FAST Peds Normal & Abnormal

FAST LEARNING

Benign Rolandic Spikes Onset

4 years- teens disappear by 14 years

Benign Rolandic Spikes Occur when

Nocturnal (in sleep)

Benign Rolandic Spikes symptoms

Paresthesia’s contralateral to the focus

Tongue, Gum, Cheeks, Lips, Tonic Clonic movment

3hz spike & wave =

staring spells (absence seizures)

JME onset

8-10 yrs, puberty most common

JME EEG

Generalized multiple spike & wave, frontal

Landau-Kleffner syndrome age

3-7years

LKS affects

brocas (expressive) & wernickes (receptive)

LKS EEG

nocturnal, multifocal spikes & spike & wave, GTC, atypical absence

West syndrome onset

4-11 months »» 2 years

Lennox Gastaut syndrome EEG

slow spike & wave (1.5-2.5hz)

LGS seizure types

atypical absence, myoclonic, atonic/tonic, clonic, tonic/clonicL

LGS age range

1-10 years, 2-6 years more typical

Sturge Weber Syndrome symptoms

port wine stain (trigeminal nerve)

Glaucoma

Sturge weber syndrome seizure type

partial motor seizures present with unilateral jerks, may become generalized, or drop attacks

Background alpha rhythm fully defined at

9-16 years

A patient 4-6 months will have

5-6hz PDR

reactive background to EO & EC

Photic driving

Sleep spindles

1 y/o patient will have PDR of

5-8hz

6-16 years PDR is

9-10 hz

1 month PDR

4-6hz

3 months PDR

3-4hz

4-5 months

synchrony

1 month

central rhythmicity

5 months PDR

5-6 hz

5 months

reacts to EO & EC

6 months

crudely formed alpha

1 year PDR

5-8 hz

2 years

Occipital slow transients

2-5 years PDR

6-8hz

2-5 years

Mu presents

9-16 years PDR

9-10hz

9-16 years

higher amplitude

8-20 years

PSWY

7 years

HV buildup

<7 years higher amplitude in the posterior

>7 years higher amplitude over the frontal

9-10 years

photic driving is seen

2-17 years

LAMBDA is seen

Sleep 1-2 months

Quiet sleep

Sleep 2-4 months

sleep spindles asynchronous

Sleep 5-6 months

V waves & K complexes

Posterior beta during drowsiness 20-25 hz

Sleep 1-2 years

V waves, K complexes prominent in sleep

sleep spindles synchronous & symmetrical 2-6 sec trains

O waves (monophasic slow transients high amp occipital during drowsiness

Beta during drowsiness

Sleep 4 years

POSTs most prominent (15-35 yrs)

Hypnagogic hypersynchrony age range

3 months-14 years