[Somatosensory evoked spikes and epileptiform activity in "normal" children]
Lineu C Fonseca1, Glória M A S Tedrus
1Faculdade de Medicina, Pontifícia Universidade Católica de Campinas, Campinas, SP, Brasil.
Insights
Somatosensory evoked spikes (SES) and spontaneous epileptiform activity (SEA) were studied in 173 children aged 7-11. Findings indicate SES can occur in normal children, suggesting an age-related functional phenomenon.
Area of Science:
- Neuroscience
- Pediatric Neurology
Context:
- Limited data exists on somatosensory evoked spikes (SES) in the electroencephalogram (EEG) of typically developing children.
- Understanding normal EEG patterns is crucial for accurate diagnosis and research in pediatric neurology.
Purpose:
- To investigate the occurrence of somatosensory evoked spikes (SES) and spontaneous epileptiform activity (SEA) in a cohort of normal children aged 7 to 11 years.
- To characterize the prevalence and potential significance of SES in pediatric EEG.
Summary:
- The study examined 173 children (7-11 years) undergoing EEG with somatosensory stimulation (ten taps to hands and feet).
- Spontaneous epileptiform activity (SEA) was found in 2.3% of children, consistent with other studies.
- Somatosensory evoked spikes (SES) were observed in one child (0.58%), suggesting a potential age-related functional phenomenon in normal pediatric EEG.
Impact:
- This research contributes to establishing normative data for SES in pediatric EEG.
- Findings may help differentiate between normal physiological responses and pathological activity in children's EEGs.
- Highlights the possibility of SES as an age-related functional finding in neurodevelopment.
Abstract:
Little is known about somatosensory evoked spikes (SES) in the EEG of normal children. We studied the occurrence of SES and spontaneous epileptiform activity (SEA) in 173 normal children ageg 7 to 11 years. During the EEG ten taps were applied to both hands and feet. The occurrence of high voltage potentials evoked by each stimulation of one or both heels or hands (SES) and the occurrence of SEA were evaluated. SEA was observed in four children (2.3 %): central/parietal spikes in two cases, generalized spike-and-wave in one, and parietal/midtemporal spikes in one case. A ten years old girl (0,58%) had SES on median parietal region by tapping the left foot. This EEG was otherwise normal. Our findings of SEA are similar to those obtained in other normal populations. SES can be observed in normal children. These SES suggest that we are dealing with an age-related functional phenomenon.
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