How to evaluate and assess the epileptogenic/seizure potential of periodic discharges along the ictal-interictal continuum?

Abstract The ictal–interictal continuum (IIC) is a concept used for those particular EEG patterns that do not meet the strict criteria status epilepticus but may be associated with neuronal injury. aim of this article to review equivocal periodic and discuss their clinical significance along IIC. risk seizures increases when frequency discharges exceeds 2 Hz pattern has features superimposed rhythmic, sharp, or fast activity ( plus modifier). Lateralized (LPDs) are one best examples Criteria have been proposed identifying IIC we called “peri-ictal” LPDs. There ongoing debate about treat patients these spectrum. term only an description, does in itself reflect diagnosis, hence management based on alone. decision intensify treatment combination EEG, underlying etiology, level consciousness, comorbidities, imaging, other surrogates “damage.”