Asked for Male | 15 Years
Has my 15-year-old's EEG shown epilepsy improvement?
Patient's Query
Dear Dr. My 15 year old has been diagnosed with generalized tonic clonic epilepsy. He has done 2 eegs. 1st eeg (done November 23) said it posterior dominant rhythm was 12 hz. The 2nd one (done November 24) said it's posterior dominant rhythm is 9 hz. 1st eeg: bilateral synchronous anterior predominant spikewave epiltiform recorded occuring isolated or 400-600 ms. 2nd eeg: bilateral synchronous anterior predominant spikewave epiltiform recorded at maximal @ FP@,F4,F8,FP1,F3,F7 in 600 ms. Stage II was obtained. Is there improvement between the 2 or has it worsened slightly? The Conclusiofor the 2nd was This was an abnormal awake, drowsy and stage II sleep electroencephalogram. Bilateral synchronous anteriorly predominant spike-wave epileptiform discharges were recorded as described above. In the correct clinical setting, these findings are suggestive of a genetic generalized epilepsy with the differential diagnosis of a frontal focus with rapid secondary bilateral synchrony. Is the conclusion serious?
Answered by Dr. Gurneet Sawhney
Dear Parent, Thank you for your inquiry. The EEG results show some epileptiform activity that is ongoing, which can be of great concern. The change from a 12 Hz to a 9 Hz rhythm and being assured of the findings suggests that although there is some activity, it does not necessarily represent a change of the situation; rather, it may just indicate differences in the EEG readings. The summary implies that the patient may have a genetically generalized epilepsy that is treatable with continuous medical care. Please, I advise you to analyze the mentioned details with your doctor in order to have the necessary treatment and your child's support get quality. Best wishes, [Your Name]

Neurosurgeon
Questions & Answers on "Neurology" (941)
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