JLE

Epileptic Disorders

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Roadmap to EEGs: video-based e-learning modules addressing clinical EEG reading Volume 24, numéro 6, December 2022

In this module we will cover the basic principles of focal seizures including the definition of an electroclinical and electrographic seizure. By the end of this teachingmodule learnerswill be able to recognize and describe ictal patterns and to correctly diagnose and classify focal epilepsies. The seizure types discussed in thismodule include brief pattern qualifying as ictal, low voltage fast activity, an evolving rhythm and focal electrodecrement seizure. Multiple seizure localizations will be covered including left frontal seizure, right frontal seizure and right temporal seizure.

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Roadmap to EEGs: video-based e-learning modules addressing clinical EEG reading This teaching module covers part 2 of developmental and epileptic encephalopathies (DEEs) with discussion that is in accordance with the most recent ILAE guidelines. Learners will be able to identify interictal abnormalities, ictal patterns and correctly diagnose and classify DEEs. The syndromes discussed in part 2 of this module include Lennox Gastaut syndrome (LGS), Landau-Kleffner syndrome and epileptic encephalopathy with spike wave activation in sleep (EE-SWAS).

Roadmap to EEGs: video-based e-learning modules addressing clinical EEG reading This teaching module covers part 1 of developmental and epileptic encephalopathies (DEEs) with discussion that is in accordance with the most recent ILAE guidelines. Learners will be able to identify interictal abnormalities, ictal patterns and correctly diagnose and classify DEEs. The syndromes discussed in part 1 of this module include early infantile developmental and epileptic encephalopathy (EIDEE), Ohtahara syndrome, early myoclonic epilepsy, infantile epileptic spasms syndrome (IESS), West syndrome and Dravet syndrome.

Roadmap to EEGs: video-based e-learning modules addressing clinical EEG reading In this teaching module learners will be able to recognize and identify idiopathic generalized epilepsy (IGE) syndromes in accordance with the 2022 ILAE position statement. EEG hallmarks of IGE and basic principles including both EEG findings and diagnostic criteria will be covered. The following syndromes that will be discussed include childhood absence epilepsy, juvenile absence epilepsy, juvenile myoclonic epilepsy, and epilepsy with generalized tonic-clonic activity.

Roadmap to EEGs: video-based e-learning modules addressing clinical EEG reading This module covers part 2 of focal seizures. By the end of the end of the module learners will be able to recognize and describe ictal patterns and correctly diagnose and classify focal epilepsies. Learners will be able to identify a right occipital seizure, a right temporal seizure and an ictal pattern with greater >2.5Hz spike-wave activity. Multiple seizure localizations will be covered including right occipital seizure and right temporal seizure.

Roadmap to EEGs: video-based e-learning modules addressing clinical EEG reading In this teaching module learners will be able to identify an interictal epileptiform discharge (IED) based on the 6 International Federation of Clinical Neurophysiology (IFCN) criteria with examples of both IED and non-epileptiform sharp transients.

Roadmap to EEGs: video-based e-learning modules addressing clinical EEG reading In this teaching module learners will be able to recognize artifacts frequently seen on EEG and take actions necessary for eliminating artifacts. Learners will be able to identify the following artifacts: sweat, EKG, eye blink, horizontal (lateral) eye movements, eye flutter, glossokinetic, secretion, myogenic, and patting.

Roadmap to EEGs: video-based e-learning modules addressing clinical EEG reading This module covers part 2 of normal variants that are most commonly seen on EEGs. Learners will be able to identify non-epileptiform sharp transients, posterior slow waves of youth, temporal slow of the elderly, slow-fused transients, slow (notched) alpha variant, 14 and 6Hz positive bursts, and 6 Hz SWs (spike-waves).

Roadmap to EEGs: video-based e-learning modules addressing clinical EEG reading This module covers the most common normal variants seen on EEGs. Learners will be able to recognize normal variants including positive occipital sharp transients of sleep (POSTS), rhythmic mid-temporal theta of drowsiness (RMTD), small sharp spikes (SSS), lambda waves, photic driving, wicket spikes, Mu rhythm and Ciganek rhythm.

Roadmap to EEGs: video-based e-learning modules addressing clinical EEG reading This module covers topics regarding normal EEG. Learners with be able to recognize and describe background activity and sleep. Learners will be able to recognize key features of an awake EEG background including background frequencies, eye blink artifacts, posterior dominant rhythm (including PDR by age), and anterior to posterior organization. Learners will be able to identify features of drowsiness and stage 2 sleep structures including vertex waves, roving eye movements, sleep spindles and K-complexes, as well as REM sleep features.