Pediatric EEGs 03

Topic: Physiology

Created on Thursday, March 1 2007 by jdmiles

Last modified on Thursday, March 1 2007.

 
        A) Juvenile absence epilepsy
 
        B) BECTS
 
        C) West Syndrome
 
        D) Lennox-Gastaut syndrome
 
        E) Alpha coma
 

 

	= Go back to the top of the page.
	= Reload a different version of this question ().
	= Load a random question from the database.
	= Use this question as a template to create a totally NEW question.
	= Enter detailed rating for this question!
	= How users like you have rated this question.

This question was created on March 01, 2007 by jdmiles.
This question was last modified on March 01, 2007.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS

---

A) Juvenile absence epilepsy

This answer is incorrect.

Juvenile absence epilepsy is classically associated with a generalized spike and wave pattern of 3 Hz (sometimes faster).  (See References)

Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 

---

B) BECTS

This answer is incorrect.

BECTS (Benign childhood epilepsy with centrotemporal spikes) is the most common form of focal epilepsy in children. The EEG pattern typically associated with BECTS is centrotemproral sharp waves, especially during sleep.  (See References)

Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 

---

C) West Syndrome

This answer is correct.

This EEG shows hypsarrhythmia, a pattern of continuous, high-amplitude polymorphic, generalized slowing with no organized background, and multifocal spikes. Hypsarrhythmia is part of the triad of West syndrome. The other characteristic features of West syndrome are infantile spasms and developmental delay.  (See References)

Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 

---

D) Lennox-Gastaut syndrome

This answer is incorrect.

The characteritic features of Lennox-Gastaut syndrome are developmental delay, generalized epilepsy with multiple seizure types, and an EEG pattern of generalized slow spike and wave complexes.  (See References)

Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 

---

E) Alpha coma

This answer is incorrect.

This is not alpha coma. This pattern of continuous, high-amplitude polymorphic, generalized slowing with no organized background, and multifocal spikes is called hypsarrhythmia.  (See References)

Please log in if you want to rate questions.

 

 

 

 

References:

1. Bendadis, S.R., and Wyllie, E. (2000). Pediatric epilepsy syndromes. In Levin, K.H., and Lüders, H.O. (Eds.) Comprehensive Clinical Neurophysiology. W.B. Saunders Company, Philadelphia. Pp. 468-480.

Please log in if you want to rate questions.

 

FrontalCortex.com -- Neurology Review Questions -- Neurology Boards -- Board Review -- Residency Inservice Training Exam -- RITE Exam Review
physiology
Pediatric EEGs 03
Question ID: 030107086
Question written by J. Douglas Miles, (C) 2006-2009, all rights reserved.
Created: 03/01/2007
Modified: 03/01/2007
Estimated Permutations: 1800