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Do EEGs Ever Return To Normal When Seizure Free On Meds Or Will They Always Show “spikes”

A MyEpilepsyTeam Member asked a question 💭
February 10
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A MyEpilepsyTeam Member

So as a eeg tech that's the hope in what we are looking for. But we will more than likely always see what's called a discharge or a spike in the eeg. This does not make the eeg abnormal or the person uncontrolled. Just means there's still activity in the brain. If the discharges last for a certain period of time (I believe 3-6 sec) that is abnormal. I have worked with 3 different hospitals and when is comes to the smaller discharges different doctors may treat you differently and considered them "abnormal" depending on how many you have throughout the whole test. The difference between the 2 is the longer the discharges the more chance of becoming a seizure. We all are a little sparky.

February 10
A MyEpilepsyTeam Member

You will always have spikes it's the durations of the spike and type we are looking at as a neurodiagnostic tech. The only epilepsy that may ever have spikes go away is benign rolandic epilepsy which is diagnosed in kids and usually not even treated. It's the only epilepsy that an epileptic grows out of.

February 11
A MyEpilepsyTeam Member

@A MyEpilepsyTeam Member thank you so much for the good information.

February 12
A MyEpilepsyTeam Member

@A MyEpilepsyTeam Member ^^ This One thing to remember is regardless of whether you have a known brain condition or not the eeg with always be picking up spikes based on body movement, talking and speaking ect all have a effect on the spikes.

February 10
A MyEpilepsyTeam Member

It depends. Some people will only have activity if they have a seizure that is obvious, whereas others can have what's basically active brain wave activity so your not having seizures as such but the brain waves on eeg always show as abnormal. This is what happens with me.

February 10

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