diff --git a/library_schemas/score/prerelease/HED_score_2.0.0.mediawiki b/library_schemas/score/prerelease/HED_score_2.0.0.mediawiki index 1534b1b..45aa4d6 100644 --- a/library_schemas/score/prerelease/HED_score_2.0.0.mediawiki +++ b/library_schemas/score/prerelease/HED_score_2.0.0.mediawiki @@ -10,525 +10,525 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind !# start schema -'''Modulator''' {hedId=HED_0042001} [External stimuli / interventions or changes in the alertness level (sleep) that modify: the background activity, or how often a graphoelement is occurring, or change other features of the graphoelement (like intra-burst frequency). For each observed finding, there is an option of specifying how they are influenced by the modulators and procedures that were done during the recording.] -* Sleep-modulator {suggestedTag=Drowsy, hedId=HED_0042002} [When sleep/drowsiness features are scored during drowsiness, Drowsy should be listed as a modulator (Source: Beniczky ea 2017, Section 7 and Table 2).] -** Sleep-deprivation {hedId=HED_0042003} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042004} [Free text.] -** Sleep-following-sleep-deprivation {hedId=HED_0042005} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042006} [Free text.] -** Natural-sleep {hedId=HED_0042007} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042008} [Free text.] -** Induced-sleep {hedId=HED_0042009} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042010} [Free text.] -** Awakening {hedId=HED_0042011} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042012} [Free text.] -* Medication-modulator {hedId=HED_0042013} -** Medication-administered-during-recording {hedId=HED_0042014} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042015} [Free text.] -** Medication-withdrawal-or-reduction-during-recording {hedId=HED_0042016} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042017} [Free text.] -* Eye-modulator {hedId=HED_0042018} -** Manual-eye-closure {hedId=HED_0042019} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042020} [Free text.] -** Manual-eye-opening {hedId=HED_0042021} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042022} [Free text.] -* Stimulation-modulator {hedId=HED_0042023} -** Intermittent-photic-stimulation {suggestedTag=Intermittent-photic-stimulation-effect, hedId=HED_0042024} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=numericClass, unitClass=frequencyUnits, hedId=HED_0042025} -** Auditory-stimulation {hedId=HED_0042026} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042027} [Free text.] -** Nociceptive-stimulation {hedId=HED_0042028} [Source: Beniczky ea 2017, Table 2.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042029} [Free text.] -* Hyperventilation {hedId=HED_0042030} [When selecting hyperventilation from the list, the user is prompted to score the quality of the hyperventilation (excellent effort, good effort, poor effort, refused the procedure, unable to do the procedure). (Source: Beniczky ea 2017, Section 4, Table 2.)] -** Hyperventilation-refused-procedure {hedId=HED_0042031} -*** # {takesValue, valueClass=textClass, hedId=HED_0042032} [Free text.] -** Hyperventilation-poor-effort {hedId=HED_0042033} -*** # {takesValue, valueClass=textClass, hedId=HED_0042034} [Free text.] -** Hyperventilation-good-effort {hedId=HED_0042035} -*** # {takesValue, valueClass=textClass, hedId=HED_0042036} [Free text.] -** Hyperventilation-excellent-effort {hedId=HED_0042037} -*** # {takesValue, valueClass=textClass, hedId=HED_0042038} [Free text.] -* Physical-effort {hedId=HED_0042039} [Source: Beniczky ea 2017, Table 2.] -** # {takesValue, valueClass=textClass, hedId=HED_0042040} [Free text.] -* Cognitive-task {hedId=HED_0042041} [Source: Beniczky ea 2017, Table 2.] -** # {takesValue, valueClass=textClass, hedId=HED_0042042} [Free text.] -* Other-modulator-or-procedure {requireChild, hedId=HED_0042043} [Free text describing other modulators or procedures. (Source: Beniczky ea 2017, Table 2.)] -** # {takesValue, valueClass=textClass, hedId=HED_0042044} [Free text.] +'''Modulator''' [External stimuli / interventions or changes in the alertness level (sleep) that modify: the background activity, or how often a graphoelement is occurring, or change other features of the graphoelement (like intra-burst frequency). For each observed feature, there is an option of specifying how they are influenced by the modulators and procedures that were done during the recording.] +* Sleep-modulator {suggestedTag=Drowsy} [When sleep/drowsiness features are scored during drowsiness, Drowsy should be listed as a modulator (Source: Beniczky ea 2017, Section 7 and Table 2).] +** Sleep-deprivation [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Sleep-following-sleep-deprivation [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Natural-sleep [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Induced-sleep [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Awakening [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +* Medication-modulator +** Medication-administered-during-recording [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Medication-withdrawal-or-reduction-during-recording [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +* Eye-modulator +** Manual-eye-closure [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Manual-eye-opening [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +* Stimulation-modulator +** Intermittent-photic-stimulation {suggestedTag=Intermittent-photic-stimulation-effect} [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=numericClass, unitClass=frequencyUnits} +** Auditory-stimulation [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Nociceptive-stimulation [Source: Beniczky ea 2017, Table 2.] +*** # {takesValue, valueClass=textClass} [Free text.] +* Hyperventilation [When selecting hyperventilation from the list, the user is prompted to score the quality of the hyperventilation (excellent effort, good effort, poor effort, refused the procedure, unable to do the procedure). (Source: Beniczky ea 2017, Section 4, Table 2.)] +** Hyperventilation-refused-procedure +*** # {takesValue, valueClass=textClass} [Free text.] +** Hyperventilation-poor-effort +*** # {takesValue, valueClass=textClass} [Free text.] +** Hyperventilation-good-effort +*** # {takesValue, valueClass=textClass} [Free text.] +** Hyperventilation-excellent-effort +*** # {takesValue, valueClass=textClass} [Free text.] +* Physical-effort [Source: Beniczky ea 2017, Table 2.] +** # {takesValue, valueClass=textClass} [Free text.] +* Cognitive-task [Source: Beniczky ea 2017, Table 2.] +** # {takesValue, valueClass=textClass} [Free text.] +* Other-modulator-or-procedure {requireChild} [Free text describing other modulators or procedures. (Source: Beniczky ea 2017, Table 2.)] +** # {takesValue, valueClass=textClass} [Free text.] -'''Background-activity''' {hedId=HED_0042045} [An EEG activity representing the setting in which a given normal or abnormal pattern appears and from which such pattern is distinguished (Source: Beniczky ea 2013, Appendix S1.)] -* Posterior-dominant-rhythm {suggestedTag=Finding-significance-to-recording, suggestedTag=Finding-frequency, suggestedTag=Posterior-dominant-rhythm-property, hedId=HED_0042046} [Rhythmic activity occurring during wakefulness over the posterior regions of the head, generally with maximum amplitudes over the occipital areas. Amplitude varies. Best seen with eyes closed and during physical relaxation and relative mental inactivity. Blocked or attenuated by attention, especially visual, and mental effort. In adults this is the alpha rhythm, and the frequency is 8 to 13 Hz. However the frequency can be higher or lower than this range (often a supra or sub harmonic of alpha frequency) and is called alpha variant rhythm (fast and slow alpha variant rhythm). In children, the normal range of the frequency of the posterior dominant rhythm is age-dependant. (Source: Beniczky ea 2013, Appendix S2; suggested tags from Beniczky ea 2017, Table 4.)] -* Mu-rhythm {suggestedTag=Finding-frequency, suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, hedId=HED_0042047} [EEG rhythm at 7-11 Hz composed of arch-shaped waves occurring over the central or centro-parietal regions of the scalp during wakefulness. Amplitudes varies but is mostly below 50 microV. Blocked or attenuated most clearly by contralateral movement, thought of movement, readiness to move or tactile stimulation. (Source: Beniczky ea 2013, Appendix S2.)] -* Other-organized-rhythm {requireChild, suggestedTag=Rhythmic-property, suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042048} [EEG activity consisting of waves of approximately constant period that are considered part of the background (ongoing) activity, but do not fulfill the criteria of the posterior dominant rhythm. (Source: Beniczky ea 2013, Appendix S2.)] -** # {takesValue, valueClass=textClass, hedId=HED_0042049} [Free text.] -* Background-activity-special-feature {hedId=HED_0042050} [Special features provide scoring options for the background activity of critically ill patients. (Source: Beniczky ea 2017, Section 6.)] -** Continuous-background-activity {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors, hedId=HED_0042051} [Source: Beniczky ea 2017, Section 6.] -** Nearly-continuous-background-activity {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors, hedId=HED_0042052} [Source: Beniczky ea 2017, Section 6.] -** Discontinuous-background-activity {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors, hedId=HED_0042053} [Source: Beniczky ea 2017, Section 6.] -** Background-burst-suppression {suggestedTag=Categorical-location-value, suggestedTag=Sensors, hedId=HED_0042054} [EEG pattern consisting of bursts (activity appearing and disappearing abruptly) interrupted by periods of low amplitude (below 20 microV). This pattern occurs simultaneously over all head regions. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.)] -** Background-burst-attenuation {suggestedTag=Categorical-location-value, suggestedTag=Sensors, hedId=HED_0042055} [Source: Beniczky ea 2017, Section 6.] -** Background-activity-suppression {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, hedId=HED_0042056} [Periods showing activity under 10 microV (referential montage) and interrupting the background (ongoing) activity. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.)] -** Electrocerebral-inactivity {hedId=HED_0042057} [Absence of any ongoing cortical electric activities; in all leads EEG is isoelectric or only contains artifacts. Sensitivity has to be increased up to 2 microV/mm; recording time: at least 30 minutes. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.)] +'''Background-activity''' [An EEG activity representing the setting in which a given normal or abnormal pattern appears and from which such pattern is distinguished (Source: Beniczky ea 2013, Appendix S1.)] +* Posterior-dominant-rhythm {suggestedTag=Feature-significance-to-recording, suggestedTag=Feature-frequency, suggestedTag=Posterior-dominant-rhythm-property} [Rhythmic activity occurring during wakefulness over the posterior regions of the head, generally with maximum amplitudes over the occipital areas. Amplitude varies. Best seen with eyes closed and during physical relaxation and relative mental inactivity. Blocked or attenuated by attention, especially visual, and mental effort. In adults this is the alpha rhythm, and the frequency is 8 to 13 Hz. However the frequency can be higher or lower than this range (often a supra or sub harmonic of alpha frequency) and is called alpha variant rhythm (fast and slow alpha variant rhythm). In children, the normal range of the frequency of the posterior dominant rhythm is age-dependant. (Source: Beniczky ea 2013, Appendix S2; suggested tags from Beniczky ea 2017, Table 4.)] +* Mu-rhythm {suggestedTag=Feature-frequency, suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors} [EEG rhythm at 7-11 Hz composed of arch-shaped waves occurring over the central or centro-parietal regions of the scalp during wakefulness. Amplitudes varies but is mostly below 50 microV. Blocked or attenuated most clearly by contralateral movement, thought of movement, readiness to move or tactile stimulation. (Source: Beniczky ea 2013, Appendix S2.)] +* Other-organized-rhythm {requireChild, suggestedTag=Rhythmic-property, suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [EEG activity consisting of waves of approximately constant period that are considered part of the background (ongoing) activity, but do not fulfill the criteria of the posterior dominant rhythm. (Source: Beniczky ea 2013, Appendix S2.)] +** # {takesValue, valueClass=textClass} [Free text.] +* Background-activity-special-feature [Special features provide scoring options for the background activity of critically ill patients. (Source: Beniczky ea 2017, Section 6.)] +** Continuous-background-activity {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors} [Source: Beniczky ea 2017, Section 6.] +** Nearly-continuous-background-activity {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors} [Source: Beniczky ea 2017, Section 6.] +** Discontinuous-background-activity {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors} [Source: Beniczky ea 2017, Section 6.] +** Background-burst-suppression {suggestedTag=Categorical-location-value, suggestedTag=Sensors} [EEG pattern consisting of bursts (activity appearing and disappearing abruptly) interrupted by periods of low amplitude (below 20 microV). This pattern occurs simultaneously over all head regions. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.)] +** Background-burst-attenuation {suggestedTag=Categorical-location-value, suggestedTag=Sensors} [Source: Beniczky ea 2017, Section 6.] +** Background-activity-suppression {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode} [Periods showing activity under 10 microV (referential montage) and interrupting the background (ongoing) activity. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.)] +** Electrocerebral-inactivity [Absence of any ongoing cortical electric activities; in all leads EEG is isoelectric or only contains artifacts. Sensitivity has to be increased up to 2 microV/mm; recording time: at least 30 minutes. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.)] -'''Critically-ill-patient-patterns''' {hedId=HED_0042058} [Rhythmic or periodic patterns in critically ill patients (RPPs) are scored according to the 2012 version of the American Clinical Neurophysiology Society Standardized Critical Care EEG Terminology (Source: Hirsch ea 2013; Beniczky ea 2017, Section 9).] -* Critically-ill-patient-periodic-discharges {suggestedTag=RPP-morphology, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Finding-frequency, suggestedTag=RPP-time-related-feature, hedId=HED_0042059} [Periodic discharges (PDs): Periodic - repetition of a waveform with relatively uniform morphology and duration with a quantifiable inter-discharge interval between consecutive waveforms and recurrence of the waveform at nearly regular intervals. (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.)] -* Rhythmic-delta-activity {suggestedTag=RPP-with-superimposed-activity, suggestedTag=RPP-absolute-amplitude, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Finding-frequency, suggestedTag=RPP-time-related-feature, hedId=HED_0042060} [Rhythmic Delta Activity (RDA): Rhythmic - repetition of a waveform with relatively uniform morphology and duration, and without an interval between consecutive waveforms. RDA - rhythmic activity less than or equal to 4 Hz. The duration of one cycle (i.e., the period) of the rhythmic pattern should vary by less than 50 percent from the duration of the subsequent cycle for the majority (greater than 50 percent) of cycle pairs to qualify as rhythmic. (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.)] -* Spike-or-sharp-and-wave {suggestedTag=RPP-sharpness, suggestedTag=Number-of-RPP-phases, suggestedTag=Triphasic-morphology, suggestedTag=RPP-absolute-amplitude, suggestedTag=RPP-relative-amplitude, suggestedTag=RPP-polarity, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Multifocal-finding, suggestedTag=Finding-frequency, suggestedTag=RPP-time-related-feature, hedId=HED_0042061} [Spike-and-wave or Sharp-and-wave (SW) - polyspike, spike or sharp wave consistently followed by a slow wave in a regularly repeating and alternating pattern (spike-wave-spike-wave-spike-wave), with a consistent relationship between the spike (or polyspike or sharp wave) component and the slow wave; and with no interval between one spike-wave complex and the next (if there is an interval, this would qualify as PDs, where each discharge is a spike-and- wave). (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.)] +'''Critically-ill-patient-patterns''' [Rhythmic or periodic patterns in critically ill patients (RPPs) are scored according to the 2012 version of the American Clinical Neurophysiology Society Standardized Critical Care EEG Terminology (Source: Hirsch ea 2013; Beniczky ea 2017, Section 9).] +* Critically-ill-patient-periodic-discharges {suggestedTag=RPP-morphology, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Feature-frequency, suggestedTag=RPP-time-related-feature} [Periodic discharges (PDs): Periodic - repetition of a waveform with relatively uniform morphology and duration with a quantifiable inter-discharge interval between consecutive waveforms and recurrence of the waveform at nearly regular intervals. (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.)] +* Rhythmic-delta-activity {suggestedTag=RPP-with-superimposed-activity, suggestedTag=RPP-absolute-amplitude, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Feature-frequency, suggestedTag=RPP-time-related-feature} [Rhythmic Delta Activity (RDA): Rhythmic - repetition of a waveform with relatively uniform morphology and duration, and without an interval between consecutive waveforms. RDA - rhythmic activity less than or equal to 4 Hz. The duration of one cycle (i.e., the period) of the rhythmic pattern should vary by less than 50 percent from the duration of the subsequent cycle for the majority (greater than 50 percent) of cycle pairs to qualify as rhythmic. (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.)] +* Spike-or-sharp-and-wave {suggestedTag=RPP-sharpness, suggestedTag=Number-of-RPP-phases, suggestedTag=Triphasic-morphology, suggestedTag=RPP-absolute-amplitude, suggestedTag=RPP-relative-amplitude, suggestedTag=RPP-polarity, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Multifocal-feature, suggestedTag=Feature-frequency, suggestedTag=RPP-time-related-feature} [Spike-and-wave or Sharp-and-wave (SW) - polyspike, spike or sharp wave consistently followed by a slow wave in a regularly repeating and alternating pattern (spike-wave-spike-wave-spike-wave), with a consistent relationship between the spike (or polyspike or sharp wave) component and the slow wave; and with no interval between one spike-wave complex and the next (if there is an interval, this would qualify as PDs, where each discharge is a spike-and- wave). (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.)] -'''Episode''' {hedId=HED_0042062} [Clinical episode or electrographic seizure. (Source: Beniczky ea 2013, Appendix S1.)] -* Epileptic-seizure {suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, hedId=HED_0042063} [The ILAE seizure classification divides seizures into focal, generalized onset, or unknown onset. (Source: Beniczky ea 2017, Table 9, Supplement 1; Selection-tree and list of seizure-types, according to the current ILAE seizure classification, Fisher ea 2017.)] -** Focal-onset-epileptic-seizure {suggestedTag=Automatism-seizure, suggestedTag=Atonic-seizure, suggestedTag=Clonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Hyperkinetic-seizure, suggestedTag=Myoclonic-seizure, suggestedTag=Tonic-seizure, suggestedTag=Autonomic-seizure, suggestedTag=Behavior-arrest-seizure, suggestedTag=Cognitive-seizure, suggestedTag=Emotional-seizure, suggestedTag=Sensory-seizure, hedId=HED_0042064} [A focal seizure originates within networks limited to one hemisphere. They may be discretely localized or more widely distributed. Focal seizures may originate in subcortical structures. Focal seizures are optionally subdivided into focal aware and focal impaired awareness seizures. Specific motor and nonmotor classifiers may be added. (Source: Fisher ea 2017, Table 2 and Key Points; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.)] -*** Aware-focal-onset-epileptic-seizure {hedId=HED_0042065} [Focal onset and maintained awareness (knowledge of self or environment). (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.A.)] -*** Impaired-awareness-focal-onset-epileptic-seizure {hedId=HED_0042066} [Focal onset and impaired or lost awareness (knowledge of self or environment) is a feature of focal impaired awareness seizures, previously called complex partial seizures. