Thursday, August 1, 2013

Seizure in infantile spasms

Do you see the abnormality?  Surprisingly in this case it's not on the left side!  The high voltage chaos that looks as good right-side-up as up-side-down is characteristic for hypsarrhythmia in infantile spasms.  However, what should catch your eye is the pseudonormalization on the right half of the record: this is a seizure in infantile spasms – high frequency, low amplitude.  Neither side is normal, but that relative depression of the record with a global high frequency oscillation doesn't look normal for the record in this presumably awake child.

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