Download LONG-TERM EEG-VIDEO MONITORING COMA EPILEPSY

LONG-TERM EEG-VIDEO MONITORING COMA
EPILEPSY LABORATORY
CLINICAL NEUROPHYSIOLOGY LABORATORIES
DEPARTMENT OF NEUROLOGY
UNIVERSITY OF MICHIGAN
Patient: @NAME@ Age: @AGE@
Dates of recording: @ED@ through ***
MRN: @MRN@
Referring Physician: @REFPROV@
History: The patient is a @AGE@ {gender list:22183} with a history of ***. This
long-term video-EEG monitoring study was performed in order to evaluate for
focal and/or epileptiform abnormalities and subclinical seizures. The patient
{IS/IS NOT:27046} on neuroactive medications.
@NAME@ @CMEDPBRAND@
Technical Description: This is a 21 channel digital EEG recording with timelocked video. Electrodes were placed in accordance with the 10-20 International
System of Electrode Placement. Single lead EKG monitoring as well as temporal
electrodes (T1 and T2) were included.
Baseline EEG Recording: A formal baseline recording was not obtained.
Day 1 - 10/7/2016, starting at ***
Interictal EEG Samples: This recording was obtained {state:304014064}
The background was {Symmetry:304014032}. There {Was/Was not:304025122} a
posterior dominant rhythm of *** Hz, *** uV that was {Rhythm:304014033}. The
predominant background frequency was in the {Frequency:304025124} band(s)
and was of {Voltage:304025123} voltage. There {Was/Was not:304025122} an
anterior-posterior gradient. There {Was/Was not:304025122} background
variability. Reactivity to stimuli was {Present/Not present:304025125}.
{Symmetry:304014032} V waves, K complexes, and sleep spindles were
{Present/Not present:304025125}. The background was {Continuous:304025126}.
***BURST SUPPRESSION***The background was consistent with burst
suppression. The bursts lasted *** seconds with interburst intervals of ***
seconds. The bursts were {contour:304025127}. The predominant background
frequency seen in the bursts was in the {Frequency:304025124} band(s) and was
of {Voltage:304025123} voltage.
***PDs***There were {prev:304025128} *** Hz - *** Hz {phase:304025129},
{contour:304025127}, {amp:304025131} voltage, {lat:304025132} periodic discharges
(***PDs) with {polarity:304025133}. These had superimposed
{pdmod:304025134} activity and were consistent with ***PDs +***. These
{were/were not:304025135} induced by {stimuli:304025136} stimuli. These
{fluct:304025137}.
***RDA***There was {prev:304025128} *** Hz - *** Hz, {amp:304025131} voltage,
{lat:304025132} rhythmic delta activity (***RDA). This activity had superimposed
{activity:304025145} activity and was consistent with ***RDA +***. This activity
{Was/Was not:304025122} induced by {stimuli:304025136} stimuli and
{fluct:304025137}.
***SW***There were {prev:304025128} *** Hz - *** Hz {phase:304025129},
{contour:304025127}, {amp:304025131} voltage, {lat:304025132} spike waves
(***SWs). These {were/were not:304025135} induced by {stimuli:304025136}
stimuli. These {fluct:304025137}.
***triphasics***There were {prev:304025128} *** Hz - *** Hz triphasic waves
{triph:304025139}. These were {triph2:304025140}.
Ictal EEG Recording / Patient Events: During this period the patient had no
events or seizures.
Summary: During this day of recording *** seizures were recorded. The interictal
EEG was abnormal due to:
1. ***
2. ***
3. ***
Monitoring was continued in order to evaluate for subclinical seizures. The EKG
channel revealed no abnormalities.
@MECREDENTIALNOREFRESH@
Epilepsy Fellow
Clinical Code(s):
{Diagnosis Codes:304025144}
This EEG was reviewed with epilepsy attending {attending:304025143}. The
above findings were conveyed to the primary team at regular intervals. Please
note this is a preliminary report and updated on a daily basis. The final report will
have a summary of behavior and electrographic findings with clinical correlation