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.B.)] -*** Awareness-unknown-focal-onset-epileptic-seizure {hedId=HED_0042067} [Focal onset and awareness (knowledge of self or environment) unknown or not specified. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.C.)] -*** Focal-to-bilateral-tonic-clonic-focal-onset-epileptic-seizure {hedId=HED_0042068} [A seizure type with focal onset, with awareness or impaired awareness, either motor or non-motor, progressing to bilateral tonic clonic activity. The prior term was seizure with partial onset with secondary generalization. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.D.01.)] -** Generalized-onset-epileptic-seizure {suggestedTag=Tonic-clonic-seizure, suggestedTag=Clonic-seizure, suggestedTag=Tonic-seizure, suggestedTag=Myoclonic-seizure, suggestedTag=Myoclonic-tonic-clonic-seizure, suggestedTag=Myoclonic-atonic-seizure, suggestedTag=Atonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Typical-absence-seizure, suggestedTag=Atypical-absence-seizure, suggestedTag=Myoclonic-absence-seizure, suggestedTag=Eyelid-myoclonia-seizure, hedId=HED_0042069} [Generalized seizures originate at some point within, and rapidly engaging, bilaterally distributed networks. Generalized onset seizures can be motor: tonic clonic, clonic, tonic, myoclonic, myoclonic tonic clonic, myoclonic atonic, atonic, and epileptic spasms. Generalized onset seizures can also be nonmotor (absence): typical absence, atypical absence, myoclonic absence, or absence with eyelid myoclonia. (Source: Fisher ea 2017, Table 2 and Key Points; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code II.)] -** Unknown-onset-epileptic-seizure {suggestedTag=Tonic-clonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Behavior-arrest-seizure, hedId=HED_0042070} [A seizure of unknown onset may still evidence certain defining motor (e.g., tonic clonic) or nonmotor (e.g., behavior arrest) characteristics. With further information or future observed seizures, a reclassification of unknown-onset seizures into focal or generalized-onset categories may become possible. Therefore, “unknown-onset” is not a characteristic of the seizure, but a convenient placeholder for our ignorance. (Source: Fisher ea 2017, page 532; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code III.)] -*** Unclassified-epileptic-seizure {hedId=HED_0042071} [Referring to a seizure type that cannot be described by the ILAE 2017 classification either because of inadequate information or unusual clinical features. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code III.C.01)] -* Electroencephalographic-seizure {suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, hedId=HED_0042072} [Refers usually to non convulsive status. Ictal EEG: rhythmic discharge or spike and wave pattern with definite evolution in frequency, location, or morphology lasting at least 10 s; evolution in amplitude alone did not qualify. (Source: Beniczky ea 2013, Appendix S5; Beniczky ea 2017, Table 9.)] -* Seizure-PNES {suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, hedId=HED_0042073} [Psychogenic non-epileptic seizure. Paroxysmal events that mimic (or are confused with) epileptic seizures, but which do not result from epileptic activity; they lack the EEG ictal findings during the ictus. (Source: Beniczky ea 2013, Appendix S5; Beniczky ea 2017, Table 9.)] -* Sleep-related-episode {suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, hedId=HED_0042074} [(Source: Beniczky ea 2017, Table 9.)] -** Sleep-related-arousal {hedId=HED_0042075} [Normal arousal. (Source: Beniczky ea 2017, Table 9.)] -** Benign-sleep-myoclonus {hedId=HED_0042076} [A distinctive disorder of sleep characterized by a) neonatal onset, b) rhythmic myoclonic jerks only during sleep and c) abrupt and consistent cessation with arousal, d) absence of concomitant electrographic changes suggestive of seizures, and e) good outcome. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -** Confusional-arousal {hedId=HED_0042077} [Episode of non epileptic nature included in NREM parasomnias, characterized by sudden arousal and complex behavior but without full alertness, usually lasting a few minutes and occurring almost in all children at least occasionally. Amnesia of the episode is the rule. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -** Cataplexy {suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, hedId=HED_0042078} [A sudden decrement in muscle tone and loss of deep tendon reflexes, leading to muscle weakness, paralysis, or postural collapse. Cataplexy usually is precipitated by an outburst of emotional expression-notably laughter, anger, or startle. It is one of the tetrad of symptoms of narcolepsy. During cataplexy, respiration and voluntary eye movements are not compromised. Consciousness is preserved. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -** Sleep-periodic-limb-movement {hedId=HED_0042079} [PLMS. Periodic limb movement in sleep. Episodes are characterized by brief (0.5- to 5.0-second) lower-extremity movements during sleep, which typically occur at 20- to 40-second intervals, most commonly during the first 3 hours of sleep. The affected individual is usually not aware of the movements or of the transient partial arousals. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -** REM-sleep-behavioral-disorder {hedId=HED_0042080} [REM sleep behavioral disorder. Episodes characterized by: a) presence of REM sleep without atonia (RSWA) on polysomnography (PSG); b) presence of at least 1 of the following conditions - (1) Sleep-related behaviors, by history, that have been injurious, potentially injurious, or disruptive (example: dream enactment behavior); (2) abnormal REM sleep behavior documented during PSG monitoring; (3) absence of epileptiform activity on electroencephalogram (EEG) during REM sleep (unless RBD can be clearly distinguished from any concurrent REM sleep-related seizure disorder); (4) sleep disorder not better explained by another sleep disorder, a medical or neurologic disorder, a mental disorder, medication use, or a substance use disorder. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -** Sleep-walking {hedId=HED_0042081} [Episodes characterized by ambulation during sleep; the patient is difficult to arouse during an episode, and is usually amnesic following the episode. Episodes usually occur in the first third of the night during slow wave sleep. Polysomnographic recordings demonstrate 2 abnormalities during the first sleep cycle: frequent, brief, non-behavioral EEG-defined arousals prior to the somnambulistic episode and abnormally low gamma (0.75-2.0 Hz) EEG power on spectral analysis, correlating with high-voltage (hyper-synchronic gamma) waves lasting 10 to 15 s occurring just prior to the movement. This is followed by stage I NREM sleep, and there is no evidence of complete awakening. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -* Pediatric-episode {suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, hedId=HED_0042082} [(Source: Beniczky ea 2017, Table 9.)] -** Hyperekplexia {hedId=HED_0042083} [Disorder characterized by exaggerated startle response and hypertonicity that may occur during the first year of life and in severe cases during the neonatal period. Children usually present with marked irritability and recurrent startles in response to handling and sounds. Severely affected infants can have severe jerks and stiffening, sometimes with breath-holding spells. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -** Jactatio-capitis-nocturna {hedId=HED_0042084} [Relatively common in normal children at the time of going to bed, especially during the first year of life, the rhythmic head movements persist during sleep. Usually, these phenomena disappear before 3 years of age. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -** Pavor-nocturnus {hedId=HED_0042085} [A nocturnal episode characterized by age of onset of less than five years (mean age 18 months, with peak prevalence at five to seven years), appearance of signs of panic two hours after falling asleep with crying, screams, a fearful expression, inability to recognize other people including parents (for a duration of 5-15 minutes), amnesia upon awakening. Pavor nocturnus occurs in patients almost every night for months or years (but the frequency is highly variable and may be as low as once a month) and is likely to disappear spontaneously at the age of six to eight years. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -** Pediatric-stereotypical-behavior-episode {hedId=HED_0042086} [Repetitive motor behavior in children, typically rhythmic and persistent; usually not paroxysmal and rarely suggest epilepsy. They include headbanging, head-rolling, jactatio capitis nocturna, body rocking, buccal or lingual movements, hand flapping and related mannerisms, repetitive hand-waving (to self-induce photosensitive seizures).(Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -* Paroxysmal-motor-event {suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, hedId=HED_0042087} [Paroxysmal phenomena during neonatal or childhood periods characterized by recurrent motor or behavioral signs or symptoms that must be distinguished from epileptic disorders. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -* Syncope {suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, hedId=HED_0042088} [Episode with loss of consciousness and muscle tone that is abrupt in onset, of short duration and followed by rapid recovery; it occurs in response to transient impairment of cerebral perfusion. Typical prodromal symptoms often herald onset of syncope and postictal symptoms are minimal. Syncopal convulsions resulting from cerebral anoxia are common but are not a form of epilepsy, nor are there any accompanying EEG ictal discharges. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] -* Other-episode {requireChild, hedId=HED_0042089} -** # {takesValue, valueClass=textClass, hedId=HED_0042090} [Free text.] +'''Episode''' [Clinical episode or electrographic seizure. (Source: Beniczky ea 2013, Appendix S1.)] +* Epileptic-seizure {suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting} [The ILAE seizure classification divides seizures into focal, generalized onset, or unknown onset. (Source: Beniczky ea 2017, Table 9, Supplement 1; Selection-tree and list of seizure-types, according to the current ILAE seizure classification, Fisher ea 2017.)] +** Focal-onset-epileptic-seizure {suggestedTag=Automatism-seizure, suggestedTag=Atonic-seizure, suggestedTag=Clonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Hyperkinetic-seizure, suggestedTag=Myoclonic-seizure, suggestedTag=Tonic-seizure, suggestedTag=Autonomic-seizure, suggestedTag=Behavior-arrest-seizure, suggestedTag=Cognitive-seizure, suggestedTag=Emotional-seizure, suggestedTag=Sensory-seizure} [A focal seizure originates within networks limited to one hemisphere. They may be discretely localized or more widely distributed. Focal seizures may originate in subcortical structures. Focal seizures are optionally subdivided into focal aware and focal impaired awareness seizures. Specific motor and nonmotor classifiers may be added. (Source: Fisher ea 2017, Table 2 and Key Points; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.)] +*** Aware-focal-onset-epileptic-seizure [Focal onset and maintained awareness (knowledge of self or environment). (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.A.)] +*** Impaired-awareness-focal-onset-epileptic-seizure [Focal onset and impaired or lost awareness (knowledge of self or environment) is a feature of focal impaired awareness seizures, previously called complex partial seizures. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.B.)] +*** Awareness-unknown-focal-onset-epileptic-seizure [Focal onset and awareness (knowledge of self or environment) unknown or not specified. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.C.)] +*** Focal-to-bilateral-tonic-clonic-focal-onset-epileptic-seizure [A seizure type with focal onset, with awareness or impaired awareness, either motor or non-motor, progressing to bilateral tonic clonic activity. The prior term was seizure with partial onset with secondary generalization. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.D.01.)] +** Generalized-onset-epileptic-seizure {suggestedTag=Tonic-clonic-seizure, suggestedTag=Clonic-seizure, suggestedTag=Tonic-seizure, suggestedTag=Myoclonic-seizure, suggestedTag=Myoclonic-tonic-clonic-seizure, suggestedTag=Myoclonic-atonic-seizure, suggestedTag=Atonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Typical-absence-seizure, suggestedTag=Atypical-absence-seizure, suggestedTag=Myoclonic-absence-seizure, suggestedTag=Eyelid-myoclonia-seizure} [Generalized seizures originate at some point within, and rapidly engaging, bilaterally distributed networks. Generalized onset seizures can be motor: tonic clonic, clonic, tonic, myoclonic, myoclonic tonic clonic, myoclonic atonic, atonic, and epileptic spasms. Generalized onset seizures can also be nonmotor (absence): typical absence, atypical absence, myoclonic absence, or absence with eyelid myoclonia. (Source: Fisher ea 2017, Table 2 and Key Points; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code II.)] +** Unknown-onset-epileptic-seizure {suggestedTag=Tonic-clonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Behavior-arrest-seizure} [A seizure of unknown onset may still evidence certain defining motor (e.g., tonic clonic) or nonmotor (e.g., behavior arrest) characteristics. With further information or future observed seizures, a reclassification of unknown-onset seizures into focal or generalized-onset categories may become possible. Therefore, “unknown-onset” is not a characteristic of the seizure, but a convenient placeholder for our ignorance. (Source: Fisher ea 2017, page 532; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code III.)] +*** Unclassified-epileptic-seizure [Referring to a seizure type that cannot be described by the ILAE 2017 classification either because of inadequate information or unusual clinical features. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code III.C.01)] +* Electroencephalographic-seizure {suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting} [Refers usually to non convulsive status. Ictal EEG: rhythmic discharge or spike and wave pattern with definite evolution in frequency, location, or morphology lasting at least 10 s; evolution in amplitude alone did not qualify. (Source: Beniczky ea 2013, Appendix S5; Beniczky ea 2017, Table 9.)] +* Seizure-PNES {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting} [Psychogenic non-epileptic seizure. Paroxysmal events that mimic (or are confused with) epileptic seizures, but which do not result from epileptic activity; they lack the EEG ictal features during the ictus. (Source: Beniczky ea 2013, Appendix S5; Beniczky ea 2017, Table 9.)] +* Sleep-related-episode {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting} [(Source: Beniczky ea 2017, Table 9.)] +** Sleep-related-arousal [Normal arousal. (Source: Beniczky ea 2017, Table 9.)] +** Benign-sleep-myoclonus [A distinctive disorder of sleep characterized by a) neonatal onset, b) rhythmic myoclonic jerks only during sleep and c) abrupt and consistent cessation with arousal, d) absence of concomitant electrographic changes suggestive of seizures, and e) good outcome. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +** Confusional-arousal [Episode of non epileptic nature included in NREM parasomnias, characterized by sudden arousal and complex behavior but without full alertness, usually lasting a few minutes and occurring almost in all children at least occasionally. Amnesia of the episode is the rule. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +** Cataplexy {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting} [A sudden decrement in muscle tone and loss of deep tendon reflexes, leading to muscle weakness, paralysis, or postural collapse. Cataplexy usually is precipitated by an outburst of emotional expression-notably laughter, anger, or startle. It is one of the tetrad of symptoms of narcolepsy. During cataplexy, respiration and voluntary eye movements are not compromised. Consciousness is preserved. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +** Sleep-periodic-limb-movement [PLMS. Periodic limb movement in sleep. Episodes are characterized by brief (0.5- to 5.0-second) lower-extremity movements during sleep, which typically occur at 20- to 40-second intervals, most commonly during the first 3 hours of sleep. The affected individual is usually not aware of the movements or of the transient partial arousals. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +** REM-sleep-behavioral-disorder [REM sleep behavioral disorder. Episodes characterized by: a) presence of REM sleep without atonia (RSWA) on polysomnography (PSG); b) presence of at least 1 of the following conditions - (1) Sleep-related behaviors, by history, that have been injurious, potentially injurious, or disruptive (example: dream enactment behavior); (2) abnormal REM sleep behavior documented during PSG monitoring; (3) absence of epileptiform activity on electroencephalogram (EEG) during REM sleep (unless RBD can be clearly distinguished from any concurrent REM sleep-related seizure disorder); (4) sleep disorder not better explained by another sleep disorder, a medical or neurologic disorder, a mental disorder, medication use, or a substance use disorder. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +** Sleep-walking [Episodes characterized by ambulation during sleep; the patient is difficult to arouse during an episode, and is usually amnesic following the episode. Episodes usually occur in the first third of the night during slow wave sleep. Polysomnographic recordings demonstrate 2 abnormalities during the first sleep cycle: frequent, brief, non-behavioral EEG-defined arousals prior to the somnambulistic episode and abnormally low gamma (0.75-2.0 Hz) EEG power on spectral analysis, correlating with high-voltage (hyper-synchronic gamma) waves lasting 10 to 15 s occurring just prior to the movement. This is followed by stage I NREM sleep, and there is no evidence of complete awakening. