Atlas of Pediatric EEG NOTICE Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their eff orts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confi rm the information contained herein with other sources. 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This page intentionally left blank CONTENTS Foreword ......................................... ix 3 Newborn ................................... 201 8 Generalized Epilepsy ........................ 613 Preface ........................................... xi 4 Focal Nonepileptoform Activity .............. 275 9 Focal Epilepsy............................... 675 Acknowledgments ............................... xii 5 Generalized Nonepileptiform Activity ........ 389 1 Normal and Benign Variants ................... 1 6 ICU ......................................... 471 Index ........................................... 861 2 Artifacts .................................... 125 7 Epileptic Encephalopathy ................... 529 vii This page intentionally left blank FOREWORD Epilepsy is a common and frequently disabling fi ne work is an appropriate testament to his diligence experienced pediatric epileptologists, will fi nd a great disorder in children. Linking its clinical manifestations and skill. deal of valuable material to enhance the care of their to electrographic and imaging changes is essential to The text is laid out in a systematic and thoughtful patients. Whether read cover-to-cover, used to review correct diagnosis and management. This multimedia fashion, beginning with common and not-so-common specifi c problems, or dipped into at random, this text work provides an accessible, comprehensive, and patterns and variants in the electroencephalogram, makes learning about epilepsy in children a pleasure timely tool for the child neurologist or epileptologist which can be a source of confusion and diagnostic error and will ultimately enhance the quality of their lives in training or in practice to become familiar with the to the novice. Subsequently, pathological conditions and those of their families. extraordinary richness of the clinical and electrographic are explored in a similarly logical and comprehensive manifestations of childhood epilepsy. fashion. Since most of us learn from our patients, I Marc C. Patterson, MD, FRACP, FAAN The text represents the distillation of an extraordinary predict that this case-based approach will be extremely Professor of Neurology, Pediatrics body of clinical experience and painstaking attention to eff ective. I commend this work to anyone who wishes and Medical Genetics detail, which is characteristic of Dr. Laoprasert. I fi rst had to improve his or her grasp of epilepsy in childhood. It Chair, Division of Child and the privilege of making his acquaintance two decades will be essential reading for pediatric epilepsy trainees Adolescent Neurology ago, when he began his child neurology training at but will also be a frequently consulted resource for Mayo Clinic Mayo Clinic. Since that time, he has established himself residents in training. By the same token, the child Rochester, Minnesota as a fi rst-class pediatric epileptologist and scholar. This neurologist who is not an expert in epilepsy, and even ix