てんかん発作波と間違いやすい脳波

てんかん発作波と間違いやすい脳波
Small Sharp Spikes (SSS)
14 & 6 Hz Positive Spikes
6 Hz Spike and Wave (Phantom spike)
Rhythmic Mid-temporal Discharges
(Psychomotor variant)
Breach Rhythm
Wicket Spikes
Subclinical Rhythmic Electrographic (theta) Discharges of Adults (SREDA)
ラムダ波
12 歳, 女
Hypnagogic Hypersynchrony
14 歳, 女
Vertex Sharp Transients
11 歳, 男
Positive Occipital Sharp Transients of Sleep, POSTS
17 歳, 女
Benign Epilepsy of Childhood with Centrotemporal Spikes, BECTS
5 歳, 男
Ictal pattern: Rt central→Rt temporal
Ictal pattern: TLE
Ictal pattern: Generalized tonic seizure
まとめ
スパイク波形の特徴を覚えよう
発作後の脳波変化は重要
Pseudoepileptiform
activityに気をつけよう
SSS,14 & 6 Hz positive spikes,Phantom spike
RMTD,Breach rhythm,Wicket spikes,SREDA
小児脳波は要注意!!
Lamda波,POSTS,Vertex sharp transients
Hypnagogic hypersynchrony,BECTS