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +* Pediatric-episode {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting} [(Source: Beniczky ea 2017, Table 9.)] +** Hyperekplexia [Disorder characterized by exaggerated startle response and hypertonicity that may occur during the first year of life and in severe cases during the neonatal period. Children usually present with marked irritability and recurrent startles in response to handling and sounds. Severely affected infants can have severe jerks and stiffening, sometimes with breath-holding spells. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +** Jactatio-capitis-nocturna [Relatively common in normal children at the time of going to bed, especially during the first year of life, the rhythmic head movements persist during sleep. Usually, these phenomena disappear before 3 years of age. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +** Pavor-nocturnus [A nocturnal episode characterized by age of onset of less than five years (mean age 18 months, with peak prevalence at five to seven years), appearance of signs of panic two hours after falling asleep with crying, screams, a fearful expression, inability to recognize other people including parents (for a duration of 5-15 minutes), amnesia upon awakening. Pavor nocturnus occurs in patients almost every night for months or years (but the frequency is highly variable and may be as low as once a month) and is likely to disappear spontaneously at the age of six to eight years. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +** Pediatric-stereotypical-behavior-episode [Repetitive motor behavior in children, typically rhythmic and persistent; usually not paroxysmal and rarely suggest epilepsy. They include headbanging, head-rolling, jactatio capitis nocturna, body rocking, buccal or lingual movements, hand flapping and related mannerisms, repetitive hand-waving (to self-induce photosensitive seizures).(Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +* Paroxysmal-motor-event {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting} [Paroxysmal phenomena during neonatal or childhood periods characterized by recurrent motor or behavioral signs or symptoms that must be distinguished from epileptic disorders. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +* Syncope {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting} [Episode with loss of consciousness and muscle tone that is abrupt in onset, of short duration and followed by rapid recovery; it occurs in response to transient impairment of cerebral perfusion. Typical prodromal symptoms often herald onset of syncope and postictal symptoms are minimal. Syncopal convulsions resulting from cerebral anoxia are common but are not a form of epilepsy, nor are there any accompanying EEG ictal discharges. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.)] +* Other-episode {requireChild} +** # {takesValue, valueClass=textClass} [Free text.] -'''Finding-property''' {hedId=HED_0042091} [Descriptive element similar to main HED /Property. Something that pertains to a thing. A characteristic of some entity. A quality or feature regarded as a characteristic or inherent part of someone or something. HED attributes are adjectives or adverbs.] -* Signal-morphology-property {hedId=HED_0042092} [Signal morphology attributes relevant to findings of background, interictal or ictal activity. (Source: Beniczky ea 2017, Table 5, Table 8, Table 12.)] -** Rhythmic-property {hedId=HED_0042093} [Rhythmic activity can be observed during background, interictal or ictal activity and HED-SCORE therefore describes this as an property/attribute. (Source: Beniczky ea 2017, Table 5, Table 12, Table 14.)] -*** Delta-activity {suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude, hedId=HED_0042094} [Rhythmic activity in the delta frequency range (under 4 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042095} [Free text.] -*** Theta-activity {suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude, hedId=HED_0042096} [Rhythmic activity in the theta frequency range (4-8 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042097} [Free text.] -*** Alpha-activity {suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude, hedId=HED_0042098} [Rhythmic activity in the alpha frequency range (8-13 Hz), but not a part of the posterior dominant rhythm. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042099} [Free text.] -*** Beta-activity {suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude, hedId=HED_0042100} [Rhythmic activity in the beta frequency range (14-40 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042101} [Free text.] -*** Gamma-activity {suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude, hedId=HED_0042102} [Rhythmic activity in the gamma frequency range. (Source: Beniczky ea 2017, Table 5.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042103} [Free text.] -*** Polymorphic-delta-activity {hedId=HED_0042104} [EEG activity consisting of waves in the delta range (over 250 ms duration for each wave) but of different morphology. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042105} [Free text.] -*** Frontal-intermittent-rhythmic-delta-activity {hedId=HED_0042106} [Frontal intermittent rhythmic delta activity (FIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at 1.5-2.5 Hz over the frontal areas of one or both sides of the head. Comment: most commonly associated with unspecified encephalopathy, in adults. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042107} [Free text.] -*** Occipital-intermittent-rhythmic-delta-activity {hedId=HED_0042108} [Occipital intermittent rhythmic delta activity (OIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at 2-3 Hz over the occipital or posterior head regions of one or both sides of the head. Frequently blocked or attenuated by opening the eyes. Comment: most commonly associated with unspecified encephalopathy, in children. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042109} [Free text.] -*** Temporal-intermittent-rhythmic-delta-activity {hedId=HED_0042110} [Temporal intermittent rhythmic delta activity (TIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at over the temporal areas of one side of the head. Comment: most commonly associated with temporal lobe epilepsy. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042111} [Free text.] -** Spike {hedId=HED_0042112} [A transient, clearly distinguished from background activity, with pointed peak at a conventional paper speed or time scale and duration from 20 to under 70 ms, i.e. 1/50-1/15 s approximately. Main component is generally negative relative to other areas. Amplitude varies. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042113} [Free text.] -** Spike-and-slow-wave {hedId=HED_0042114} [A pattern consisting of a spike followed by a slow wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042115} [Free text.] -** Runs-of-rapid-spikes {hedId=HED_0042116} [Bursts of spike discharges at a rate from 10 to 25/sec (in most cases somewhat irregular). The bursts last more than 2 seconds (usually 2 to 10 seconds) and the runs are typically seen in sleep. Synonyms: rhythmic spikes, generalized paroxysmal fast activity, fast paroxysmal rhythms, grand mal discharge, fast beta activity. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042117} [Free text.] -** Polyspikes {hedId=HED_0042118} [Two or more consecutive spikes. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042119} [Free text.] -** Polyspike-and-slow-wave {hedId=HED_0042120} [Two or more consecutive spikes associated with one or more slow waves. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042121} [Free text.] -** Sharp-wave {hedId=HED_0042122} [A transient clearly distinguished from background activity, with pointed peak at a conventional paper speed or time scale, and duration of 70-200 ms, i.e. over 1/4-1/5 s approximately. Main component is generally negative relative to other areas. Amplitude varies. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042123} [Free text.] -** Sharp-and-slow-wave {hedId=HED_0042124} [A sequence of a sharp wave and a slow wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042125} [Free text.] -** Slow-sharp-wave {hedId=HED_0042126} [A transient that bears all the characteristics of a sharp-wave, but exceeds 200 ms. Synonym: blunted sharp wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042127} [Free text.] -** High-frequency-oscillation {hedId=HED_0042128} [High Frequency Oscillation (HFO). Oscillations with a frequency higher than 80 Hz. (Source: Wikipedia; Beniczky ea 2017, Table 5.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042129} [Free text.] -** Hypsarrhythmia-classic {hedId=HED_0042130} [Pattern consisting of diffuse chaotic high voltage (more than 300 μV) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042131} [Free text.] -** Hypsarrhythmia-modified {hedId=HED_0042132} [Pattern consisting of diffuse chaotic high voltage (more than 300 μV) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042133} [Free text.] -** Fast-spike-activity {hedId=HED_0042134} [A burst consisting of a sequence of spikes. Duration greater than 1 s. Frequency at least in the alpha range. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042135} [Free text.] -** Low-voltage-fast-activity {hedId=HED_0042136} [Refers to the fast, and often recruiting activity which can be recorded at the onset of an ictal discharge, particularly in invasive EEG recording of a seizure. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042137} [Free text.] -** Polysharp-waves {hedId=HED_0042138} [A sequence of two or more sharp-waves. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042139} [Free text.] -** Slow-wave-large-amplitude {hedId=HED_0042140} [Slow wave of large amplitude. (Source: Beniczky ea 2017, Table 12.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042141} [Free text.] -** Irregular-delta-or-theta-activity {hedId=HED_0042142} [EEG activity consisting of repetitive waves of inconsistent wave-duration but in delta and/or theta range (greater than 125 ms). (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042143} [Free text.] -** Electrodecremental-change {hedId=HED_0042144} [Sudden desynchronization of electrical activity. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042145} [Free text.] -** DC-shift {hedId=HED_0042146} [Shift of negative polarity of the direct current recordings, during seizures. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042147} [Free text.] -** Disappearance-of-ongoing-activity {hedId=HED_0042148} [Disappearance of the EEG activity that preceded the ictal event but still remnants of background activity (thus not enough to name it electrodecremental change). (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042149} [Free text.] -** RPP-morphology {suggestedTag=Finding-amplitude, hedId=HED_0042150} [Modifier terms for Rhythmic or Periodic Patterns in critically ill patients (RPPs). (Source: Beniczky ea 2017, Table 8.)] -*** RPP-with-superimposed-activity {suggestedTag=Property-not-possible-to-determine, hedId=HED_0042151} [Superimposed activity (for PDs and RDA). (Source: Beniczky ea 2017, Table 8.)] -**** Superimposed-fast-activity {suggestedTag=Finding-frequency, hedId=HED_0042152} [Superimposed fast activity. (Source: Beniczky ea 2017, Table 8.)] -***** # {takesValue, valueClass=textClass, hedId=HED_0042153} [Free text.] -**** Superimposed-rhythmic-activity {suggestedTag=Finding-frequency, hedId=HED_0042154} [Superimposed rhythmic activity (for PDs only). (Source: Beniczky ea 2017, Table 8.)] -***** # {takesValue, valueClass=textClass, hedId=HED_0042155} [Free text.] -**** Superimposed-sharp-waves-or-spikes {hedId=HED_0042156} [Superimposed sharp waves or spikes (for RDA only). (Source: Beniczky ea 2017, Table 8.)] -***** # {takesValue, valueClass=textClass, hedId=HED_0042157} [Free text.] -*** RPP-sharpness {suggestedTag=Property-not-possible-to-determine, hedId=HED_0042158} [Sharpness (for PDs and SW). (Source: Beniczky ea 2017, Table 8.)] -**** RPP-spiky {hedId=HED_0042159} [Spiky (<70 ms, measured at the baseline). (Source: Beniczky ea 2017, Table 8.)] -**** RPP-sharp {hedId=HED_0042160} [Sharp (70–200 ms). (Source: Beniczky ea 2017, Table 8.)] -**** RPP-sharply-contoured {hedId=HED_0042161} [Sharply contoured. (Source: Beniczky ea 2017, Table 8.)] -**** RPP-blunt {hedId=HED_0042162} [Blunt. (Source: Beniczky ea 2017, Table 8.)] -*** Number-of-RPP-phases {suggestedTag=Property-not-possible-to-determine, suggestedTag=Greater-than, hedId=HED_0042163} [Number of phases (for PDs and SW): 1, 2 or 3. (Source: Beniczky ea 2017, Table 8.)] -**** # {takesValue, valueClass=numericClass, hedId=HED_0042164} -*** Triphasic-morphology {hedId=HED_0042165} [Waves with three distinct phases (for PDs and SW). (Source: Beniczky ea 2017, Table 8.)] -*** RPP-absolute-amplitude {suggestedTag=Property-not-possible-to-determine, suggestedTag=Low, suggestedTag=Medium, suggestedTag=High, hedId=HED_0042166} [Absolute amplitude (for PDs, RDA, SW). Can use suggested tags for amplitude range. Very low, (Finding-amplitude, (Less-than, (Finding-amplitude/20 uv))): less than 20 microV, Low: 20 to 49 microV, Medium: 50 to 199 microV, High: Greater than 200 microV. (Source: Beniczky ea 2017, Table 8.)] -**** # {takesValue, valueClass=numericClass, unitClass=electricPotentialUnits, hedId=HED_0042167} -*** RPP-relative-amplitude {suggestedTag=Property-not-possible-to-determine, suggestedTag=Less-than-or-equal-to, suggestedTag=Greater-than, hedId=HED_0042168} [Relative amplitude (for PDs), should indicate if it's less than or equal to 2 or greater than 2. (Source: Beniczky ea 2017, Table 8.)] -*** RPP-polarity {suggestedTag=Positive, suggestedTag=Negative, suggestedTag=Property-not-possible-to-determine, hedId=HED_0042169} [Polarity (for PDs and SW). (Source: Beniczky ea 2017, Table 8.)] -**** RPP-tangential-polarity {hedId=HED_0042170} [Tangential/horizontal dipole. (Source: Beniczky ea 2017, Table 8.)] -***** # {takesValue, valueClass=textClass, hedId=HED_0042171} [Free text.] -* Source-analysis-property {hedId=HED_0042172} [In case source imaging is done, the results are scored at sublobar level: frontal (perisylvian-superior surface; lateral; mesial; polar; orbitofrontal), temporal (polar; basal, lateral-anterior; lateral-posterior; perisylvian-inferior surface), central (lateral convexity; mesial; central sulcus – anterior surface, central sulcus – posterior surface; opercular), parietal (lateral-convexity; mesial; opercular), occipital (lateral; mesial, basal) and insula. (Source: Beniczky ea 2017, Section 8.)] -** # {takesValue, valueClass=textClass, hedId=HED_0042173} [Free text.] -* Location-property {suggestedTag=Left, suggestedTag=Right, suggestedTag=Body-part, hedId=HED_0042174} [Location can be scored for findings. Semiologic finding can also be characterized by the somatotopic modifier (i.e. the part of the body where it occurs). In this respect, laterality (left, right, symmetric, asymmetric, left greater than right, right greater than left), body part (eyelid, face, arm, leg, trunk, visceral, left/right) and centricity (axial (trunk), proximal limb, distal limb). (Source: Beniczky ea 2017, Sections 8 and 10)] -** Sensors {requireChild, hedId=HED_0042175} [Lists all corresponding sensors (electrodes/channels in montage). The sensor-group is selected from a list defined in the site-settings for each EEG-lab.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042176} [Free text.] -** Finding-propagation {suggestedTag=Body-part, suggestedTag=Sensors, hedId=HED_0042177} [When propagation within the graphoelement is observed, first the location of the onset region is scored. Then, the location of the propagation can be noted.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042178} [Free text.] -** Multifocal-finding {suggestedTag=Property-not-possible-to-determine, hedId=HED_0042179} [When the same interictal graphoelement is observed bilaterally and at least in three independent locations, can score them using one entry, and choosing multifocal as a descriptor of the locations of the given interictal graphoelements, optionally emphasizing the involved, and the most active sites.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042180} [Free text.] -* Modulators-property {hedId=HED_0042181} [For each described graphoelement, the influence of the modulators can be scored. Only modulators present in the recording are scored. (Source: Beniczky ea 2017, Section 10.)] -** Modulators-reactivity {suggestedTag=Modulator, suggestedTag=Finding-stopped-by, suggestedTag=Increasing, suggestedTag=Decreasing, hedId=HED_0042182} [Susceptibility of individual rhythms or the EEG as a whole to change following sensory stimulation or other physiologic actions (Source: Beniczky ea 2013, Appendix S2). The type of stimulus can be a modulator or can be specified in free-text.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042183} [Free text.] -** Facilitating-factor {suggestedTag=Catamenial, suggestedTag=Fever, suggestedTag=Intoxicated, suggestedTag=Awake, suggestedTag=Asleep, suggestedTag=Sleep-deprivation, hedId=HED_0042184} [The facilitating factors (if known) can be selected: alcohol (Suggested tag: Intoxicated), awakening, catamenial, fever, sleep, sleep-deprivation, other (free text). Facilitating factors are defined as transient and sporadic endogenous or exogenous elements capable of augmenting seizure incidence (increasing the likelihood of seizure occurrence). (Source: Beniczky ea 2013.)] -*** Other-facilitating-factor {hedId=HED_0042185} -**** # {takesValue, valueClass=textClass, hedId=HED_0042186} [Free text.] -** Provocative-factor {suggestedTag=Hyperventilation, hedId=HED_0042187} [Provocative factors are defined as transient and sporadic endogenous or exogenous elements capable of evoking/triggering seizures immediately following the exposure to it. (Source: Beniczky ea 2013.)] -*** Reflex-provoked {hedId=HED_0042188} -**** # {takesValue, valueClass=textClass, hedId=HED_0042189} [Free text.] -*** Other-provocative-factor {hedId=HED_0042190} -**** # {takesValue, valueClass=textClass, hedId=HED_0042191} [Free text.] -** Intermittent-photic-stimulation-effect {suggestedTag=Normal, hedId=HED_0042192} [The effect of Intermittent Photic Stimulation (IPS) is scored according to the terminology proposed by Kasteleijn-Nolst Trenité ea (2001). (Source: Beniczky ea 2017.)] -*** Posterior-stimulus-dependent-response {suggestedTag=Finding-frequency, hedId=HED_0042193} [Anomalous steady-state VEPs, of unusually sharp waveform or high amplitude. Some types have clinical correlates, for instance, occipital spikes after suppression of generalized PPR by medication and high-amplitude VEPs in neuronal ceroid lipofuscinosis. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] -*** Posterior-stimulus-independent-response-limited {suggestedTag=Finding-frequency, hedId=HED_0042194} [Limited to the stimulus train: Activity confined to or maximal at the back of the head and not at the flash frequency or at a harmonic thereof. The term includes delta and theta activity and frank epileptiform patterns. