Findings and diagnosis? 8 year old child with 3 seizures over 4 months. #tweegtorial @khouryjeanccf @ESpurgeonMD @Doc_Dre_MD @Majalzahrany @RimaChaudhari3 @BijinaShrestha #epifelchat @EEGTalk
Frontal discharges are a form of focal discharges in CSSS. Many frontal SWs have preceding occipital spike (both negative) with an apparent positivity in centroparietal discharges. These are occipitofrontal discharges 1/3
I do believe all these frontal discharges are propagated from the occipital region but only some have a surface EEG detectable occipital discharges. Children with occipitofrontal discharges often have Panayiotopoulos syndrome features 2/3
Just like centrotemporal these may occur incidentally in children or in those with rolandic epilepsy phenotype. Prognosis is as good as ‘ ECTS’ type as much as we know.
✅👇 my tweet from 2016. https://twitter.com/amoosamd/status/780560535205081088
Thank you everyone for sharing your thoughts. 👏👏👏👍
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