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14 and 6 Hz Positive Spikes
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SREDA: subclinical rhythmic electrographic discharges of adults
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Montage: unspecified
appearance
abrupt onset and termination, unlike seizures which evolve
rhythmic, sharply contoured theta
may evolve slow to fast (from 1-2 Hz to 5-6 Hz) like a "seizure in reverse"
duration: 20 sec to minutes
usually bisynchronous and symmetric
temporal-parietal distribution
widespread or bilateral, maximal posteriorly
at rest or in drowsiness
clinical significance
usually in normal adults (50 and older)
uncommon
may be mistaken for epileptiform activity
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