Re: QEEG necessary to treat seizures?

[Guest guest]

Seizure disorders commonly respond well to either C3/C4 bipolar montage or T3/T4, reducing amplitudes in 2-38 Hz and increasing in 12-15 or 12-16 Hz.  The TLC design package has a design which combines these in 2 channels.

Since seizures often don't appear even in Holter monitor EEG's, and since the training is not generally related to training a specific site, I don't normally do a Q or an assessment unless there is some significant injury that caused the disorder.

Pete-- Van Deusenpvdtlc@...http://www.brain-trainer.com

USA 678 224 5895BR 47 3346 6235The Learning Curve, Inc.

On Tue, Jul 10, 2012 at 8:19 PM, sriley_97202 <smileyriley24@...> wrote:

 

Interested to hear from those who have experience treating seizures. Was a QEEG necessary to design the treatment plan - or will a Clinical EEG suffice? Any additional information appreciated.

Sheryl Riley, OT, BCN

[Guest guest]

I don't get to glance at this forum much but happened to see this email.

I have worked with seizures both with qEEG and without over many years

and know therapists with multiple systems/approaches that do both.

After multiple clients and lots of sensory motor strip training with

many as Pete mentions, as well as targeting known seizure focus, my

preference is to have a qEEG if it's possible. (and it's not always

possible). That being said - I and others ever had success without

the qEEG for seizures? Yes. I just think your odds of better overall

outcomes if you have a qEEG. .

I've done better since I've added in coherence and other training

information as a result of the EEG and the qEEG (it's both, not just

qEEG). Some seizure patients simply plateaued otherwise. I know

other clinicians that report the same. However, if you can't get a

qEEG, then having an EEG is better than not. And neurofeedback can be

extremely helpful without a qEEG, if you don't have the option. Note

that if you don't have any experience with seizures, it's a tricky

thing clinically to offer. Can a seizure occur after you do

neurofeedback? Certainly it's possible. You should have a very good

informed consent probably specific to seizures.

The challenge is not can you find a qEEG. It's having someone who is

knowledgeable enough with seizures to guide you to the best options.

There are several people out there who work a lot with seizures and

still offer consultation. What you do is to have someone relatively

local record the EEG and then send it off to one of " the experts) with

seizures. If you aren't expert in seizures, it has value also to be

backed up by someone who has a lot more knowledge.

By the way - if there's a need to find out who could record an EEG in

Portland for a qEEG, you could contact Kayle Sandberg- in

Portland http://www.elixiawellness.com/bio_ksl.php. I'm not sure she

does it or not but she knows everyone there.

So who are a few people in the field who can consult on seizures using

a qEEG and give you knowledgeable recommendations? (I'm sure there

are others).

Kaiser, Rob Coben, Lubar, Barry Sterman, Jay Gunkelman, Jon

, Meg Mac. Recently I did a 4 year old girl with very

unusual EEG activity (seizure like) and no language and had Rob Coben

in NY do a specialized analysis which had quite an impressive outcome

(still ongoing). We have combined his coherence work with also

training along the sensory motor strip. I've worked with a number of

these people and they are all very knowledgeable.

I don't get to post on this forum much, but I hope this helps.

Cohen - Director

www.CenterforBrain.com

The Center for Brain Training provides neurofeedback services in 3

locations in South Florida. We also offer a course on Introduction

to the field of Neurofeedback, an Intermediate level course, and

consultations for professionals and home users for neurofeedback. .

On Tue, Jul 10, 2012 at 7:19 PM, sriley_97202 <smileyriley24@...> wrote:

>

>

>

> Interested to hear from those who have experience treating seizures. Was a

QEEG necessary to design the treatment plan - or will a Clinical EEG suffice?

Any additional information appreciated.

> Sheryl Riley, OT, BCN

>

>

--

Cohen

www.CenterforBrain.com