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Table 3 Comparison of previous and current EEGs

From: Clinical manifestations and EEG findings in children infected with COVID-19 and exhibiting neurological symptoms

Number

Gender

Age (years)

Diagnosis

Presence of status epilepticus

Fever

Number of seizures

Form of seizure

History of neurological illness

Antiseizure medicine before EEG

Seizure frequency compared to before

Age of last EEG (year)

Outcomes of last EEG

EEG findings after infection with COVID-19

Differences between the two EEGs

1

Male

14.6

Epilepsy

No

Yes

1

Generalized clinical

Epilepsy

PB, VPA and TPM

Unknown

14.3

Waking sleep period prefrontal, frontal, central, parietal, occipital, temporal, midline areas or widespread spikes or spines (slow), multi-spine slow, slow wave frequency (with widespread predominance and NREM period discharge index up to 50%)

Background wave slowing

Background slowing (6 Hz), while discharge reduced

2

Male

10.6

Epilepsy

No

No

1

Generalized clinical

Epilepsy

No

Same as before

9.1

Central, parietal, and middle and posterior temporal regions with frequent issuance of low spike, spine, and multi-spine waves

Frequent spikes and slow waves in the frontal, central, parietal, occipital and temporal regions or widespread spikes and slow waves during sleep (predominantly in the right central region)

Discharge range expansion

3

Male

6.6

Epilepsy

No

Yes

2

Generalized clinical

Epilepsy

No

Increase

5.5

Several posterior temporal spike waves issued during sleep period

1. slight slowing of background waves; 2. frequent emission of (multiple) spines (slow) and slow waves in the prefrontal and frontal regions during waking and sleeping periods

Background slowing (8–9 Hz [5 years 6 months] → 6–8 Hz [6 years 7 months])

4

Male

5.5

Epilepsy

No

Yes

1

Focal clinical

Epilepsy

VPA

Same as before

4.4

Abnormal preschool EEG: multiple emission of sharp and spike waves in the right central region during sleep

Occasional release of left frontal and central zone sharp waves during sleep

Discharge range expansion

5

Male

3.3

Epilepsy

No

No

1

Generalized clinical

Epilepsy

VPA and LCM

Same as before

2.6

Normal

Normal

None

6

Female

4.6

Febrile seizures

No

Yes

1

Generalized clinical

Febrile seizures

No

Same as before

3.1

No abnormalities were observed

1. multiple issuances of slow and slow waves in the prefrontal, frontal, central, parietal, occipital, posterior temporal regions or widespread spikes (spines) during waking sleep (with widespread predominance); 2. positive photo paroxysm response

Increased discharges

7

Female

3.7

Febrile seizures

No

Yes

1

Generalized clinical

Febrile seizures

No

Same as before

1.6

Occasional issuance of frontal spikes with background waves of 4–6 Hz

1. slight slowing of background waves; 2. frequent issuance of δ and θ slow waves in the occipital and posterior temporal regions during waking and sleeping periods

Background slowing (4–6 Hz [1 year 7 months] → 4–8 Hz [3 years 7 months]), predominantly θ waves

8

Male

3.3

Febrile seizures

No

Yes

1

Generalized clinical

Febrile seizures

No

Same as before

1.4

Occasional spike waves in the frontal area during sleep

Occasional release of sharp waves in the frontal, frontal midline, and central midline regions during sleep

Discharge range expansion

9

Male

10.7

Complex febrile seizures

No

Yes

1

Generalized clinical

Febrile seizures

No

Increase

8.7

No abnormalities were observed

Closed-eye sensitivity

Presence of closed-eye sensitivity

10

Male

7.8

Complex febrile seizures

No

Yes

1

Generalized clinical

Complex febrile seizures

LEV

Same as before

7.4

Normal range EEG

Normal range EEG

None

11

Male

1.9

Complex febrile seizures

Yes

Yes

2

Generalized clinical

Complex febrile seizures, Delayed language development

No

No prior seizures

1.7

No abnormalities were observed

1. multiple δ-slow waves in the prefrontal, frontal, and frontal midline regions are seen during the waking period; 2. several sharp waves in the prefrontal and frontal regions are seen during the sleeping period

Presence of focal slow waves

  1. Abbreviations: PB phenobarbital, VPA valproic acid, TPM Topiramate, LCM Lacosamide, LEV levetiracetam