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EEG findings, treatment given. Suggestions?

1. The EEG was recorded while the patient was asleep
2. This Record showed low to medium aplitude arrhythmic theta at 6-7 Hz which was generalised during asleep.
3. Generalised low to medium amplituded polymorphic delta at 2-3 Hz. intermixed with theta was seen.
4. There was no asymmetry .
5. Spikes, spike and wave complexes, polyspikes of medium amplitude were present over multiple regions of both hemispheres independently, with occasional focal features and without secondary generalisation.
6. On multiple occasions medium to high amplitude generalised bisyncronous bursts of spikes, spike and wave complexes, polyspikes complexes were seen lasting briefly, followed on occasionally by relative attenuation of background activity.
7. Few artifacts were present.
8. Photostimulation revealed no abnormality.
Conclusion :- This sleep record is abnormal in view of
1. Multifocal epileptiform activty over both hemispheres independently.
2. Frequent generalised bursts, occasionally followed by relative attenuation of background activity.
3. Poorly organised background activity.

Treatment given:-
1. ACTH ing for 21 days - which is completed
2. Again ACTH ing for 21 days conti.. + Vigabatrina Tab 125mg morning and 125mg evening
Asked On : Tue, 16 Apr 2013
Answers:  1 Views:  64
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Neurologist 's  Response
Thanks for the query
This report suggestive of epilepsy. In the absence of clinical data and age of the patient further opinion is difficult.
Please get back if you need any additional information
Best wishes
Answered: Tue, 25 Jun 2013
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