R.EEGT- Pediatric epileptic syndrome, Cheat Sheet of Neuroscience

A part of "Essential Concepts for the R.EEG.T Exam" – Includes Tables, Diagrams, and Illustrations. Table of contents: 44 pages - Filters, time constant. common mode rejection and digital EEG setting parameters - Montages - Normal varients - Artifacts - Increasing beta/fast activities - N2 sleep and Arousal pattern - Pediatric EEG and syndrome by age group - Neonatal sleep wake pattern - Pediatric epilepsy syndrome by interictal pattern - Differential of sleep provoked seizure - Photic stimulation - Hyperventilation - Lateralization - Severity of encephalopathy and EEG pattern - Rhythmic delta - Clinical seizure correlate with EEG - Seizure semiology

Typology: Cheat Sheet

2024/2025

Uploaded on 05/11/2025

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Category Interictal EEG Inheritance/
Family History
Examples Prognosis Example of EEG presentation
Familial
epilepsy
(most rare)
Normal BG
+
No or rare focal
epileptic activity
Single gene-
inherited,
Strong family
history (AD)
NFLE (Nocturnal Frontal
Lobe Epilepsy)
Great
Least cognitive
impact
can be controlled
effectively with
medication in
most cases.
Genetic
epilepsy
(most
common)
Normal BG or
IRDA
+
Generalized
stereotype
spike-and-waves
Multi-gene
weak family
history
Absence of Epilepsy
(CAE, JAE),
Juvenile Myoclonic
Epilepsy (JME),
Myoclonic-Astatic
Epilepsy (Doose
Syndrome)
Good
Less Cognitive
Impact.
Seizures typically
remit with
treatment
Self-limited
epilepsy
Normal BG or
IRDA
+
Focal
stereotyped
spike and waves
Multi-gene
weak family
history
Panayiotopoulos
SELECTS (formerly
BECTS)
CSCW/LKN (some
classified epileptogenic
encephalopathy)
Good
Less Cognitive
Impact.
Seizures typically
remit with
growth to
adolescence
pf2

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Category Interictal EEG Inheritance/ Family History Examples Prognosis Example of EEG presentation Familial epilepsy (most rare) Normal BG

No or rare focal epileptic activity Single gene- inherited, Strong family history (AD) NFLE (Nocturnal Frontal Lobe Epilepsy) Great Least cognitive impact can be controlled effectively with medication in most cases. Genetic epilepsy (most common) Normal BG or IRDA

Generalized stereotype spike-and-waves Multi-gene weak family history Absence of Epilepsy (CAE, JAE), Juvenile Myoclonic Epilepsy (JME), Myoclonic-Astatic Epilepsy (Doose Syndrome) Good Less Cognitive Impact. Seizures typically remit with treatment Self-limited epilepsy Normal BG or IRDA

Focal stereotyped spike and waves Multi-gene weak family history Panayiotopoulos SELECTS (formerly BECTS) CSCW/LKN (some classified epileptogenic encephalopathy) Good Less Cognitive Impact. Seizures typically remit with growth to adolescence

Epileptogenic encephalopath y Slow BG,

  • multifocal pleomorphic SWs Multiple etiologies (De-novo mutation, metabolic, hypoxia, etc.) no family history Dravet Syndrome, Inborn error of metabolism e.g. Rett syndrome PME -defined as neurometabolic or neurodegenerative diseases with myoclonus Poor developmental delays Na-channel AED may worsen seizure Epileptic encephalopath ies Slow BG interrupted with Electro decremental (lower amp fast activities)
  • multifocal pleomorphic SWs Multiple etiologies with epilepsy-induced thalamocortical dysregulation no family history Ohtahara West Syndrome (Infantile Spasms), Lennox-Gastaut Syndrome (LGS), Worst progressive cognitive decline. Medication- resistant