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Waveform:
morphology /
Duration
Distribution
frequency
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
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
1 to 2
seconds
Generalized / at
times maximal
anterior or
posterior
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