Clinical correlation is suggested as to the etiology of this. This would signify some underlying frontal dysfunction of a nonspecific etiology. IMPRESSION: This is an abnormal EEG recording because of the presence of right frontal maximal epileptiform discharges. No clinical seizure activity was noted by the EEG technician. Postepisode, there was some attenuation but not much slowing. This episode lasted for about 23 to 24 seconds. This was preceded by some poorly-formed sharpish discharges. There was noted the presence of a rhythmic sharp discharge in the right frontocentral region. Photic stimulation did not significantly alter the background rhythm. During drowsiness, there is mild attenuation and slowing of the background rhythm. It consists of a 8 hertz 20-70 microvolt alpha rhythm. The resting record is fairly well organized and symmetric. This is a multichannel digital EEG recording using the international 10-20 placement system. This study is done to evaluate his seizures. No focal new epileptiform features are seen. IMPRESSION: This is a normal awake and drowsy EEG. Heart rate is approximately 64 beats per minute and regular. No focal sharp waves, spiking waves, or paroxysmal epileptiform features are seen. The patient becomes drowsy during the recording and does not achieve sleep. The patient appears to be blinking with some eye movement artifacts and increased amplitude in the background slowing, but no paroxysmal epileptiform features. Hyperventilation was performed for about 3 minutes with good effort. Photic stimulation was performed without a dramatic response. The background consists of 9 hertz, symmetric, well-organized 34 microvolts posterior dominant rhythm. HISTORY: The patient is complaining of neck pain, previous lumbar surgeries. No epileptiform discharges or any other paroxysmal activities or focal abnormalities seen. No abnormalities were found during the procedure. Hyperventilation was performed for 3 minutes. Photic stimulation did not produce any abnormalities. No spike-and-wave discharges or any lateralizing abnormalities are seen. It blocks with eye opening and it is bilaterally synchronous and symmetrical. Routine 18-channel digital EEG was obtained to rule out any seizure activity or focal abnormalities.įINDINGS: Background rhythm during awake stage shows well-organized, well-developed, average voltage 8 to 9 hertz alpha activity in the posterior regions. This is an outpatient 58-year-old right-handed white male with history of episodes of confusion and staring. Prominent beta activity in the anterior regions could be secondary to anxiety or medication effect. IMPRESSION: Suboptimal study, no clear paroxysmal activities or epileptiform discharges were seen. The patient was noted by the technician to be restless and moving all the time during the study and having tremors of the mouth and arms.
Almost constant EMG artifacts and tremor artifacts are noted making the study suboptimal. Routine 21-channel digital EEG was obtained to rule out any seizure activity or focal abnormalities.įINDINGS: Background rhythm during awake stage shows poorly organized, low voltage fast beta activity in the anterior regions. This is a 76-year-old right-handed white female with a history of sudden change in mental status, confusion, possible cerebrovascular accident or seizures. EEG Medical Transcription Sample Reports For Medical TranscriptionistsĭATE OF STUDY / DATE OF TEST / DATE OF EEG: