Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Question Title: EEG results

Forum: Neurology Forum
Topic: Neurology


My 1 year old daughter had a febrile seizure early October 1998. Her doctor recommended a follow-up EEG "just to be sure" which was performed Nov 9. Results read "Description : the EEG consists of mostly stage 2 sleep. There were well developed and symmetrical sleep spindles. K-complexes were present. There were occasional sharp waves in the left frontal area during sleep. Otherwise the EEG appeared to be normal. Interpretation: Mildly abnormal EEG with occasional left frontal sharp waves. This EEG may be compatible with a focal motor seizure disorder."

What does all this mean? Other hx: after febrile seizure they did a blood culture and found she was septic with strep pneumoniae and was hospitalized 2 days with IV antibiotics. They believe the infection initiated from her ears.

Please help. Thanks!



This may not mean very much, most of the report is a typical normal EEG report,
recording the normal types of waves seen in sleep.
The only abnormality is the reportying of sharp waves.
Sharp waves on the EEG are correlated with a small area of abnormality in
the brain which is causing irritation and sparking off seizures.
The interpretation of what exactly constitutes a sharp wave can be quite
subjective and it would appera that the reader was not very impresed by therwes waves.
Nevertheless your daughter did have a seizure, the history does sound like she
has febrile seizures and the EEG should be normal in these cases.
Given that she had a seizure and some degree of abnormality on her EEG
an MRI scan to look in detail at this part of the brain would be a reasonable
suggestion.
If the MRI scan is normal I would not worry any further.


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