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] -*** Posterior-stimulus-independent-response-self-sustained {suggestedTag=Finding-frequency, hedId=HED_0042195} [Self-sustaining: Self-sustaining posterior stimulus-independent responses that outlast the stimulus train. These often last many seconds and may evolve to an overt seizure. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] -*** Generalized-photoparoxysmal-response-limited {suggestedTag=Finding-frequency, hedId=HED_0042196} [Limited to the stimulus train: Comprises multiple spikes or spike-and-wave activity, which are apparently generalized, but may be of greater amplitude at the front or back of the head. It is termed a photoconvulsive response (PCR) by Bickford et al., and corresponds to type 4 response of Waltz et al. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] -*** Generalized-photoparoxysmal-response-self-sustained {suggestedTag=Finding-frequency, hedId=HED_0042197} [Self-sustaining: Generalized PPR continuing after stimulation. This may not be demonstrated unless the stimulus train is terminated as soon as a generalized PPR is identified. It was termed prolonged photoconvulsive response by Reilly and Peters, and has a strong association with epilepsy and visually induced seizures in patients referred for clinical EEG examination. Its prevalence in asymptomatic general populations is unknown, but was found in five of 13,658 apparently healthy aircrew by Gregory et al. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] -*** Activation-of-pre-existing-epileptogenic-area {suggestedTag=Finding-frequency, hedId=HED_0042198} [Rarely, photic stimulation may activate an epileptogenic cortex, which is also spontaneously active; IPS could then also elicit a seizure by stimulating this, usually posterior located, area. It is questionable whether this should be considered a photoparoxysmal response (PPR), and it does not figure in established classifications. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] -* Time-related-property {hedId=HED_0042199} [Estimates of how often a graphoelement is seen in the recording. (Source: Beniczky ea 2017, Table 6, Table 8.)] -** Appearance-mode {suggestedTag=Property-not-possible-to-determine, suggestedTag=Random, suggestedTag=Repetitive, suggestedTag=Varying, hedId=HED_0042200} [Describes how the non-ictal EEG pattern/graphoelement is distributed through the recording. Occurrence of the non-ictal EEG pattern / graphoelement can be Random, Repetitive or Varying. Random: occurring without any rhythmicity / periodicity, Repetitive: occurring at an approximately regular rate / interval (generally of 1 to several seconds). Variable: occurring sometimes rhythmic or periodic, other times random, throughout the recording. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042201} [Free text.] -** Discharge-pattern {hedId=HED_0042202} [Describes the organization of the EEG signal within the discharge (distinguish between single and repetitive discharges). (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.)] -*** Single-discharge {suggestedTag=Finding-incidence, hedId=HED_0042203} [Applies to the intra-burst pattern: a graphoelement that is not repetitive; before and after the graphoelement one can distinguish the background activity. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.)] -*** Rhythmic-trains-or-bursts {suggestedTag=Finding-prevalence, suggestedTag=Finding-frequency, hedId=HED_0042204} [Applies to the intra-burst pattern: a non-ictal graphoelement that repeats itself without returning to the background activity between them. The graphoelements within this repetition occur at approximately constant period. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.)] -*** Arrhythmic-trains-or-bursts {suggestedTag=Finding-prevalence, hedId=HED_0042205} [Applies to the intra-burst pattern: a non-ictal graphoelement that repeats itself without returning to the background activity between them. The graphoelements within this repetition occur at inconstant period. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.)] -*** Fragmented-discharge {hedId=HED_0042206} [Source: Beniczky ea 2017, Table 6.] -** RPP-time-related-feature {hedId=HED_0042207} [Time related feature for Rhythmic or Periodic Patterns in critically ill patients (RPPs). (Source: Beniczky ea 2017, Table 8.)] -*** RPP-duration {hedId=HED_0042208} [Duration (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.)] -**** Very-brief-RPP-duration {hedId=HED_0042209} [Less than 10 sec. (Source: Beniczky ea 2017, Table 8.)] -**** Brief-RPP-duration {hedId=HED_0042210} [10 to 59 sec. (Source: Beniczky ea 2017, Table 8.)] -**** Intermediate-RPP-duration {hedId=HED_0042211} [1 to 4.9 min. (Source: Beniczky ea 2017, Table 8.)] -**** Long-RPP-duration {hedId=HED_0042212} [5 to 59 min. (Source: Beniczky ea 2017, Table 8.)] -**** Very-long-RPP-duration {hedId=HED_0042213} [Greater than 1 hour. (Source: Beniczky ea 2017, Table 8.)] -*** RPP-onset {hedId=HED_0042214} [Onset (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.)] -**** Sudden-RPP-onset {hedId=HED_0042215} [Sudden (progressing from absent to well developed within 3 s.). (Source: Beniczky ea 2017, Table 8.)] -**** Gradual-RPP-onset {hedId=HED_0042216} [Gradual onset. (Source: Beniczky ea 2017, Table 8.)] -*** RPP-dynamics {hedId=HED_0042217} [Dynamics (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.)] -**** Evolving-RPP-dynamics {hedId=HED_0042218} [Source: Beniczky ea 2017, Table 8.] -***** # {takesValue, valueClass=textClass, hedId=HED_0042219} [Free text.] -**** Fluctuating-RPP-dynamics {hedId=HED_0042220} [Source: Beniczky ea 2017, Table 8.] -***** # {takesValue, valueClass=textClass, hedId=HED_0042221} [Free text.] -**** Static-RPP-dynamics {hedId=HED_0042222} [Source: Beniczky ea 2017, Table 8.] -***** # {takesValue, valueClass=textClass, hedId=HED_0042223} [Free text.] -** Finding-incidence {hedId=HED_0042224} [Estimate of how often findings are seen in the recording. This is scored differently, depending on the type of finding. For single discharges, this is scored as incidence (how often it occurs/time-epoch). (Source: Beniczky ea 2017, Section 8, Table 6.)] -*** One-time-incidence {hedId=HED_0042225} [Source: Beniczky ea 2017, Table 6.] -*** Rare-finding-incidence {hedId=HED_0042226} [Less than 1/h. (Source: Beniczky ea 2017, Table 6.)] -*** Uncommon-finding-incidence {hedId=HED_0042227} [1/5 min to 1/h. (Source: Beniczky ea 2017, Table 6.)] -*** Occasional-finding-incidence {hedId=HED_0042228} [1/min to 1/5min. (Source: Beniczky ea 2017, Table 6.)] -*** Frequent-finding-incidence {hedId=HED_0042229} [1/10 s to 1/min. (Source: Beniczky ea 2017, Table 6.)] -*** Abundant-finding-incidence {hedId=HED_0042230} [Greater than 1/10 s. (Source: Beniczky ea 2017, Table 6.)] -** Finding-prevalence {hedId=HED_0042231} [Estimate of how often findings are seen in the recording. This is scored differently, depending on the type of finding. For trains or bursts this is scored as prevalence (the percentage of the recording covered by the train/burst). (Source: Beniczky ea 2017, Section 8, Table 6, Table 8.)] -*** Rare-prevalence {hedId=HED_0042232} [Less than 1 percent. (Source: Beniczky ea 2017, Table 6, Table 8).] -*** Occasional-prevalence {hedId=HED_0042233} [1 to 9 percent. (Source: Beniczky ea 2017, Table 6, Table 8)] -*** Frequent-prevalence {hedId=HED_0042234} [10 to 49 percent. (Source: Beniczky ea 2017, Table 6, Table 8)] -*** Abundant-prevalence {hedId=HED_0042235} [50 to 89 percent. (Source: Beniczky ea 2017, Table 6, Table 8)] -*** Continuous-prevalence {hedId=HED_0042236} [Greater than 90 percent. (Source: Beniczky ea 2017, Table 6, Table 8)] -* Posterior-dominant-rhythm-property {suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude, hedId=HED_0042237} [Posterior dominant rhythm is the most often scored EEG feature in clinical practice. Therefore, there are specific terms that can be chosen for characterizing the PDR. Note that frequency and amplitude can be further described to be symmetrical or assymetrical. (Source: Beniczky ea 2017, Section 6, Table 4.)] -** Posterior-dominant-rhythm-amplitude-range {suggestedTag=Low, suggestedTag=Medium, suggestedTag=High, hedId=HED_0042238} [Low: less than 20 microV, Medium: 20 to 70 microVSource, High: more than 70 microV. (Source: Beniczky ea 2017, Table 4.)] -** Posterior-dominant-rhythm-eye-opening-reactivity {suggestedTag=Property-not-possible-to-determine, suggestedTag=Left, suggestedTag=Right, hedId=HED_0042239} [Change (disappearance or measurable decrease in amplitude) of a posterior dominant rhythm following eye-opening. Eye closure has the opposite effect. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Table 4.)] -** Posterior-dominant-rhythm-organization {suggestedTag=Normal, hedId=HED_0042240} [Posterior dominant rhythm organization. When normal could be labeled with suggested tag. (Source: Beniczky ea 2017, Table 4.)] -*** Posterior-dominant-rhythm-organization-poorly-organized {hedId=HED_0042241} [Poorly organized. (Source: Beniczky ea 2017, Table 4.)] -*** Posterior-dominant-rhythm-organization-disorganized {hedId=HED_0042242} [Disorganized. (Source: Beniczky ea 2017, Table 4.)] -*** Posterior-dominant-rhythm-organization-markedly-disorganized {hedId=HED_0042243} [Markedly disorganized. (Source: Beniczky ea 2017, Table 4.)] -** Posterior-dominant-rhythm-caveat {suggestedTag=None, suggestedTag=Eyes-open, suggestedTag=Sleep-deprivation, suggestedTag=Drowsy, suggestedTag=Hyperventilation, hedId=HED_0042244} [Caveats for PDR annotation, use suggestedTags to indicate whether there were: no caveats, only open eyes during the recording, sleep-deprived, drowsy or only following hyperventilation. (Source: Beniczky ea 2017, Table 4.)] -** Absence-of-posterior-dominant-rhythm {suggestedTag=Data-artifact, suggestedTag=Asleep, hedId=HED_0042245} [Reason for absence of PDR. (Source: Beniczky ea 2017, Table 4.)] -*** Absence-of-posterior-dominant-rhythm-extreme-low-voltage {hedId=HED_0042246} [Source: Beniczky ea 2017, Table 4.] -*** Absence-of-posterior-dominant-rhythm-eye-closure-could-not-be-achieved {hedId=HED_0042247} [Source: Beniczky ea 2017, Table 4.] -*** Absence-of-posterior-dominant-rhythm-lack-of-compliance {hedId=HED_0042248} [Source: Beniczky ea 2017, Table 4.] -*** Absence-of-posterior-dominant-rhythm-other-causes {requireChild, hedId=HED_0042249} [Source: Beniczky ea 2017, Table 4.] -**** # {takesValue, valueClass=textClass, hedId=HED_0042250} [Free text.] -* Episode-property {hedId=HED_0042251} [Episode property pertains to the set of characteristics that collectively depict different aspects of an episode, encompassing its manifestations and phases.] -** Seizure-classification {hedId=HED_0042252} [Seizure classification refers to the grouping of seizures based on their clinical features, EEG patterns, and other characteristics. Epileptic seizures are named using the current ILAE seizure classification (Fisher et al., 2017, Beniczky et al., 2017).] -*** Myoclonic-seizure {suggestedTag=Duration, hedId=HED_0042253} [Sudden, brief (lower than 100 msec) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). Myoclonus is less regularly repetitive and less sustained than is clonus. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.)] -*** Negative-myoclonic-seizure {suggestedTag=Duration, hedId=HED_0042254} [Source: Beniczky ea 2017, Supplement 1; Duration tag from Beniczky ea Table 13.] -*** Motor-seizure {suggestedTag=Duration, hedId=HED_0042255} [Involves musculature in any form. The motor event could consist of an increase (positive) or decrease (negative) in muscle contraction to produce a movement. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.)] -**** Clonic-seizure {hedId=HED_0042256} [Jerking, either symmetric or asymmetric, that is regularly repetitive and involves the same muscle groups. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Tonic-seizure {hedId=HED_0042257} [A sustained increase in muscle contraction lasting a few seconds to minutes. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Atonic-seizure {hedId=HED_0042258} [Sudden loss or diminution of muscle tone without apparent preceding myoclonic or tonic event lasting about 1 to 2 s, involving head, trunk, jaw, or limb musculature. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Myoclonic-atonic-seizure {hedId=HED_0042259} [A generalized seizure type with a myoclonic jerk leading to an atonic motor component. This type was previously called myoclonic astatic. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Myoclonic-tonic-clonic-seizure {hedId=HED_0042260} [One or a few jerks of limbs bilaterally, followed by a tonic clonic seizure. The initial jerks can be considered to be either a brief period of clonus or myoclonus. Seizures with this characteristic are common in juvenile myoclonic epilepsy. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Tonic-clonic-seizure {hedId=HED_0042261} [A sequence consisting of a tonic followed by a clonic phase. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Automatism-seizure {hedId=HED_0042262} [A more or less coordinated motor activity usually occurring when cognition is impaired and for which the subject is usually (but not always) amnesic afterward. This often resembles a voluntary movement and may consist of an inappropriate continuation of preictal motor activity. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Hyperkinetic-seizure {hedId=HED_0042263} [(Source: Fisher ea 2017, Table 2.)] -**** Epileptic-spasm {hedId=HED_0042264} [A sudden flexion, extension, or mixed extension flexion of predominantly proximal and truncal muscles that is usually more sustained than a myoclonic movement but not as sustained as a tonic seizure. Limited forms may occur: Grimacing, head nodding, or subtle eye movements. Epileptic spasms frequently occur in clusters. Infantile spasms are the best known form, but spasms can occur at all ages. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -*** Nonmotor-seizure {suggestedTag=Duration, hedId=HED_0042265} [Focal or generalized seizure types in which motor activity is not prominent. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.)] -**** Behavior-arrest-seizure {hedId=HED_0042266} [Arrest (pause) of activities, freezing, immobilization, as in behavior arrest seizure. A focal behavior arrest seizure shows arrest of behavior as the prominent feature of the entire seizure. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017.)] -**** Sensory-seizure {hedId=HED_0042267} [A perceptual experience not caused by appropriate stimuli in the external world. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Emotional-seizure {hedId=HED_0042268} [Seizures presenting with an emotion or the appearance of having an emotion as an early prominent feature, such as fear, spontaneous joy or euphoria, laughing (gelastic), or crying (dacrystic). Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Cognitive-seizure {hedId=HED_0042269} [Pertaining to thinking and higher cortical functions, such as language, spatial perception, memory, and praxis. The previous term for similar usage as a seizure type was psychic. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Autonomic-seizure {hedId=HED_0042270} [A distinct alteration of autonomic nervous system function involving cardiovascular, pupillary, gastrointestinal, sudomotor, vasomotor, and thermoregulatory functions. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -*** Absence-seizure {suggestedTag=Duration, hedId=HED_0042271} [Absence seizures present with a sudden cessation of activity and awareness. Absence seizures tend to occur in younger age groups, have more sudden start and termination, and they usually display less complex automatisms than do focal seizures with impaired awareness, but the distinctions are not absolute. EEG information may be required for accurate classification. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.)] -**** Typical-absence-seizure {hedId=HED_0042272} [A sudden onset, interruption of ongoing activities, a blank stare, possibly a brief upward deviation of the eyes. Usually the patient will be unresponsive when spoken to. Duration is a few seconds to half a minute with very rapid recovery. Although not always available, an EEG would show generalized epileptiform discharges during the event. An absence seizure is by definition a seizure of generalized onset. The word is not synonymous with a blank stare, which also can be encountered with focal onset seizures. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Atypical-absence-seizure {hedId=HED_0042273} [An absence seizure with changes in tone that are more pronounced than in typical absence or the onset and/or cessation is not abrupt, often associated with slow, irregular, generalized spike-wave activity. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -**** Myoclonic-absence-seizure {hedId=HED_0042274} [A myoclonic absence seizure refers to an absence seizure with rhythmic three-per-second myoclonic movements, causing ratcheting abduction of the upper limbs leading to progressive arm elevation, and associated with three-per-second generalized spike-wave discharges. Duration is typically 10 to 60 s. Impairment of consciousness may not be obvious. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, page 536.)] -**** Eyelid-myoclonia-seizure {hedId=HED_0042275} [Jerking of the eyelids at frequencies of at least 3 per second, commonly with upward eye deviation, usually lasting <10 s, often precipitated by eye closure. There may or may not be associated brief loss of awareness. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] -** Seizure-semiology {suggestedTag=None, suggestedTag=Duration, hedId=HED_0042276} [Seizure semiology refers to the clinical signs and sympoms that are observed during a seizure. Semiology is described according to the ILAE Glossary of Descriptive Terminology for Ictal Semiology (Blume et al., 2001). Besides the name, the semiologic finding can also be characterized by the somatotopic modifier, laterality, body part and centricity. Uses Location-property tags. (Source: Beniczky ea 2017, Section 10; Duration tag from Beniczky ea Table 13.)] -*** Semiology-motor-behavioral-arrest {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042277} [Interruption of ongoing motor activity or of ongoing behaviors with fixed gaze, without movement of the head or trunk (oro-alimentary and hand automatisms may continue). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -*** Semiology-dyscognitive {hedId=HED_0042278} [The term describes events in which (1) disturbance of cognition is the predominant or most apparent feature, and (2a) two or more of the following components are involved, or (2b) involvement of such components remains undetermined. Otherwise, use the more specific term (e.g., mnemonic experiential seizure or hallucinatory experiential seizure). Components of cognition: ++ perception: symbolic conception of sensory information ++ attention: appropriate selection of a principal perception or task ++ emotion: appropriate affective significance of a perception ++ memory: ability to store and retrieve percepts or concepts ++ executive function: anticipation, selection, monitoring of consequences, and initiation of motor activity including praxis, speech. