Interictal Discharges & GTC Seizure

My name is Jared Beckwith, I’m a registered EEG technologist. In this video we will review an EEG of a 19 year old male with history of epilepsy and taking depakote. This record shows both interictal epileptiform discharges and a generalized tonic clonic seizure at the end. Thanks for watching, subscribe for more EEG videos:

Seizure Hidden Under Chewing Artifact

EEG Sleep Spindles and Vertex Waves 😴

EEG with Frontal Spike & Wave Discharges

[jaredbeckwith]

Thanks for watching, subscribe for more EEG review videos ❤

[ericroybal]

Hi Jared, let me begin by saying I am not asking for advice or diagnosis.

I am curious to know your thoughts on the following:

* 53yo
* Male
* 205 lbs
* Doesn’t drink
* TBI in 1994
* Began having TCs in 1996 (uncontrolled by AEDs…multiple mono therapies tried)
* Left Temporal Lobectomy in 2002 - unable to completely remove scar tissue completely due to risk of losing speech and long term memory (surgery and continued medication achieve control with a handful of breakthrough seizures when a combination of stress, lack of sleep and missed doses
* RNS implant in 2018 in effort to control breakthroughs (Depth nodes placed in left temporal region and left hippocampus region.

Using the information I have been able to find regarding IEDs, I understand they usually last about 70-200 nanoseconds…Please correct me if I’m wrong.

As of 2024, I have experienced 1.2 million IEDs and seizures (majority being IEDs). These events are not logged unless they are 3.5 seconds or longer in duration.

The IEDs I experience are subclinical with about 85% occurring in my sleep while the other 15% occur while awake (usually around wake time, high stress, lack of sleep, etc)

It’s usually 1500-2000 per 24 hour period but some days have been upwards of 3000in a day.

I have been told that there is little that can be done as nearly all activity is subclinical so my doctor and I do our best to manage what we can with the continued goal to be 0 clinical seizures. This goal continues to be achieved.

My concern is the quantity of IEDs. I do not believe the quantity I experience to be normal yet do not have much information that give me a better understanding of the possible number of people that experience what I do daily. Note: I understand to a degree the possibility of artifacts and how they can be misread as an event to the untrained eye. These artifacts usually occur when I am downloading the data from my RNS device.

Do you have any personal experience as an EEG tech with someone else experiencing similar to what I experience?

Do you know of any studies, sites, materials, etc that may help give me a better understanding of what I experience?

Please if there are questions I didn’t ask that you think may be helpful for me understand better, please let me know as I desire to better understand my condition.

Thank you for your time and keep up the great videos please