
electrical status epilepticus of sleep
What is the term that describes failure of the alpha rhythm to attenuate with eye opening?
A) Alpha imbalance
B) Bancaud’s Phenomenon
C) Modulation resistance
D) My persistence
Bancaud’s Phenomenon
Photomyogenic response may be enhanced by:
A) eyes open and eyes closed
B) age
C) Alcohol or barbiturate withdrawal
D) Juvenile myoclonic epilepsy
Alcohol or barbiturate Withdrawal
What feature is most diagnostic of Psychogenic Non-Epileptic Spells (PNES)
A) Post-event lethargy
B) No disruption of the posterior dominant rhythm
C) Chaotic flailing limb movements
D) Triggerable by photic stimulation
No disruption of the posterior dominant rhythm