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -*** Semiology-elementary-motor {hedId=HED_0042279} [A single type of contraction of a muscle or group of muscles that is usually stereotyped and not decomposable into phases. However, see tonic-clonic, an elementary motor sequence. (Source: Blume ea 2001, 1.1; Beniczky ea 2017, Table 10.)] -**** Semiology-myoclonic-jerk {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042280} [Characterized by myoclonus. MYOCLONUS : sudden, brief (lower than 100 ms) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-negative-myoclonus {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042281} [Characterized by negative myoclonus. NEGATIVE MYOCLONUS: interruption of tonic muscular activity for lower than 500 ms without evidence of preceding myoclonia. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-clonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042282} [Myoclonus that is regularly repetitive, involves the same muscle groups, at a frequency of about 2 to 3 c/s, and is prolonged. Synonym: rhythmic myoclonus. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-jacksonian-march {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042283} [Term indicating spread of clonic movements through contiguous body parts unilaterally. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-epileptic-spasm {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042284} [A sudden flexion, extension, or mixed extension flexion of predominantly proximal and truncal muscles that is usually more sustained than a myoclonic movement but not so sustained as a tonic seizure (i.e., about 1 s). Limited forms may occur: grimacing, head nodding. Frequent occurrence in clusters. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-tonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042285} [A sustained increase in muscle contraction lasting a few seconds to minutes. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-dystonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042286} [Sustained contractions of both agonist and antagonist muscles producing athetoid or twisting movements, which, when prolonged, may produce abnormal postures. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-postural {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042287} [Adoption of a posture that may be bilaterally symmetric or asymmetric (as in a fencing posture). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-versive {suggestedTag=Body-part, hedId=HED_0042288} [A sustained, forced conjugate ocular, cephalic, and/or truncal rotation or lateral deviation from the midline. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-tonic-clonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042289} [A sequence consisting of a tonic followed by a clonic phase. Variants such as clonic-tonic-clonic may be seen. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -***** Semiology-tonic-clonic-without-figure-of-four {hedId=HED_0042290} [Without figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -***** Semiology-tonic-clonic-with-figure-of-four-extension-left-elbow {hedId=HED_0042291} [With figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -***** Semiology-tonic-clonic-with-figure-of-four-extension-right-elbow {hedId=HED_0042292} [With figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-astatic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042293} [Loss of erect posture that results from an atonic, myoclonic, or tonic mechanism. Synonym: drop attack. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-atonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042294} [Sudden loss or diminution of muscle tone without apparent preceding myoclonic or tonic event lasting greater or equal to 1 to 2 s, involving head, trunk, jaw, or limb musculature. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-eye-blinking {suggestedTag=Categorical-location-value, hedId=HED_0042295} [Source: Beniczky ea 2017, Table 10.] -**** Semiology-subtle-motor-phenomena {requireChild, suggestedTag=Categorical-location-value, hedId=HED_0042296} [Source: Beniczky ea 2017, Table 10.] -***** # {takesValue, valueClass=textClass, hedId=HED_0042297} [Free text.] -**** Semiology-other-elementary-motor {requireChild, hedId=HED_0042298} -***** # {takesValue, valueClass=textClass, hedId=HED_0042299} [Free text.] -*** Semiology-automatisms {hedId=HED_0042300} [A more or less coordinated, repetitive, motor activity usually occurring when cognition is impaired and for which the subject is usually amnesic afterward. This often resembles a voluntary movement and may consist of an inappropriate continuation of ongoing preictal motor activity. (Source: Beniczky ea 2017, Table 10; Fisher ea 2017, Table 2.)] -**** Semiology-mimetic {hedId=HED_0042301} [Facial expression suggesting an emotional state, often fear. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-oroalimentary {hedId=HED_0042302} [Lip smacking, lip pursing, chewing, licking, tooth grinding, or swallowing. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-dacrystic {hedId=HED_0042303} [Bursts of crying. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-manual {suggestedTag=Categorical-location-value, hedId=HED_0042304} [1. Indicates principally distal components, bilateral or unilateral. 2. Fumbling, tapping, manipulating movements. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-gestural {suggestedTag=Categorical-location-value, hedId=HED_0042305} [Semipurposive, asynchronous hand movements. Often unilateral. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-hypermotor {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042306} [1. Involves predominantly proximal limb or axial muscles producing irregular sequential ballistic movements, such as pedaling, pelvic thrusting, thrashing, rocking movements. 2. Increase in rate of ongoing movements or inappropriately rapid performance of a movement. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-hypokinetic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042307} [A decrease in amplitude and/or rate or arrest of ongoing motor activity. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-gelastic {hedId=HED_0042308} [Bursts of laughter or giggling, usually without an appropriate affective tone. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-other-automatisms {requireChild, hedId=HED_0042309} [Source: Beniczky ea 2017, Table 10.] -***** # {takesValue, valueClass=textClass, hedId=HED_0042310} [Free text.] -*** Semiology-sensory {hedId=HED_0042311} [A perceptual experience not caused by appropriate stimuli in the external world. Modifies seizure or aura. (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 2.2.)] -**** Semiology-headache {suggestedTag=Categorical-location-value, hedId=HED_0042312} [Headache occurring in close temporal proximity to the seizure or as the sole seizure manifestation. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-visual {suggestedTag=Categorical-location-value, hedId=HED_0042313} [Flashing or flickering lights, spots, simple patterns, scotomata, or amaurosis. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-auditory {suggestedTag=Categorical-location-value, hedId=HED_0042314} [Buzzing, drumming sounds or single tones. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-olfactory {hedId=HED_0042315} [Source: Beniczky ea 2017, Table 10.] -**** Semiology-gustatory {hedId=HED_0042316} [Taste sensations including acidic, bitter, salty, sweet, or metallic. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-epigastric {hedId=HED_0042317} [Abdominal discomfort including nausea, emptiness, tightness, churning, butterflies, malaise, pain, and hunger; sensation may rise to chest or throat. Some phenomena may reflect ictal autonomic dysfunction. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-somatosensory {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042318} [Tingling, numbness, electric-shock sensation, sense of movement or desire to move. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-autonomic-sensation {hedId=HED_0042319} [Viscerosensitive. A sensation consistent with involvement of the autonomic nervous system, including cardiovascular, gastrointestinal, sudomotor, vasomotor, and thermoregulatory functions. (Thus autonomic aura; cf. autonomic events 3.0/Semiology-autonomic). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5; Blume ea 2001, 2.2.1.8.)] -**** Semiology-sensory-other {requireChild, hedId=HED_0042320} [Source: Beniczky ea 2017, Table 10.] -***** # {takesValue, valueClass=textClass, hedId=HED_0042321} [Free text.] -*** Semiology-experiential {hedId=HED_0042322} [Affective, mnemonic, or composite perceptual phenomena including illusory or composite hallucinatory events; these may appear alone or in combination. Included are feelings of depersonalization. These phenomena have subjective qualities similar to those experienced in life but are recognized by the subject as occurring outside of actual context. (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 2.2.2.)] -**** Semiology-affective-emotional {hedId=HED_0042323} [Components include fear, depression, joy, and (rarely) anger. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-hallucinatory {hedId=HED_0042324} [Composite perceptions without corresponding external stimuli involving visual, auditory, somatosensory, olfactory, and/or gustatory phenomena. Example: hearing and seeing people talking. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-illusory {hedId=HED_0042325} [An alteration of actual percepts involving the visual, auditory, somatosensory, olfactory, or gustatory systems. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-mnemonic {suggestedTag=Familiar, suggestedTag=Unfamiliar, hedId=HED_0042326} [Components that reflect ictal dysmnesia such as feelings of familiarity (deja-vu) and unfamiliarity (jamais-vu). Use suggested tags to indicate Familiar (deja-vu) or Unfamiliar (jamais-vu). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-experiential-other {requireChild, hedId=HED_0042327} [Source: Beniczky ea 2017, Table 10.] -***** # {takesValue, valueClass=textClass, hedId=HED_0042328} [Free text.] -*** Semiology-language {hedId=HED_0042329} [Source: Beniczky ea 2017, Table 10.] -**** Semiology-vocalization {hedId=HED_0042330} [Single or repetitive utterances consisting of sounds such as grunts or shrieks. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-verbalization {hedId=HED_0042331} [Single or repetitive utterances consisting of words, phrases, or brief sentences. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-dysphasia {hedId=HED_0042332} [Partially impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, paraphasic errors, or a combination of these. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-aphasia {hedId=HED_0042333} [Fully impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, paraphasic errors, or a combination of these. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-language-other {requireChild, hedId=HED_0042334} [Source: Beniczky ea 2017, Table 10.] -***** # {takesValue, valueClass=textClass, hedId=HED_0042335} [Free text.] -*** Semiology-autonomic {hedId=HED_0042336} [An objectively documented and distinct alteration of autonomic nervous system function involving cardiovascular, pupillary, gastrointestinal, sudomotor, vasomotor, and thermoregularity functions (cf. Semiology-autonomic-sensation). (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 3.2.)] -**** Semiology-pupillary {suggestedTag=Categorical-location-value, hedId=HED_0042337} [Mydriasis, miosis (either bilateral or unilateral). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-hypersalivation {hedId=HED_0042338} [Increase in production of saliva leading to uncontrollable drooling. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-respiratory-apnoeic {hedId=HED_0042339} [Subjective shortness of breath, hyperventilation, stridor, coughing, choking, apnea, oxygen desaturation, neurogenic pulmonary edema. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-cardiovascular {hedId=HED_0042340} [Modifications of heart rate (tachycardia, bradycardia), cardiac arrhythmias (such as sinus arrhythmia, sinus arrest, supraventricular tachycardia, atrial premature depolarizations, ventricular premature depolarizations, atrio-ventricular block, bundle branch block, atrioventricular nodal escape rhythm, asystole). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-gastrointestinal {hedId=HED_0042341} [Nausea, eructation, vomiting, retching, abdominal sensations, abdominal pain, flatulence, spitting, diarrhea. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-urinary-incontinence {hedId=HED_0042342} [Urinary urge (intense urinary urge at the beginning of seizures), urinary incontinence, ictal urination (rare symptom of partial seizures without loss of consciousness). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-genital {hedId=HED_0042343} [Sexual auras (erotic thoughts and feelings, sexual arousal and orgasm). Genital auras (unpleasant, sometimes painful, frightening or emotionally neutral somatosensory sensations in the genitals that can be accompanied by ictal orgasm). Sexual automatisms (hypermotor movements consisting of writhing, thrusting, rhythmic movements of the pelvis, arms and legs, sometimes associated with picking and rhythmic manipulation of the groin or genitalia, exhibitionism and masturbation). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-vasomotor {hedId=HED_0042344} [Flushing or pallor (may be accompanied by feelings of warmth, cold and pain). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-sudomotor {suggestedTag=Categorical-location-value, hedId=HED_0042345} [Sweating and piloerection (may be accompanied by feelings of warmth, cold and pain). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-thermoregulatory {hedId=HED_0042346} [Hyperthermia, fever. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] -**** Semiology-autonomic-other {requireChild, hedId=HED_0042347} -***** # {takesValue, valueClass=textClass, hedId=HED_0042348} [Free text.] -*** Semiology-manifestation-other {requireChild, hedId=HED_0042349} -**** # {takesValue, valueClass=textClass, hedId=HED_0042350} [Free text.] -** Postictal-semiology {suggestedTag=None, suggestedTag=Duration, hedId=HED_0042351} [A transient clinical abnormality of central nervous system function that appears or becomes accentuated when clinical signs of the ictus have ended. (Source: Blume ea 2001; Beniczky ea 2017, Table 11; Duration tag from Beniczky ea Table 13.)] -*** Postictal-unconscious {hedId=HED_0042352} [Unawareness and unresponsiveness. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-quick-recovery-of-consciousness {hedId=HED_0042353} [Quick recovery of awareness and responsiveness. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-aphasia-or-dysphasia {hedId=HED_0042354} [Impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, parahasic errors or a combination of these. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-behavioral-change {hedId=HED_0042355} [Occurring immediately after a seizure. Including psychosis, hypomanina, obsessive-compulsive behavior. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-hemianopia {hedId=HED_0042356} [Postictal visual loss in a a hemi field. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-impaired-cognition {hedId=HED_0042357} [Decreased Cognitive performance involving one or more of perception, attention, emotion, memory, execution, praxis, speech. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-dysphoria {hedId=HED_0042358} [Depression, irritability, euphoric mood, fear, anxiety. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-headache {hedId=HED_0042359} [Headache with features of tension-type or migraine headache that develops within 3 h following the seizure and resolves within 72 h after seizure. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-nose-wiping {suggestedTag=Categorical-location-value, hedId=HED_0042360} [Noes-wiping usually within 60 sec of seizure offset, usually with the hand ipsilateral to the seizure onset. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-anterograde-amnesia {hedId=HED_0042361} [Impaired ability to remember new material. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-retrograde-amnesia {hedId=HED_0042362} [Impaired ability to recall previously remember material. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-paresis {suggestedTag=Categorical-location-value, suggestedTag=Body-part, hedId=HED_0042363} [Todds palsy. Any unilateral postictal dysfunction relating to motor, language, sensory and/or integrative functions. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-sleep {hedId=HED_0042364} [Invincible need to sleep after a seizure. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-unilateral-myoclonic-jerks {hedId=HED_0042365} [Unilateral myoclonic jerks. Myoclonus: sudden, brief (<100 ms) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -*** Postictal-other-unilateral-motor-phenomena {requireChild, hedId=HED_0042366} [Unilateral motor phenomena, other then specified above, occurring in the postictal phase. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042367} [Free text.] -** Episode-time-context-property {hedId=HED_0042368} [Additional clinically relevant features related to episodes can be scored under timing and context. If needed, episode duration can be tagged with suggested tag. (Source: Beniczky ea 2017, Section 10.)] -*** Episode-consciousness-affected {suggestedTag=False, suggestedTag=Some, suggestedTag=True, suggestedTag=Property-not-possible-to-determine, hedId=HED_0042369} [Source: Beniczky ea 2017, Table 13.] -*** Episode-awareness {suggestedTag=True, suggestedTag=False, hedId=HED_0042370} [False: the patient is not aware of the episode. True: the patient is aware of the episode. (Source: Beniczky ea 2017, Table 13.)] -*** Episode-event-count {requireChild, suggestedTag=Property-not-possible-to-determine, hedId=HED_0042371} [Number of stereotypical episodes during the recording. (Source: Beniczky ea 2017, Table 13.)] -**** # {takesValue, valueClass=numericClass, hedId=HED_0042372} -*** Status-epilepticus {hedId=HED_0042373} [Episode with duration >30 min but not precisely determined (status epilepticus). (Source: Beniczky ea 2017, Table 13.)] -*** Episode-prodrome {suggestedTag=True, suggestedTag=False, hedId=HED_0042374} [Prodrome is a preictal phenomenon, and it is defined as a subjective or objective clinical alteration (e.g., ill-localized sensation or agitation) that heralds the onset of an epileptic seizure but does not form part of it (Blume ea 2001). Therefore, prodrome should be distinguished from aura (which is an ictal phenomenon). If prodrome present/true + free text. (Source: Blume ea 2001; Beniczky ea 2017, Table 13.)] -**** # {takesValue, valueClass=textClass, hedId=HED_0042375} [Free text.] -*** Initial-ictal-phase {suggestedTag=Asleep, suggestedTag=Awake, hedId=HED_0042376} -*** Subsequent-ictal-phase {hedId=HED_0042377} -*** Post-ictal-phase {hedId=HED_0042378} -*** Episode-tongue-biting {suggestedTag=True, suggestedTag=False, hedId=HED_0042379} [Beniczky ea 2017, Table 13.] -* Other-finding-property {requireChild, hedId=HED_0042380} -** Artifact-significance-to-recording {hedId=HED_0042381} [It is important to score the significance of the described artifacts: recording is not interpretable, recording of reduced diagnostic value, does not interfere with the interpretation of the recording. (Source: Beniczky ea 2017, Section 12)] -*** Recording-not-interpretable-due-to-artifact {hedId=HED_0042382} -**** # {takesValue, valueClass=textClass, hedId=HED_0042383} [Free text.] -*** Recording-of-reduced-diagnostic-value-due-to-artifact {hedId=HED_0042384} -**** # {takesValue, valueClass=textClass, hedId=HED_0042385} [Free text.] -*** Artifact-does-not-interfere-recording {hedId=HED_0042386} -**** # {takesValue, valueClass=textClass, hedId=HED_0042387} [Free text.] -** Finding-significance-to-recording {suggestedTag=Normal, suggestedTag=Abnormal, suggestedTag=Property-not-possible-to-determine, hedId=HED_0042388} [Significance of finding. When normal/abnormal could be labeled with with suggested tags.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042389} [Free text.] -** Finding-frequency {requireChild, suggestedTag=Symmetrical, suggestedTag=Asymmetrical, hedId=HED_0042390} [Value in Hz (number) typed in.] -*** # {takesValue, valueClass=numericClass, unitClass=frequencyUnits, hedId=HED_0042391} -** Finding-amplitude {requireChild, suggestedTag=Symmetrical, suggestedTag=Asymmetrical, hedId=HED_0042392} [Value in microvolts (number) typed in, e.g. (Finding-amplitude/number uv)] -*** # {takesValue, valueClass=numericClass, unitClass=electricPotentialUnits, hedId=HED_0042393} -** Finding-stopped-by {requireChild, hedId=HED_0042394} -*** # {takesValue, valueClass=textClass, hedId=HED_0042395} [Free text.] -** Property-not-possible-to-determine {hedId=HED_0042396} [Not possible to determine.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042397} [Free text.] +'''Feature-property''' [Descriptive element similar to main HED /Property. Something that pertains to a thing. A characteristic of some entity. A quality or feature regarded as a characteristic or inherent part of someone or something. HED attributes are adjectives or adverbs.] +* Signal-morphology-property [Signal morphology attributes relevant to features of background, interictal or ictal activity. (Source: Beniczky ea 2017, Table 5, Table 8, Table 12.)] +** Rhythmic-property [Rhythmic activity can be observed during background, interictal or ictal activity and HED-SCORE therefore describes this as an property/attribute. (Source: Beniczky ea 2017, Table 5, Table 12, Table 14.)] +*** Delta-activity {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude} [Rhythmic activity in the delta frequency range (under 4 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.)] +**** # {takesValue, valueClass=textClass} [Free text.] +*** Theta-activity {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude} [Rhythmic activity in the theta frequency range (4-8 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.)] +**** # {takesValue, valueClass=textClass} [Free text.] +*** Alpha-activity {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude} [Rhythmic activity in the alpha frequency range (8-13 Hz), but not a part of the posterior dominant rhythm. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.)] +**** # {takesValue, valueClass=textClass} [Free text.] +*** Beta-activity {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude} [Rhythmic activity in the beta frequency range (14-40 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.)] +**** # {takesValue, valueClass=textClass} [Free text.] +*** Gamma-activity {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude} [Rhythmic activity in the gamma frequency range. (Source: Beniczky ea 2017, Table 5.)] +**** # {takesValue, valueClass=textClass} [Free text.] +*** Polymorphic-delta-activity [EEG activity consisting of waves in the delta range (over 250 ms duration for each wave) but of different morphology. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +**** # {takesValue, valueClass=textClass} [Free text.] +*** Frontal-intermittent-rhythmic-delta-activity [Frontal intermittent rhythmic delta activity (FIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at 1.5-2.5 Hz over the frontal areas of one or both sides of the head. Comment: most commonly associated with unspecified encephalopathy, in adults. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +**** # {takesValue, valueClass=textClass} [Free text.] +*** Occipital-intermittent-rhythmic-delta-activity [Occipital intermittent rhythmic delta activity (OIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at 2-3 Hz over the occipital or posterior head regions of one or both sides of the head. Frequently blocked or attenuated by opening the eyes. Comment: most commonly associated with unspecified encephalopathy, in children. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +**** # {takesValue, valueClass=textClass} [Free text.] +*** Temporal-intermittent-rhythmic-delta-activity [Temporal intermittent rhythmic delta activity (TIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at over the temporal areas of one side of the head. Comment: most commonly associated with temporal lobe epilepsy. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +**** # {takesValue, valueClass=textClass} [Free text.] +** Spike [A transient, clearly distinguished from background activity, with pointed peak at a conventional paper speed or time scale and duration from 20 to under 70 ms, i.e. 1/50-1/15 s approximately. Main component is generally negative relative to other areas. Amplitude varies. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Spike-and-slow-wave [A pattern consisting of a spike followed by a slow wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Runs-of-rapid-spikes [Bursts of spike discharges at a rate from 10 to 25/sec (in most cases somewhat irregular). The bursts last more than 2 seconds (usually 2 to 10 seconds) and the runs are typically seen in sleep. Synonyms: rhythmic spikes, generalized paroxysmal fast activity, fast paroxysmal rhythms, grand mal discharge, fast beta activity. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Polyspikes [Two or more consecutive spikes. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Polyspike-and-slow-wave [Two or more consecutive spikes associated with one or more slow waves. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Sharp-wave [A transient clearly distinguished from background activity, with pointed peak at a conventional paper speed or time scale, and duration of 70-200 ms, i.e. over 1/4-1/5 s approximately. Main component is generally negative relative to other areas. Amplitude varies. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Sharp-and-slow-wave [A sequence of a sharp wave and a slow wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Slow-sharp-wave [A transient that bears all the characteristics of a sharp-wave, but exceeds 200 ms. Synonym: blunted sharp wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** High-frequency-oscillation [High Frequency Oscillation (HFO). Oscillations with a frequency higher than 80 Hz. (Source: Wikipedia; Beniczky ea 2017, Table 5.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Hypsarrhythmia-classic [Pattern consisting of diffuse chaotic high voltage (more than 300 μV) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Hypsarrhythmia-modified [Pattern consisting of diffuse chaotic high voltage (more than 300 μV) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Fast-spike-activity [A burst consisting of a sequence of spikes. Duration greater than 1 s. Frequency at least in the alpha range. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Low-voltage-fast-activity [Refers to the fast, and often recruiting activity which can be recorded at the onset of an ictal discharge, particularly in invasive EEG recording of a seizure. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Polysharp-waves [A sequence of two or more sharp-waves. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Slow-wave-large-amplitude [Slow wave of large amplitude. (Source: Beniczky ea 2017, Table 12.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Irregular-delta-or-theta-activity [EEG activity consisting of repetitive waves of inconsistent wave-duration but in delta and/or theta range (greater than 125 ms). (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Electrodecremental-change [Sudden desynchronization of electrical activity. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** DC-shift [Shift of negative polarity of the direct current recordings, during seizures. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Disappearance-of-ongoing-activity [Disappearance of the EEG activity that preceded the ictal event but still remnants of background activity (thus not enough to name it electrodecremental change). (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** RPP-morphology {suggestedTag=Feature-amplitude} [Modifier terms for Rhythmic or Periodic Patterns in critically ill patients (RPPs). (Source: Beniczky ea 2017, Table 8.)] +*** RPP-with-superimposed-activity {suggestedTag=Property-not-possible-to-determine} [Superimposed activity (for PDs and RDA). (Source: Beniczky ea 2017, Table 8.)] +**** Superimposed-fast-activity {suggestedTag=Feature-frequency} [Superimposed fast activity. (Source: Beniczky ea 2017, Table 8.)] +***** # {takesValue, valueClass=textClass} [Free text.] +**** Superimposed-rhythmic-activity {suggestedTag=Feature-frequency} [Superimposed rhythmic activity (for PDs only). (Source: Beniczky ea 2017, Table 8.)] +***** # {takesValue, valueClass=textClass} [Free text.] +**** Superimposed-sharp-waves-or-spikes [Superimposed sharp waves or spikes (for RDA only). (Source: Beniczky ea 2017, Table 8.)] +***** # {takesValue, valueClass=textClass} [Free text.] +*** RPP-sharpness {suggestedTag=Property-not-possible-to-determine} [Sharpness (for PDs and SW). (Source: Beniczky ea 2017, Table 8.)] +**** RPP-spiky [Spiky (<70 ms, measured at the baseline). (Source: Beniczky ea 2017, Table 8.)] +**** RPP-sharp [Sharp (70–200 ms). (Source: Beniczky ea 2017, Table 8.)] +**** RPP-sharply-contoured [Sharply contoured. (Source: Beniczky ea 2017, Table 8.)] +**** RPP-blunt [Blunt. (Source: Beniczky ea 2017, Table 8.)] +*** Number-of-RPP-phases {suggestedTag=Property-not-possible-to-determine, suggestedTag=Greater-than} [Number of phases (for PDs and SW): 1, 2 or 3. (Source: Beniczky ea 2017, Table 8.)] +**** # {takesValue, valueClass=numericClass} +*** Triphasic-morphology [Waves with three distinct phases (for PDs and SW). (Source: Beniczky ea 2017, Table 8.)] +*** RPP-absolute-amplitude {suggestedTag=Property-not-possible-to-determine, suggestedTag=Low, suggestedTag=Medium, suggestedTag=High} [Absolute amplitude (for PDs, RDA, SW). Can use suggested tags for amplitude range. Very low, (Feature-amplitude, (Less-than, (Feature-amplitude/20 uv))): less than 20 microV, Low: 20 to 49 microV, Medium: 50 to 199 microV, High: Greater than 200 microV. (Source: Beniczky ea 2017, Table 8.)] +**** # {takesValue, valueClass=numericClass, unitClass=electricPotentialUnits} +*** RPP-relative-amplitude {suggestedTag=Property-not-possible-to-determine, suggestedTag=Less-than-or-equal-to, suggestedTag=Greater-than} [Relative amplitude (for PDs), should indicate if it's less than or equal to 2 or greater than 2. (Source: Beniczky ea 2017, Table 8.)] +*** RPP-polarity {suggestedTag=Positive, suggestedTag=Negative, suggestedTag=Property-not-possible-to-determine} [Polarity (for PDs and SW). (Source: Beniczky ea 2017, Table 8.)] +**** RPP-tangential-polarity [Tangential/horizontal dipole. (Source: Beniczky ea 2017, Table 8.)] +***** # {takesValue, valueClass=textClass} [Free text.] +* Source-analysis-property [In case source imaging is done, the results are scored at sublobar level: frontal (perisylvian-superior surface; lateral; mesial; polar; orbitofrontal), temporal (polar; basal, lateral-anterior; lateral-posterior; perisylvian-inferior surface), central (lateral convexity; mesial; central sulcus – anterior surface, central sulcus – posterior surface; opercular), parietal (lateral-convexity; mesial; opercular), occipital (lateral; mesial, basal) and insula. (Source: Beniczky ea 2017, Section 8.)] +** # {takesValue, valueClass=textClass} [Free text.] +* Location-property {suggestedTag=Left, suggestedTag=Right, suggestedTag=Body-part} [Location can be scored for features. Semiologic feature can also be characterized by the somatotopic modifier (i.e. the part of the body where it occurs). In this respect, laterality (left, right, symmetric, asymmetric, left greater than right, right greater than left), body part (eyelid, face, arm, leg, trunk, visceral, left/right) and centricity (axial (trunk), proximal limb, distal limb). (Source: Beniczky ea 2017, Sections 8 and 10)] +** Sensors {requireChild} [Lists all corresponding sensors (electrodes/channels in montage). The sensor-group is selected from a list defined in the site-settings for each EEG-lab.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Feature-propagation {suggestedTag=Body-part, suggestedTag=Sensors} [When propagation within the graphoelement is observed, first the location of the onset region is scored. Then, the location of the propagation can be noted.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Multifocal-feature {suggestedTag=Property-not-possible-to-determine} [When the same interictal graphoelement is observed bilaterally and at least in three independent locations, can score them using one entry, and choosing multifocal as a descriptor of the locations of the given interictal graphoelements, optionally emphasizing the involved, and the most active sites.] +*** # {takesValue, valueClass=textClass} [Free text.] +* Modulators-property [For each described graphoelement, the influence of the modulators can be scored. Only modulators present in the recording are scored. (Source: Beniczky ea 2017, Section 10.)] +** Modulators-reactivity {suggestedTag=Modulator, suggestedTag=Feature-stopped-by, suggestedTag=Increasing, suggestedTag=Decreasing} [Susceptibility of individual rhythms or the EEG as a whole to change following sensory stimulation or other physiologic actions (Source: Beniczky ea 2013, Appendix S2). The type of stimulus can be a modulator or can be specified in free-text.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Facilitating-factor {suggestedTag=Catamenial, suggestedTag=Fever, suggestedTag=Intoxicated, suggestedTag=Awake, suggestedTag=Asleep, suggestedTag=Sleep-deprivation} [The facilitating factors (if known) can be selected: alcohol (Suggested tag: Intoxicated), awakening, catamenial, fever, sleep, sleep-deprivation, other (free text). Facilitating factors are defined as transient and sporadic endogenous or exogenous elements capable of augmenting seizure incidence (increasing the likelihood of seizure occurrence). (Source: Beniczky ea 2013.)] +*** Other-facilitating-factor +**** # {takesValue, valueClass=textClass} [Free text.] +** Provocative-factor {suggestedTag=Hyperventilation} [Provocative factors are defined as transient and sporadic endogenous or exogenous elements capable of evoking/triggering seizures immediately following the exposure to it. (Source: Beniczky ea 2013.)] +*** Reflex-provoked +**** # {takesValue, valueClass=textClass} [Free text.] +*** Other-provocative-factor +**** # {takesValue, valueClass=textClass} [Free text.] +** Intermittent-photic-stimulation-effect {suggestedTag=Normal} [The effect of Intermittent Photic Stimulation (IPS) is scored according to the terminology proposed by Kasteleijn-Nolst Trenité ea (2001). (Source: Beniczky ea 2017.)] +*** Posterior-stimulus-dependent-response {suggestedTag=Feature-frequency} [Anomalous steady-state VEPs, of unusually sharp waveform or high amplitude. Some types have clinical correlates, for instance, occipital spikes after suppression of generalized PPR by medication and high-amplitude VEPs in neuronal ceroid lipofuscinosis. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] +*** Posterior-stimulus-independent-response-limited {suggestedTag=Feature-frequency} [Limited to the stimulus train: Activity confined to or maximal at the back of the head and not at the flash frequency or at a harmonic thereof. The term includes delta and theta activity and frank epileptiform patterns. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] +*** Posterior-stimulus-independent-response-self-sustained {suggestedTag=Feature-frequency} [Self-sustaining: Self-sustaining posterior stimulus-independent responses that outlast the stimulus train. These often last many seconds and may evolve to an overt seizure. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] +*** Generalized-photoparoxysmal-response-limited {suggestedTag=Feature-frequency} [Limited to the stimulus train: Comprises multiple spikes or spike-and-wave activity, which are apparently generalized, but may be of greater amplitude at the front or back of the head. It is termed a photoconvulsive response (PCR) by Bickford et al., and corresponds to type 4 response of Waltz et al. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] +*** Generalized-photoparoxysmal-response-self-sustained {suggestedTag=Feature-frequency} [Self-sustaining: Generalized PPR continuing after stimulation. This may not be demonstrated unless the stimulus train is terminated as soon as a generalized PPR is identified. It was termed prolonged photoconvulsive response by Reilly and Peters, and has a strong association with epilepsy and visually induced seizures in patients referred for clinical EEG examination. Its prevalence in asymptomatic general populations is unknown, but was found in five of 13,658 apparently healthy aircrew by Gregory et al. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] +*** Activation-of-pre-existing-epileptogenic-area {suggestedTag=Feature-frequency} [Rarely, photic stimulation may activate an epileptogenic cortex, which is also spontaneously active; IPS could then also elicit a seizure by stimulating this, usually posterior located, area. It is questionable whether this should be considered a photoparoxysmal response (PPR), and it does not figure in established classifications. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.)] +* Time-related-property [Estimates of how often a graphoelement is seen in the recording. (Source: Beniczky ea 2017, Table 6, Table 8.)] +** Appearance-mode {suggestedTag=Property-not-possible-to-determine, suggestedTag=Random, suggestedTag=Repetitive, suggestedTag=Varying} [Describes how the non-ictal EEG pattern/graphoelement is distributed through the recording. Occurrence of the non-ictal EEG pattern / graphoelement can be Random, Repetitive or Varying. Random: occurring without any rhythmicity / periodicity, Repetitive: occurring at an approximately regular rate / interval (generally of 1 to several seconds). Variable: occurring sometimes rhythmic or periodic, other times random, throughout the recording. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Discharge-pattern [Describes the organization of the EEG signal within the discharge (distinguish between single and repetitive discharges). (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.)] +*** Single-discharge {suggestedTag=Feature-incidence} [Applies to the intra-burst pattern: a graphoelement that is not repetitive; before and after the graphoelement one can distinguish the background activity. