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Form Pemeriksaan EEG
Form Pemeriksaan EEG
Nama No. EEG Dokter Pengirim : An. Santi Anggarani : 055 / 13 : dr. Aris Gunawan Jenis Kelamin Tanggal Premedikas i : perempuan : 11 / 02 / 2013 :Umur No. CM Pengobata n : 12 tahun : 01 17 14 22 : unknown
A. Temuan :
Volt age (uV) ** Special Comments (amount, reactivity, duration, etc)
Activity
Frequency (Hz)
Distribution
Posterior background
10 - 11
Continous, rhythmical, waxing and waning, reduced by eye opening Rhytmical, posterior background activity is reduced
5-6 1
M M
B. Klasifikasi
C. Impresi
CLINICAL NEUROPHYSIOLOGY UNIT DEPARTMENT OF NEUROLOGY MOEWARDI HOSPITAL-MEDICAL FACULTY, SEBELAS MARET UNIVERSITY SURAKARTA
Nama No. EEG Dokter Pengirim : Sdr. Tri Bintoro : 057 / 13 : dr. Igor Jenis Kelamin Tanggal Premedikas i : laki - laki : 12 / 02 / 2013 :Umur No. CM Pengobata n : 20 tahun : 00 88 95 68 : Fenitoin,luminal, B6
D.Temuan :
Conscious Level Activation Awake (70%) Posterior backgroun d 10 - 11 M Posterior head region, symethric Continous, rhythmical, waxing and waning, reduced by eye opening Frequenc y (Hz) Volta ge (uV)** Special Comments (amount, reactivity, duration, etc)
Activity
Distribution
5-6 1 13 - 18
M M L
E. Klasifikasi
F. Impresi
CLINICAL NEUROPHYSIOLOGY UNIT DEPARTMENT OF NEUROLOGY MOEWARDI HOSPITAL-MEDICAL FACULTY, SEBELAS MARET UNIVERSITY SURAKARTA
Nama No. EEG Dokter Pengirim : Nn. Ika Fitri Oktavia : 060 / 13 : dr. Igor Jenis Kelamin Tanggal Premedikas i : perempuan : 13 / 02 / 2013 :Umur No. CM Pengobata n : 17 tahun : 01 17 77 30 : unknown
G.Temuan :
Conscious Level Activation Awake (90%) Frequency (Hz) Voltag e (uV)** Special Comments (amount, reactivity, duration, etc) Continous, rhythmical, waxing and waning, reduced by eye opening Rhytmical, posterior background activity is reduced 150-400 msec duration
Distribution
10 - 11 1
M H
Posterior head region, symethric Regional right temporal (max T4) Diffuse, symethric Fronto-central
5-6 1
M M
H. Klasifikasi
: Abnormal III (sadar / tidur stadium 1 ) : 1. Sharp wave di region temporal kanan
I. Impresi : Rekaman EEG saat ini menunjukkan adanya potential epileptogenic zone di regio temporal kanan