pediatric neurology

This sound is a recording of an attending physician and a resident discussing the EEG of a patient in the Epilepsy Monitoring Unit at Duke Children's Hospital. The patient that they are discussing underwent a frontal lobectomy. A frontal lobectomy is a procedure in which the frontal part of the brain is removed to try to eliminate severe seizures that  originate in this area. The whirring in the background is the sound of the computer displaying the EEG. Terminology such as "continuous right hemispheric slowing" and "waxing and waning rhythmicity" refer to the types of patterns the physicians are seeing on the EEG. Recorded using a Zoom recorder.

This sound is a recording of an attending physician and a resident discussing the EEG of a patient in the Epilepsy Monitoring Unit at Duke Children's Hospital. In the recording, the resident asks questions about this technique and the attending physician answers. Terminology such as "focal slowing" and "abundant right sharps and spike waves" refers to the refer to the types of patterns the physicians are seeing on the EEG. At the end of the recording, the attending physician notes that the patient had a hemispherectomy, a procedure in which half of the brain is removed with the goal of eliminating severe seizures. However, the physician notes that this EEG is most consistent with "half-status post hemispherectomy", which means that the patient is still having seizures. Recorded using a Zoom recorder.

This sound is a recording of an attending physician and a resident discussing the EEG of a patient in the Epilepsy Monitoring Unit at Duke Children's Hospital. The patient they are discussing underwent deep hypothermic circulatory arrest (DHCA) during a heart surgery. Deep hypothermic circulatory arrest is a surgical technique in which the body is cooled to reduce the rate of blood flow and thereby reduce the chance of stroke-related or oxygen deprivation-related brain injury. The patient's brain activity is monitored via EEG during this time to confirm that the patient is safe. In the recording, the resident asks questions about this technique and the attending physician answers. The attending notes that the patient has a seizure during DHCA. "T5" represents an area of the brain known as the temporal lobe where activity was recorded. Terminology such as "sharply contoured" and "dysfunction" refer to the types of patterns the physicians are seeing on the EEG. Recorded using a Zoom recorder.

This sound is a recording of an attending physician and a resident discussing the EEG of a patient in the Pediatric Epilepsy Monitoring Unit at Duke Children's Hospital. EEG is a a technology used to record brain activity, and can provide useful information about brain abnormalities and neurological conditions such as epilepsy. The terminology they use, such as "fast activity", "polyspike", and "1 Hertz slow spike and wave" refer to the patterns they see on the EEG. The clicking sound in the background is the sound of the attending physician clicking through the EEG recording. The voices in the background are other physicians int he room who are also analyzing EEGs. Throughout the recording, the resident asks questions and the attending physician answers. The patterns relate to a condition known as Lennox-Gastaut Syndrome, a severe pediatric epilepsy. By the end of the recording, the physicians have confirmed that this patient's type of seizures and EEG patterns are consistent with a diagnosis of  Lennox-Gastaut Syndrome (LGS).  Recorded using a Zoom recorder.