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.)] +*** Rhythmic-trains-or-bursts {suggestedTag=Feature-prevalence, suggestedTag=Feature-frequency} [Applies to the intra-burst pattern: a non-ictal graphoelement that repeats itself without returning to the background activity between them. The graphoelements within this repetition occur at approximately constant period. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.)] +*** Arrhythmic-trains-or-bursts {suggestedTag=Feature-prevalence} [Applies to the intra-burst pattern: a non-ictal graphoelement that repeats itself without returning to the background activity between them. The graphoelements within this repetition occur at inconstant period. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.)] +*** Fragmented-discharge [Source: Beniczky ea 2017, Table 6.] +** RPP-time-related-feature [Time related feature for Rhythmic or Periodic Patterns in critically ill patients (RPPs). (Source: Beniczky ea 2017, Table 8.)] +*** RPP-duration [Duration (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.)] +**** Very-brief-RPP-duration [Less than 10 sec. (Source: Beniczky ea 2017, Table 8.)] +**** Brief-RPP-duration [10 to 59 sec. (Source: Beniczky ea 2017, Table 8.)] +**** Intermediate-RPP-duration [1 to 4.9 min. (Source: Beniczky ea 2017, Table 8.)] +**** Long-RPP-duration [5 to 59 min. (Source: Beniczky ea 2017, Table 8.)] +**** Very-long-RPP-duration [Greater than 1 hour. (Source: Beniczky ea 2017, Table 8.)] +*** RPP-onset [Onset (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.)] +**** Sudden-RPP-onset [Sudden (progressing from absent to well developed within 3 s.). (Source: Beniczky ea 2017, Table 8.)] +**** Gradual-RPP-onset [Gradual onset. (Source: Beniczky ea 2017, Table 8.)] +*** RPP-dynamics [Dynamics (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.)] +**** Evolving-RPP-dynamics [Source: Beniczky ea 2017, Table 8.] +***** # {takesValue, valueClass=textClass} [Free text.] +**** Fluctuating-RPP-dynamics [Source: Beniczky ea 2017, Table 8.] +***** # {takesValue, valueClass=textClass} [Free text.] +**** Static-RPP-dynamics [Source: Beniczky ea 2017, Table 8.] +***** # {takesValue, valueClass=textClass} [Free text.] +** Feature-incidence [Estimate of how often features are seen in the recording. This is scored differently, depending on the type of feature. For single discharges, this is scored as incidence (how often it occurs/time-epoch). (Source: Beniczky ea 2017, Section 8, Table 6.)] +*** One-time-incidence [Source: Beniczky ea 2017, Table 6.] +*** Rare-feature-incidence [Less than 1/h. (Source: Beniczky ea 2017, Table 6.)] +*** Uncommon-feature-incidence [1/5 min to 1/h. (Source: Beniczky ea 2017, Table 6.)] +*** Occasional-feature-incidence [1/min to 1/5min. (Source: Beniczky ea 2017, Table 6.)] +*** Frequent-feature-incidence [1/10 s to 1/min. (Source: Beniczky ea 2017, Table 6.)] +*** Abundant-feature-incidence [Greater than 1/10 s. (Source: Beniczky ea 2017, Table 6.)] +** Feature-prevalence [Estimate of how often features are seen in the recording. This is scored differently, depending on the type of feature. For trains or bursts this is scored as prevalence (the percentage of the recording covered by the train/burst). (Source: Beniczky ea 2017, Section 8, Table 6, Table 8.)] +*** Rare-prevalence [Less than 1 percent. (Source: Beniczky ea 2017, Table 6, Table 8).] +*** Occasional-prevalence [1 to 9 percent. (Source: Beniczky ea 2017, Table 6, Table 8)] +*** Frequent-prevalence [10 to 49 percent. (Source: Beniczky ea 2017, Table 6, Table 8)] +*** Abundant-prevalence [50 to 89 percent. (Source: Beniczky ea 2017, Table 6, Table 8)] +*** Continuous-prevalence [Greater than 90 percent. (Source: Beniczky ea 2017, Table 6, Table 8)] +* Posterior-dominant-rhythm-property {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude} [Posterior dominant rhythm is the most often scored EEG feature in clinical practice. Therefore, there are specific terms that can be chosen for characterizing the PDR. Note that frequency and amplitude can be further described to be symmetrical or asymmetrical. (Source: Beniczky ea 2017, Section 6, Table 4.)] +** Posterior-dominant-rhythm-amplitude-range {suggestedTag=Low, suggestedTag=Medium, suggestedTag=High} [Low: less than 20 microV, Medium: 20 to 70 microVSource, High: more than 70 microV. (Source: Beniczky ea 2017, Table 4.)] +** Posterior-dominant-rhythm-eye-opening-reactivity {suggestedTag=Property-not-possible-to-determine, suggestedTag=Left, suggestedTag=Right} [Change (disappearance or measurable decrease in amplitude) of a posterior dominant rhythm following eye-opening. Eye closure has the opposite effect. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Table 4.)] +** Posterior-dominant-rhythm-organization {suggestedTag=Normal} [Posterior dominant rhythm organization. When normal could be labeled with suggested tag. (Source: Beniczky ea 2017, Table 4.)] +*** Posterior-dominant-rhythm-organization-poorly-organized [Poorly organized. (Source: Beniczky ea 2017, Table 4.)] +*** Posterior-dominant-rhythm-organization-disorganized [Disorganized. (Source: Beniczky ea 2017, Table 4.)] +*** Posterior-dominant-rhythm-organization-markedly-disorganized [Markedly disorganized. (Source: Beniczky ea 2017, Table 4.)] +** Posterior-dominant-rhythm-caveat {suggestedTag=None, suggestedTag=Eyes-open, suggestedTag=Sleep-deprivation, suggestedTag=Drowsy, suggestedTag=Hyperventilation} [Caveats for PDR annotation, use suggestedTags to indicate whether there were: no caveats, only open eyes during the recording, sleep-deprived, drowsy or only following hyperventilation. (Source: Beniczky ea 2017, Table 4.)] +** Absence-of-posterior-dominant-rhythm {suggestedTag=Data-artifact, suggestedTag=Asleep} [Reason for absence of PDR. (Source: Beniczky ea 2017, Table 4.)] +*** Absence-of-posterior-dominant-rhythm-extreme-low-voltage [Source: Beniczky ea 2017, Table 4.] +*** Absence-of-posterior-dominant-rhythm-eye-closure-could-not-be-achieved [Source: Beniczky ea 2017, Table 4.] +*** Absence-of-posterior-dominant-rhythm-lack-of-compliance [Source: Beniczky ea 2017, Table 4.] +*** Absence-of-posterior-dominant-rhythm-other-causes {requireChild} [Source: Beniczky ea 2017, Table 4.] +**** # {takesValue, valueClass=textClass} [Free text.] +* Episode-property [Episode property pertains to the set of characteristics that collectively depict different aspects of an episode, encompassing its manifestations and phases.] +** Seizure-classification [Seizure classification refers to the grouping of seizures based on their clinical features, EEG patterns, and other characteristics. Epileptic seizures are named using the current ILAE seizure classification (Fisher et al., 2017, Beniczky et al., 2017).] +*** Myoclonic-seizure {suggestedTag=Duration} [Sudden, brief (lower than 100 msec) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). Myoclonus is less regularly repetitive and less sustained than is clonus. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.)] +*** Negative-myoclonic-seizure {suggestedTag=Duration} [Source: Beniczky ea 2017, Supplement 1; Duration tag from Beniczky ea Table 13.] +*** Motor-seizure {suggestedTag=Duration} [Involves musculature in any form. The motor event could consist of an increase (positive) or decrease (negative) in muscle contraction to produce a movement. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.)] +**** Clonic-seizure [Jerking, either symmetric or asymmetric, that is regularly repetitive and involves the same muscle groups. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Tonic-seizure [A sustained increase in muscle contraction lasting a few seconds to minutes. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Atonic-seizure [Sudden loss or diminution of muscle tone without apparent preceding myoclonic or tonic event lasting about 1 to 2 s, involving head, trunk, jaw, or limb musculature. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Myoclonic-atonic-seizure [A generalized seizure type with a myoclonic jerk leading to an atonic motor component. This type was previously called myoclonic astatic. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Myoclonic-tonic-clonic-seizure [One or a few jerks of limbs bilaterally, followed by a tonic clonic seizure. The initial jerks can be considered to be either a brief period of clonus or myoclonus. Seizures with this characteristic are common in juvenile myoclonic epilepsy. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Tonic-clonic-seizure [A sequence consisting of a tonic followed by a clonic phase. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Automatism-seizure [A more or less coordinated motor activity usually occurring when cognition is impaired and for which the subject is usually (but not always) amnesic afterward. This often resembles a voluntary movement and may consist of an inappropriate continuation of preictal motor activity. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Hyperkinetic-seizure [(Source: Fisher ea 2017, Table 2.)] +**** Epileptic-spasm [A sudden flexion, extension, or mixed extension flexion of predominantly proximal and truncal muscles that is usually more sustained than a myoclonic movement but not as sustained as a tonic seizure. Limited forms may occur: Grimacing, head nodding, or subtle eye movements. Epileptic spasms frequently occur in clusters. Infantile spasms are the best known form, but spasms can occur at all ages. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +*** Nonmotor-seizure {suggestedTag=Duration} [Focal or generalized seizure types in which motor activity is not prominent. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.)] +**** Behavior-arrest-seizure [Arrest (pause) of activities, freezing, immobilization, as in behavior arrest seizure. A focal behavior arrest seizure shows arrest of behavior as the prominent feature of the entire seizure. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017.)] +**** Sensory-seizure [A perceptual experience not caused by appropriate stimuli in the external world. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Emotional-seizure [Seizures presenting with an emotion or the appearance of having an emotion as an early prominent feature, such as fear, spontaneous joy or euphoria, laughing (gelastic), or crying (dacrystic). Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Cognitive-seizure [Pertaining to thinking and higher cortical functions, such as language, spatial perception, memory, and praxis. The previous term for similar usage as a seizure type was psychic. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Autonomic-seizure [A distinct alteration of autonomic nervous system function involving cardiovascular, pupillary, gastrointestinal, sudomotor, vasomotor, and thermoregulatory functions. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +*** Absence-seizure {suggestedTag=Duration} [Absence seizures present with a sudden cessation of activity and awareness. Absence seizures tend to occur in younger age groups, have more sudden start and termination, and they usually display less complex automatisms than do focal seizures with impaired awareness, but the distinctions are not absolute. EEG information may be required for accurate classification. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.)] +**** Typical-absence-seizure [A sudden onset, interruption of ongoing activities, a blank stare, possibly a brief upward deviation of the eyes. Usually the patient will be unresponsive when spoken to. Duration is a few seconds to half a minute with very rapid recovery. Although not always available, an EEG would show generalized epileptiform discharges during the event. An absence seizure is by definition a seizure of generalized onset. The word is not synonymous with a blank stare, which also can be encountered with focal onset seizures. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Atypical-absence-seizure [An absence seizure with changes in tone that are more pronounced than in typical absence or the onset and/or cessation is not abrupt, often associated with slow, irregular, generalized spike-wave activity. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +**** Myoclonic-absence-seizure [A myoclonic absence seizure refers to an absence seizure with rhythmic three-per-second myoclonic movements, causing ratcheting abduction of the upper limbs leading to progressive arm elevation, and associated with three-per-second generalized spike-wave discharges. Duration is typically 10 to 60 s. Impairment of consciousness may not be obvious. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, page 536.)] +**** Eyelid-myoclonia-seizure [Jerking of the eyelids at frequencies of at least 3 per second, commonly with upward eye deviation, usually lasting <10 s, often precipitated by eye closure. There may or may not be associated brief loss of awareness. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.)] +** Seizure-semiology {suggestedTag=None, suggestedTag=Duration} [Seizure semiology refers to the clinical signs and sympoms that are observed during a seizure. Semiology is described according to the ILAE Glossary of Descriptive Terminology for Ictal Semiology (Blume et al., 2001). Besides the name, the semiologic feature can also be characterized by the somatotopic modifier, laterality, body part and centricity. Uses Location-property tags. (Source: Beniczky ea 2017, Section 10; Duration tag from Beniczky ea Table 13.)] +*** Semiology-motor-behavioral-arrest {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Interruption of ongoing motor activity or of ongoing behaviors with fixed gaze, without movement of the head or trunk (oro-alimentary and hand automatisms may continue). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +*** Semiology-dyscognitive [The term describes events in which (1) disturbance of cognition is the predominant or most apparent feature, and (2a) two or more of the following components are involved, or (2b) involvement of such components remains undetermined. Otherwise, use the more specific term (e.g., mnemonic experiential seizure or hallucinatory experiential seizure). Components of cognition: ++ perception: symbolic conception of sensory information ++ attention: appropriate selection of a principal perception or task ++ emotion: appropriate affective significance of a perception ++ memory: ability to store and retrieve percepts or concepts ++ executive function: anticipation, selection, monitoring of consequences, and initiation of motor activity including praxis, speech. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +*** Semiology-elementary-motor [A single type of contraction of a muscle or group of muscles that is usually stereotyped and not decomposable into phases. However, see tonic-clonic, an elementary motor sequence. (Source: Blume ea 2001, 1.1; Beniczky ea 2017, Table 10.)] +**** Semiology-myoclonic-jerk {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Characterized by myoclonus. MYOCLONUS : sudden, brief (lower than 100 ms) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-negative-myoclonus {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Characterized by negative myoclonus. NEGATIVE MYOCLONUS: interruption of tonic muscular activity for lower than 500 ms without evidence of preceding myoclonia. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-clonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Myoclonus that is regularly repetitive, involves the same muscle groups, at a frequency of about 2 to 3 c/s, and is prolonged. Synonym: rhythmic myoclonus. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-jacksonian-march {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Term indicating spread of clonic movements through contiguous body parts unilaterally. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-epileptic-spasm {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [A sudden flexion, extension, or mixed extension flexion of predominantly proximal and truncal muscles that is usually more sustained than a myoclonic movement but not so sustained as a tonic seizure (i.e., about 1 s). Limited forms may occur: grimacing, head nodding. Frequent occurrence in clusters. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-tonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [A sustained increase in muscle contraction lasting a few seconds to minutes. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-dystonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Sustained contractions of both agonist and antagonist muscles producing athetoid or twisting movements, which, when prolonged, may produce abnormal postures. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-postural {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Adoption of a posture that may be bilaterally symmetric or asymmetric (as in a fencing posture). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-versive {suggestedTag=Body-part} [A sustained, forced conjugate ocular, cephalic, and/or truncal rotation or lateral deviation from the midline. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-tonic-clonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [A sequence consisting of a tonic followed by a clonic phase. Variants such as clonic-tonic-clonic may be seen. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +***** Semiology-tonic-clonic-without-figure-of-four [Without figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +***** Semiology-tonic-clonic-with-figure-of-four-extension-left-elbow [With figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +***** Semiology-tonic-clonic-with-figure-of-four-extension-right-elbow [With figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-astatic {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Loss of erect posture that results from an atonic, myoclonic, or tonic mechanism. Synonym: drop attack. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-atonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Sudden loss or diminution of muscle tone without apparent preceding myoclonic or tonic event lasting greater or equal to 1 to 2 s, involving head, trunk, jaw, or limb musculature. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-eye-blinking {suggestedTag=Categorical-location-value} [Source: Beniczky ea 2017, Table 10.] +**** Semiology-subtle-motor-phenomena {requireChild, suggestedTag=Categorical-location-value} [Source: Beniczky ea 2017, Table 10.] +***** # {takesValue, valueClass=textClass} [Free text.] +**** Semiology-other-elementary-motor {requireChild} +***** # {takesValue, valueClass=textClass} [Free text.] +*** Semiology-automatisms [A more or less coordinated, repetitive, motor activity usually occurring when cognition is impaired and for which the subject is usually amnesic afterward. This often resembles a voluntary movement and may consist of an inappropriate continuation of ongoing preictal motor activity. (Source: Beniczky ea 2017, Table 10; Fisher ea 2017, Table 2.)] +**** Semiology-mimetic [Facial expression suggesting an emotional state, often fear. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-oroalimentary [Lip smacking, lip pursing, chewing, licking, tooth grinding, or swallowing. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-dacrystic [Bursts of crying. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-manual {suggestedTag=Categorical-location-value} [1. Indicates principally distal components, bilateral or unilateral. 2. Fumbling, tapping, manipulating movements. