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Abstract
We introduce a simple scheme of categorizing interictal EEG in patients with pediatric epilepsy. Five patterns of EEG can be determined by using 2 interictal EEG domains: organization of the background activity and a morphology/topography of epileptiform discharges. These patterns relate to commonly recognized categories of pediatric epilepsy: familial epilepsies, genetic generalized epilepsies, self-limited epilepsies, epilepsies with encephalopathy, and focal structural epilepsies. Each group has distinguishable clinical presentations, inheritance patterns, and outcomes. This categorization may be a useful educational tool; it may also guide decisions about further testing and management.
GLOSSARY
- AED=
- antiepileptic drug;
- BCSSS=
- benign childhood seizure susceptibility syndrome;
- EIEE=
- early infantile epileptic encephalopathy;
- IED=
- interictal epileptiform discharges
Footnotes
Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.
- Received October 7, 2014.
- Accepted in final form April 2, 2015.
- © 2015 American Academy of Neurology
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- Categorizing pediatric epilepsy by interictal EEG features
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