Paging Joan - Goddess of EEG interpretation
 

Does anyone know how to contact her? Has she been around?

We had a messy EEG a week or so ago. We are going to get the report this week. I wanted to find her for help interpretting the report.

I thought if I started looking now, I might find her by the time I got the report.

Thanks

Wow- New forums!

Hi Joan!!!!

Hello, Joan. I am SOOOOOOO glad to see you! :D :D :D :D Giant HUGS!

First, I will tell you give you all the background then post the report. The EEG looked messy to me. There were random intermittent spikes that weren't consistent.

The Tech asked why we were there. I told her it was follow-up since he had other abnormal EEGs. He isn't medicated and is having a lot of eye rolling staring episodes where he is off on the ceiling.

She wanted to know why he wasn't medicated for seizure disorder. I told her due to regression every time we try one. Granted we haven't tried one since he was 18 months old. Then, she suggests we give an anti-seizure med a try for 30 - 60 days to see if it helps.

I assumed from all of that that this EEG was abnormal, too. I also realize you can have a normal EEG but it doesn't mean you don't have seizures. They may be deep or you may not have one during the EEG.

Given that, I was surprised when the Neuro Nurse called and said the EEG was "normal" but the Neuro wants to treat the eye rolling episodes with anti-seizure medication.

I was prepared to medicate him if the EEG came back with some really bad stuff on it. But why do I want to medicate a normal EEG on a child that has "only" eye rolling episodes. If he was having status seizures or seizures that interferred with his breathing, maybe.

We are seeing a different Neuro in St. Louis. We haven't made an appointment, yet, but are working on that.

Next post will be the actual EEG Report.

Thank you, thank you, thank you for your interpretation and input on the deal.

Bec

"Duration 24 minutes

Clinical Information: The patient status, per technologist, sleep. Sedation, none. The patient is a 5 yo male with history of seizures.

Medications: None

Technique: Photic stimulation was performed.

Findings: There is a lot of Theta activity. There are some spindles. The patient is asleep during the test. It could be hypnagogic hypersynchrony. There are some amount of vertex sharp waves, no hyperventilation was performed. The patient is drowsy. There is no good waking tracing. Possibly semi-rhythmic 5 to 6 Theta activity. The patient is possibly awake at the end of the test, but most of the time he is asleep, showing spindles. Photic stimulatino did not generate any abnormalities.

Electrocardiographic Analysis: Cardiac rhythm was monitored with a one lead caardiac monitor and there is some amount of cardiac arrhythmia. (Really, I didn't know this.)

Impression: This EEG is consistent with hypnagogic hypersynchrony. There is probably n o significant abnormality awake drowsy and asleep.

Addendum, Dr. Nowack has personally reviewed this study and formulated the interpretations and opinions expressed in this report."

Bumping up, hoping she comes back.

bumping up for Bec. :)