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Year : 1996  |  Volume : 44  |  Issue : 3  |  Page : 145--148

Paradoxical masking of epileptic focus during hyperventilation.


Department of Neurology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore - 560 029, India

Correspondence Address:
M VeerendrakuJan-Mar
Department of Neurology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore - 560 029
India
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Source of Support: None, Conflict of Interest: None


PMID: 29542637

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Hyperventilation (HV) has traditionally been used to activate epileptiform discharges in EEG, especially in generalized epilepsies. A young girl, with complex partial seizures secondarily generalised had frequent spike discharges (1spike/4.2 sec.) in left anterior temporal region in the resting record. During hyperventilation the spike discharges became less frequent (1 spike/15 sec.) and later disappeared. The spike discharges reappeared gradually in post-hyperventilation period and 2 minutes after stopping hyperventilation the spike frequency increased to 1/3.2 sec. The decrease in spike discharges may be due to hyperventilation induced arousal response or decrease in spike discharges may be due to hyperventilation induced arousal response or decrease in Cerebral blood flow resulting in suppression of spike focus. It is also possible that HV induced slow waves may obscure the spike discharges. Such paradoxical reduction of spike discharge during HV warrants cautions interpretation of the results of EEG when HV is used as a routine activation procedure.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow