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← Critical-care EEG

Electrographic seizure

An EEG event that meets the ACNS electrographic seizure criteria through discharge rate or definite evolution and duration.

Criteria & assessment

  • Either discharges averaging >2.5 Hz for >=10 s (>25 discharges/10 s), OR a pattern with definite evolution lasting >=10 s.
  • Sharply contoured discharges >200 ms may qualify through the high-rate pathway even when not technically epileptiform.
  • Evolution must satisfy the source RPP evolution criteria; amplitude change alone is insufficient.

Editorial draft · clinical review pending