Difference between revisions of "LPD (lateralized periodic discharges)"

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(Created page with "Synonyme: PLED (Periodic lateralized epileptiform discharges) *'''L'''ateralized: so unilateral *'''P'''eriodic: Relative constant interval between the discharges, which vari...")
 
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*'''L'''ateralized: so unilateral
 
*'''L'''ateralized: so unilateral
 
*'''P'''eriodic: Relative constant interval between the discharges, which varies between 0.5 and 3 seconds (most often around 1 second)
 
*'''P'''eriodic: Relative constant interval between the discharges, which varies between 0.5 and 3 seconds (most often around 1 second)
*'''D'''ischarge: Could be a [[Delta waves]] or sharp waves with a “epileptiform” morphology
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*'''D'''ischarge: Could be [[Delta waves]] or sharp waves with a “epileptiform” morphology
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* If a more ictal appearance it can be categorized as LPD+:<ref>ACNS STANDARDIZED ICU EEG NOMENCLATURE v. 2012</ref>
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**'''+F''': superimposed fast activity.
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**'''+R''': superimposed rhythmic or quasi-rhythmic activity.
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**'''+FR''': superimposed fast activity and rhythmic or quasi-rhythmic activity.
  
  
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[[File:LPD%27s_left_parieto_occipital_male_78_yo_with_a_hemmorrhage_left_occipital_(average).png|border|1200px]]
 
[[File:LPD%27s_left_parieto_occipital_male_78_yo_with_a_hemmorrhage_left_occipital_(average).png|border|1200px]]
 
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'''Notes'''
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<references/>

Revision as of 10:31, 19 May 2017

Synonyme: PLED (Periodic lateralized epileptiform discharges)

  • Lateralized: so unilateral
  • Periodic: Relative constant interval between the discharges, which varies between 0.5 and 3 seconds (most often around 1 second)
  • Discharge: Could be Delta waves or sharp waves with a “epileptiform” morphology


  • If a more ictal appearance it can be categorized as LPD+:[1]
    • +F: superimposed fast activity.
    • +R: superimposed rhythmic or quasi-rhythmic activity.
    • +FR: superimposed fast activity and rhythmic or quasi-rhythmic activity.


  • LPD’s are seen in acute cerebral laesion
    • Non specific:
      • Acute cerebrovascular events
      • Encephalitis
      • Subdural hematoma
      • Other structural lesions
  • Tend to disappear in weeks
  • Higher risk of seizures in patients with LPD’s



LPD's left parieto occipital in a male of 78 years old with a hemmorrhage left occipital (average) LPD's left parieto occipital male 78 yo with a hemmorrhage left occipital (average).png


Notes

  1. ACNS STANDARDIZED ICU EEG NOMENCLATURE v. 2012