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Benign EEG variants

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Official reprint from UpToDate


www.uptodate.com 2014 UpToDate

Benign EEG variants


Patient:
age / state

Waveform:
morphology /

Duration

Distribution

frequency

Benign spike-like patterns


Small sharp
spikes

Adults /
drowsiness and
light sleep

Monophasic or
diphasic spikes

Phase <50
msecs

Bi-hemispheric
maximalanterior / mid
temporal

Wicket
spikes

Adults /
drowsiness and
light sleep

Sharply contoured
arch shaped / 6 to
11 Hz

Few seconds

Bilateral
anterior / mid
temporal

14- and 6Hz positive


bursts

Children and
adolescents /
drowsiness and
light sleep

Arch shaped
positive sharp
component / 4-7 Hz
and 13-17 Hz range

Less than 1
to 2 seconds

Bilateral
posterior
temporal /
parietal

6 Hz spike
and wave

Adolescents and
young adults /
relaxed
wakefulness and
drowsiness

Low voltage spikehigh amplitude slow


wave / 5 to 7 Hz

1 to 2
seconds

Generalized / at
times maximal
anterior or
posterior

Rhythmic patterns with an epileptiform morphology


Rhythmic
temporal
theta
bursts of
drowsiness

Adolescents and
young adults /
relaxed
wakefulness and
drowsiness

Notched flat
topped / 5 to 7 Hz

Seconds

Bilateral
temporal

Subclinical
rhythmic
EEG
discharge
in adults

Adults >50 /
hyperventilation,
drowsiness

Rhythmic sharply
contoured / 5 to 6
Hz

40 to 80
seconds

Bilateral
parietal /
posterior
temporal

Midline
theta
rhythm

Children and
adults / awake,
drowsy

Sinusoidal,
arciform / 5 to 7 Hz

4 to 20
seconds

Midline, maximal
centrally

Reproduced with permission from: Mushtaq, R, Van Cott, AC, Benign EEG variants. Am J
Electroneurodiagnostic Technol 2005; 45:88. Copyright 2005 American Society of
Electroneurodiagnostic Technologists.
Graphic 80464 Version 1.0

http://www.uptodate.com/contents/image?imageKey=NEURO%2F80464&source=ima... 11/8/2014

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