Help Me Understand these EEG Results (Teenager)

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My 17-year-old son was recently diagnosed with epilepsy. Can anyone help me understand what the doctor wrote on the EEG report? Thank you so much.

Here it is:

Bursts of spike-wave complexes were depicted in generalized distribution.
 
Hi um-adam,

I don't have any medical experience with this but the "generalised distribution" sounds like the seizures may be affecting all of the brain? Can't you call the neuro and discuss?
 
Sounds like the classic spike-wave pattern of generalized epilepsy (tonic-clonic seizures). It's an inter-ictal pattern -- i.e. it's there when you aren't having a seizure. I had a similar report from my diagnostic EEG.

But as Wobblez says, your neuro should be able to explain for sure if that's what's going on. There are a lot of nuances with EEGs.
 
My son got another EEG, and I am again wondering if anyone can help me understand the report. Of course I know I must ask the neurologist if I need more details, but I am just interested in learning what I can before any conversation with the doctor. Here is the new report:

The cerebral activity is characterized by 8hz medium voltage symmetrical rhythmic waves dominant over posterior head regions that attenuated symetrically to eyes opening. Occasional bursts of sharp wave activity emerged in diffuse distribution. Conclusion: Findings are indicative of generalized epilepsy.
 
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The "symmetrical rhythmic waves dominant over posterior head regions" is fairly normal. But the "occasional bursts of sharp wave activity" are not -- they are what indicate the epilepsy.
 
Basically there is a constant abnormal brain wave in the cortexes of his brain of medium strength.(It's normal to have brainwaves, however 8hz sounds a bit higher than average) It affects both sides equally, and is made smaller when he has his eyes open. This reduction is the same on both sides of the brain. The cortex they refer to is likely the visual cortex, considering it changes with the opening/closing of his eyes.

Occasionally, higher more intese brain waves would spike up, and spread throughout the rest of the brain. (If these were high enough, that's how a seizure would begin. They start in one spot and spread to the whole brain, causing a seizure.)

The results are typical of Generalized Epilepsy, which is likely the diagnosis they have given or will give to him.

Hope this helps a bit :)
 
Thank you to those who responded. So does having these abnormal brainwaves during the EEG mean that he was actually having a seizure at the time of the EEG? Is medication supposed to return the brainwaves to normal? Do they ever "heal" or get better?
 
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