EEG report - Sophie aged 5 - what does it mean?

[Guest guest]

Here is the text of our report from April.

Does anyone know:

a) what it means?

should we be able to get a much more detailed report than this?

c) Anyone got examples of their own reports?

Thankss

Sophie Sedation Sleep EEG Report: 6 April 2010, 10.00 am

EEG No. 139682

Date of birth: 27.09.04

History from patient or file:

From referral: loss of speech skills

No recognized seizures. Autistic. No regression of other development

From parents: normal development until aged 15 months. Diagnosed with autism 2

years ago. Speech has not developed despite much help. Can repeat some sounds.

Very little understanding, only speaking syllables. The child copies actions

from parents to understand.

Frequency of seizures: none

Last meal: 08:00

________________________________________________________________________________\

_

EEG Factual:

The patient was alert, apprehensive, and withdrawn. 10mg melatonin was given

before the test and as no sleep was achieved initially a second 10mg dose was

given 50 minutes later.

Resting record:

The resting record is ragged and irregular and contains a mixture of frequencies

mainly at 4-6 Hz up to 80 microvolts. There is some scattered 2-3 Hz slow wave

activity, more marked in post central regions and widespread 14-20 Hz

superimposed beta activity up to 40 microvolts. At times irregular slow

activity is seen at 3-4 Hz in the right temporal region up to 110 microvolts.

There was no change during assisted eye closure at the end of the EEG.

Hyperventilation was attempted, performed fairly well for 2 minutes and elicits

no abnormality

Photic stimulation: elicits no abnormality

Drowsiness/ sleep: Drowsiness elicits and increase in the amount of rhythmical

theta activity. Eventually during sleep vertex sharp waves and well formed high

amplitude sleep spindles were seen as well as a further increase in slow

activity. There were several suspicious bursts of high amplitude slow or

notched slow, mixed with high amplitude sleep spindles. Later high amplitude

slow wave activity was present at 1-2 Hz.

Clinicial episode during the record: nil

Simultaneous Lead 1 ECG (only gross rhythm irregularities are looked for: QT

interval or QTc are not estimated.) Showed sinus rhythm at 90-110 beats per

minute

________________________________________________________________________________\

_

Diagnostic Report

Prolonged recording after melatonin, includes sleep

Occasional high amplitude spike discharges over the right fronto-temporal region

are associated with normal sleep phenomena, and there are occasional right

temporal slow waves in waking. This raises suspicion of a possible right

fronto-temporal lesion and may indicate further investigation. This is NOT

typical pattern for Landau Kleffner syndrome.

[Guest guest]

Hi

 

WE have never received a detailed report, however the last part of the report about possible fronto temperal lesion is similar to the limited part of the report we have..

 

My daughter is epileptic and so they have always been looking for a discharge site and for an abnormality on her MRI.

 

When our children already present with a problem the medics look for what could be wrong rather than having any firm evidence.

 

I think the extra investigation they would look at may be a detailed MRI over this area. We got a report back at the MRI diagnosing DD with mesial temperal sclerosis which is part of her brain which is smaller/ slightly shrunk when compared with the opposite side of her brain.. The advice we have from our cranial osteopath is that every brain is asymmetric so that sometimes what seems like a difference or cause may not actually be impacting on the condition.

 

DD has never had an abnormality come up on her EEGs-until the Telemetry we had at GOSH... which only happened after sleep deprivation, and physical exhaustion.

 

More recently working with Scotson and doing TST, we think the " sclerosis " is most likely to be a virus spot which has not yet healed... and with increased bloodflow with TST we would expect this to normalise with time. Some of the developmental gains we have had with more balanced thinking, would indicate to us that their is neurological progress taking place.

 

Best Wishes

 

 

 

 

Tracey

On Thu, May 13, 2010 at 11:05 AM, peter <peter_2_@...> wrote:

 

Here is the text of our report from April.Does anyone know:a) what it means? should we be able to get a much more detailed report than this?c) Anyone got examples of their own reports?

ThankssSophie Sedation Sleep EEG Report: 6 April 2010, 10.00 amEEG No. 139682Date of birth: 27.09.04History from patient or file:From referral: loss of speech skills

No recognized seizures. Autistic. No regression of other developmentFrom parents: normal development until aged 15 months. Diagnosed with autism 2 years ago. Speech has not developed despite much help. Can repeat some sounds. Very little understanding, only speaking syllables. The child copies actions from parents to understand.

Frequency of seizures: noneLast meal: 08:00__________________________________________________________EEG Factual:The patient was alert, apprehensive, and withdrawn. 10mg melatonin was given before the test and as no sleep was achieved initially a second 10mg dose was given 50 minutes later.

Resting record:The resting record is ragged and irregular and contains a mixture of frequencies mainly at 4-6 Hz up to 80 microvolts. There is some scattered 2-3 Hz slow wave activity, more marked in post central regions and widespread 14-20 Hz superimposed beta activity up to 40 microvolts. At times irregular slow activity is seen at 3-4 Hz in the right temporal region up to 110 microvolts. There was no change during assisted eye closure at the end of the EEG.

Hyperventilation was attempted, performed fairly well for 2 minutes and elicits no abnormalityPhotic stimulation: elicits no abnormalityDrowsiness/ sleep: Drowsiness elicits and increase in the amount of rhythmical theta activity. Eventually during sleep vertex sharp waves and well formed high amplitude sleep spindles were seen as well as a further increase in slow activity. There were several suspicious bursts of high amplitude slow or notched slow, mixed with high amplitude sleep spindles. Later high amplitude slow wave activity was present at 1-2 Hz.

Clinicial episode during the record: nilSimultaneous Lead 1 ECG (only gross rhythm irregularities are looked for: QT interval or QTc are not estimated.) Showed sinus rhythm at 90-110 beats per minute__________________________________________________________

Diagnostic ReportProlonged recording after melatonin, includes sleepOccasional high amplitude spike discharges over the right fronto-temporal region are associated with normal sleep phenomena, and there are occasional right temporal slow waves in waking. This raises suspicion of a possible right fronto-temporal lesion and may indicate further investigation. This is NOT typical pattern for Landau Kleffner syndrome.