Abstract

Out of 2,000 consecutive EEGs of neurologic patients, 121 (or 114 patients) had spike-wave complexes. Clinically, the spike-wave complex is practically diagnostic of epileptic phenomena. Spike-wave complexes are divided into the “classical” type, which correlates best but not exclusively with petit mal epilepsy; other generalized spike-wave dysrhythmias of which the multiple spike-wave corresponds most closely to grand mal epilepsy; and focal spike-wave, in which group focal seizures are more frequently found. Known etiologic factors and positive neurologic signs are rare in the “classical” spike-wave group and common in the focal spike-waves. Activation techniques are important in eliciting spike-wave complexes.

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