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whether you are a neurology resident a neurologist or a technologist there are five epileptic form patterns that you cannot afford to miss you need to recognize these patterns and understand their clinical significance so lets get started the first pattern im going to discuss is the three per second generalized spike in wave discharges so let me show you a few pictures and we will discuss as we go along so this is a typical pattern this is what we call a three per second spike in wave these are very high amplitude discharges that you see on the right side and ive cut down the gain so a spike in wave discharge is a regular symmetrical generalized eeg pattern seen particularly during absence epilepsy so this is the typical pattern lets move along this is another one where i have not cut down the gain so you see the spike in wave pattern at seven microvolts per millimeter this pattern results from thermocortical oscillations so there is an oscillation going on between the cortex and
