“Hurdles” pattern in EEG may guide clinical management of children with epilepsy

Takeaway

  • “Hurdles”, a specific EEG pattern of epileptiform discharges, is associated with low cognitive performance in children with intractable focal epilepsy.

Why this matters

  • Periodic electroencephalography (EEG) activity is commonly observed in pediatric patients with epilepsy. Previous studies have shown an association between epileptiform discharges during sleep, and cognitive dysfunction.

  • Careful evaluation of generalized quasiperiodic epileptiform discharges (“hurdles”) observed in EEG tests, may predict neuropsychological-decline in children with intractable focal epilepsy.