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-gestural {suggestedTag=Categorical-location-value} [Semipurposive, asynchronous hand movements. Often unilateral. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-hypermotor {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [1. Involves predominantly proximal limb or axial muscles producing irregular sequential ballistic movements, such as pedaling, pelvic thrusting, thrashing, rocking movements. 2. Increase in rate of ongoing movements or inappropriately rapid performance of a movement. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-hypokinetic {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [A decrease in amplitude and/or rate or arrest of ongoing motor activity. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-gelastic [Bursts of laughter or giggling, usually without an appropriate affective tone. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-other-automatisms {requireChild} [Source: Beniczky ea 2017, Table 10.] +***** # {takesValue, valueClass=textClass} [Free text.] +*** Semiology-sensory [A perceptual experience not caused by appropriate stimuli in the external world. Modifies seizure or aura. (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 2.2.)] +**** Semiology-headache {suggestedTag=Categorical-location-value} [Headache occurring in close temporal proximity to the seizure or as the sole seizure manifestation. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-visual {suggestedTag=Categorical-location-value} [Flashing or flickering lights, spots, simple patterns, scotomata, or amaurosis. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-auditory {suggestedTag=Categorical-location-value} [Buzzing, drumming sounds or single tones. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-olfactory [Source: Beniczky ea 2017, Table 10.] +**** Semiology-gustatory [Taste sensations including acidic, bitter, salty, sweet, or metallic. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-epigastric [Abdominal discomfort including nausea, emptiness, tightness, churning, butterflies, malaise, pain, and hunger; sensation may rise to chest or throat. Some phenomena may reflect ictal autonomic dysfunction. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-somatosensory {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Tingling, numbness, electric-shock sensation, sense of movement or desire to move. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-autonomic-sensation [Viscerosensitive. A sensation consistent with involvement of the autonomic nervous system, including cardiovascular, gastrointestinal, sudomotor, vasomotor, and thermoregulatory functions. (Thus autonomic aura; cf. autonomic events 3.0/Semiology-autonomic). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5; Blume ea 2001, 2.2.1.8.)] +**** Semiology-sensory-other {requireChild} [Source: Beniczky ea 2017, Table 10.] +***** # {takesValue, valueClass=textClass} [Free text.] +*** Semiology-experiential [Affective, mnemonic, or composite perceptual phenomena including illusory or composite hallucinatory events; these may appear alone or in combination. Included are feelings of depersonalization. These phenomena have subjective qualities similar to those experienced in life but are recognized by the subject as occurring outside of actual context. (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 2.2.2.)] +**** Semiology-affective-emotional [Components include fear, depression, joy, and (rarely) anger. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-hallucinatory [Composite perceptions without corresponding external stimuli involving visual, auditory, somatosensory, olfactory, and/or gustatory phenomena. Example: hearing and seeing people talking. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-illusory [An alteration of actual percepts involving the visual, auditory, somatosensory, olfactory, or gustatory systems. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-mnemonic {suggestedTag=Familiar, suggestedTag=Unfamiliar} [Components that reflect ictal dysmnesia such as feelings of familiarity (deja-vu) and unfamiliarity (jamais-vu). Use suggested tags to indicate Familiar (deja-vu) or Unfamiliar (jamais-vu). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-experiential-other {requireChild} [Source: Beniczky ea 2017, Table 10.] +***** # {takesValue, valueClass=textClass} [Free text.] +*** Semiology-language [Source: Beniczky ea 2017, Table 10.] +**** Semiology-vocalization [Single or repetitive utterances consisting of sounds such as grunts or shrieks. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-verbalization [Single or repetitive utterances consisting of words, phrases, or brief sentences. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-dysphasia [Partially impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, paraphasic errors, or a combination of these. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-aphasia [Fully impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, paraphasic errors, or a combination of these. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-language-other {requireChild} [Source: Beniczky ea 2017, Table 10.] +***** # {takesValue, valueClass=textClass} [Free text.] +*** Semiology-autonomic [An objectively documented and distinct alteration of autonomic nervous system function involving cardiovascular, pupillary, gastrointestinal, sudomotor, vasomotor, and thermoregularity functions (cf. Semiology-autonomic-sensation). (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 3.2.)] +**** Semiology-pupillary {suggestedTag=Categorical-location-value} [Mydriasis, miosis (either bilateral or unilateral). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-hypersalivation [Increase in production of saliva leading to uncontrollable drooling. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-respiratory-apnoeic [Subjective shortness of breath, hyperventilation, stridor, coughing, choking, apnea, oxygen desaturation, neurogenic pulmonary edema. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-cardiovascular [Modifications of heart rate (tachycardia, bradycardia), cardiac arrhythmias (such as sinus arrhythmia, sinus arrest, supraventricular tachycardia, atrial premature depolarizations, ventricular premature depolarizations, atrio-ventricular block, bundle branch block, atrioventricular nodal escape rhythm, asystole). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-gastrointestinal [Nausea, eructation, vomiting, retching, abdominal sensations, abdominal pain, flatulence, spitting, diarrhea. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-urinary-incontinence [Urinary urge (intense urinary urge at the beginning of seizures), urinary incontinence, ictal urination (rare symptom of partial seizures without loss of consciousness). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-genital [Sexual auras (erotic thoughts and feelings, sexual arousal and orgasm). Genital auras (unpleasant, sometimes painful, frightening or emotionally neutral somatosensory sensations in the genitals that can be accompanied by ictal orgasm). Sexual automatisms (hypermotor movements consisting of writhing, thrusting, rhythmic movements of the pelvis, arms and legs, sometimes associated with picking and rhythmic manipulation of the groin or genitalia, exhibitionism and masturbation). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-vasomotor [Flushing or pallor (may be accompanied by feelings of warmth, cold and pain). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-sudomotor {suggestedTag=Categorical-location-value} [Sweating and piloerection (may be accompanied by feelings of warmth, cold and pain). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-thermoregulatory [Hyperthermia, fever. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.)] +**** Semiology-autonomic-other {requireChild} +***** # {takesValue, valueClass=textClass} [Free text.] +*** Semiology-manifestation-other {requireChild} +**** # {takesValue, valueClass=textClass} [Free text.] +** Postictal-semiology {suggestedTag=None, suggestedTag=Duration} [A transient clinical abnormality of central nervous system function that appears or becomes accentuated when clinical signs of the ictus have ended. (Source: Blume ea 2001; Beniczky ea 2017, Table 11; Duration tag from Beniczky ea Table 13.)] +*** Postictal-unconscious [Unawareness and unresponsiveness. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-quick-recovery-of-consciousness [Quick recovery of awareness and responsiveness. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-aphasia-or-dysphasia [Impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, parahasic errors or a combination of these. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-behavioral-change [Occurring immediately after a seizure. Including psychosis, hypomanina, obsessive-compulsive behavior. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-hemianopia [Postictal visual loss in a a hemi field. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-impaired-cognition [Decreased Cognitive performance involving one or more of perception, attention, emotion, memory, execution, praxis, speech. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-dysphoria [Depression, irritability, euphoric mood, fear, anxiety. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-headache [Headache with features of tension-type or migraine headache that develops within 3 h following the seizure and resolves within 72 h after seizure. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-nose-wiping {suggestedTag=Categorical-location-value} [Noes-wiping usually within 60 sec of seizure offset, usually with the hand ipsilateral to the seizure onset. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-anterograde-amnesia [Impaired ability to remember new material. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-retrograde-amnesia [Impaired ability to recall previously remember material. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-paresis {suggestedTag=Categorical-location-value, suggestedTag=Body-part} [Todds palsy. Any unilateral postictal dysfunction relating to motor, language, sensory and/or integrative functions. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-sleep [Invincible need to sleep after a seizure. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-unilateral-myoclonic-jerks [Unilateral myoclonic jerks. Myoclonus: sudden, brief (<100 ms) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +*** Postictal-other-unilateral-motor-phenomena {requireChild} [Unilateral motor phenomena, other then specified above, occurring in the postictal phase. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.)] +**** # {takesValue, valueClass=textClass} [Free text.] +** Episode-time-context-property [Additional clinically relevant features related to episodes can be scored under timing and context. If needed, episode duration can be tagged with suggested tag. (Source: Beniczky ea 2017, Section 10.)] +*** Episode-consciousness-affected {suggestedTag=False, suggestedTag=Some, suggestedTag=True, suggestedTag=Property-not-possible-to-determine} [Source: Beniczky ea 2017, Table 13.] +*** Episode-awareness {suggestedTag=True, suggestedTag=False} [False: the patient is not aware of the episode. True: the patient is aware of the episode. (Source: Beniczky ea 2017, Table 13.)] +*** Episode-event-count {requireChild, suggestedTag=Property-not-possible-to-determine} [Number of stereotypical episodes during the recording. (Source: Beniczky ea 2017, Table 13.)] +**** # {takesValue, valueClass=numericClass} +*** Status-epilepticus [Episode with duration >30 min but not precisely determined (status epilepticus). (Source: Beniczky ea 2017, Table 13.)] +*** Episode-prodrome {suggestedTag=True, suggestedTag=False} [Prodrome is a preictal phenomenon, and it is defined as a subjective or objective clinical alteration (e.g., ill-localized sensation or agitation) that heralds the onset of an epileptic seizure but does not form part of it (Blume ea 2001). Therefore, prodrome should be distinguished from aura (which is an ictal phenomenon). If prodrome present/true + free text. (Source: Blume ea 2001; Beniczky ea 2017, Table 13.)] +**** # {takesValue, valueClass=textClass} [Free text.] +*** Initial-ictal-phase {suggestedTag=Asleep, suggestedTag=Awake} +*** Subsequent-ictal-phase +*** Post-ictal-phase +*** Episode-tongue-biting {suggestedTag=True, suggestedTag=False} [Beniczky ea 2017, Table 13.] +* Other-feature-property {requireChild} +** Artifact-significance-to-recording [It is important to score the significance of the described artifacts: recording is not interpretable, recording of reduced diagnostic value, does not interfere with the interpretation of the recording. (Source: Beniczky ea 2017, Section 12)] +*** Recording-not-interpretable-due-to-artifact +**** # {takesValue, valueClass=textClass} [Free text.] +*** Recording-of-reduced-diagnostic-value-due-to-artifact +**** # {takesValue, valueClass=textClass} [Free text.] +*** Artifact-does-not-interfere-recording +**** # {takesValue, valueClass=textClass} [Free text.] +** Feature-significance-to-recording {suggestedTag=Normal, suggestedTag=Abnormal, suggestedTag=Property-not-possible-to-determine} [Significance of feature. When normal/abnormal could be labeled with with suggested tags.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Feature-frequency {requireChild, suggestedTag=Symmetrical, suggestedTag=Asymmetrical} [Value in Hz (number) typed in.] +*** # {takesValue, valueClass=numericClass, unitClass=frequencyUnits} +** Feature-amplitude {requireChild, suggestedTag=Symmetrical, suggestedTag=Asymmetrical} [Value in microvolts (number) typed in, e.g. (Feature-amplitude/number uv)] +*** # {takesValue, valueClass=numericClass, unitClass=electricPotentialUnits} +** Feature-stopped-by {requireChild} +*** # {takesValue, valueClass=textClass} [Free text.] +** Property-not-possible-to-determine [Not possible to determine.] +*** # {takesValue, valueClass=textClass} [Free text.] -'''Interictal-finding''' {hedId=HED_0042398} [EEG pattern / transient that is distinguished from the background activity, considered abnormal, but is not recorded during ictal period (seizure) or postictal period; the presence of an interictal finding does not necessarily imply that the patient has epilepsy. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 5.)] -* Epileptiform-interictal-activity {suggestedTag=Spike, suggestedTag=Spike-and-slow-wave, suggestedTag=Runs-of-rapid-spikes, suggestedTag=Polyspikes, suggestedTag=Polyspike-and-slow-wave, suggestedTag=Sharp-wave, suggestedTag=Sharp-and-slow-wave, suggestedTag=Slow-sharp-wave, suggestedTag=High-frequency-oscillation, suggestedTag=Hypsarrhythmia-classic, suggestedTag=Hypsarrhythmia-modified, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Finding-propagation, suggestedTag=Multifocal-finding, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, suggestedTag=Finding-incidence, hedId=HED_0042399} [Transients distinguishable from background activity, with characteristic spiky morphology, typically, but neither exclusively, nor invariably found in interictal EEGs of people with epilepsy. (Source: Beniczky ea 2013, Appendix S4; Morphologies from Beniczky ea 2017, Table 5; Suggested tags from Beniczky ea 2017, Section 8.)] -* Abnormal-interictal-rhythmic-activity {suggestedTag=Rhythmic-property, suggestedTag=Polymorphic-delta-activity, suggestedTag=Frontal-intermittent-rhythmic-delta-activity, suggestedTag=Occipital-intermittent-rhythmic-delta-activity, suggestedTag=Temporal-intermittent-rhythmic-delta-activity, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, suggestedTag=Finding-incidence, hedId=HED_0042400} [Activity of frequency lower than alpha, that clearly exceeds the amount considered physiologically normal for patient age and state of alertness. (Source: Beniczky ea 2013, Appendix S4; Morphologies from Beniczky ea 2017, Table 5; Suggested tags from Beniczky ea 2017, Section 8.)] -* Interictal-special-patterns {hedId=HED_0042401} [(Source: Beniczky ea 2017, Table 5.)] -** Interictal-periodic-discharges {suggestedTag=RPP-morphology, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=RPP-time-related-feature, hedId=HED_0042402} [Periodic discharge not further specified (PDs). (Source: Beniczky ea 2017, Table 5.)] -*** Generalized-periodic-discharges {hedId=HED_0042403} [GPDs. The term generalized refers to any bilateral, bisynchronous and symmetric pattern, even if it has a restricted field (e.g. bifrontal). (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.)] -*** Lateralized-periodic-discharges {hedId=HED_0042404} [LPDs. Lateralized includes unilateral and bilateral synchronous but asymmetric; includes focal, regional and hemispheric patterns. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.)] -*** Bilateral-independent-periodic-discharges {hedId=HED_0042405} [BIPDs. Bilateral Independent refers to the presence of 2 independent (asynchronous) lateralized patterns, one in each hemisphere. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.)] -*** Multifocal-periodic-discharges {hedId=HED_0042406} [MfPDs. Multifocal refers to the presence of at least three independent lateralized patterns with at least one in each hemisphere. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.)] -** Extreme-delta-brush {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042407} [(Source: Beniczky ea 2017, Table 5.)] +'''Interictal-activity''' [EEG pattern / transient that is distinguished from the background activity, considered abnormal, but is not recorded during ictal period (seizure) or postictal period; the presence of interictal activity does not necessarily imply that the patient has epilepsy. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 5.)] +* Epileptiform-interictal-activity {suggestedTag=Spike, suggestedTag=Spike-and-slow-wave, suggestedTag=Runs-of-rapid-spikes, suggestedTag=Polyspikes, suggestedTag=Polyspike-and-slow-wave, suggestedTag=Sharp-wave, suggestedTag=Sharp-and-slow-wave, suggestedTag=Slow-sharp-wave, suggestedTag=High-frequency-oscillation, suggestedTag=Hypsarrhythmia-classic, suggestedTag=Hypsarrhythmia-modified, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Feature-propagation, suggestedTag=Multifocal-feature, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, suggestedTag=Feature-incidence} [Transients distinguishable from background activity, with characteristic spiky morphology, typically, but neither exclusively, nor invariably found in interictal EEGs of people with epilepsy. (Source: Beniczky ea 2013, Appendix S4; Morphologies from Beniczky ea 2017, Table 5; Suggested tags from Beniczky ea 2017, Section 8.)] +* Abnormal-interictal-rhythmic-activity {suggestedTag=Rhythmic-property, suggestedTag=Polymorphic-delta-activity, suggestedTag=Frontal-intermittent-rhythmic-delta-activity, suggestedTag=Occipital-intermittent-rhythmic-delta-activity, suggestedTag=Temporal-intermittent-rhythmic-delta-activity, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, suggestedTag=Feature-incidence} [Activity of frequency lower than alpha, that clearly exceeds the amount considered physiologically normal for patient age and state of alertness. (Source: Beniczky ea 2013, Appendix S4; Morphologies from Beniczky ea 2017, Table 5; Suggested tags from Beniczky ea 2017, Section 8.)] +* Interictal-special-patterns [(Source: Beniczky ea 2017, Table 5.)] +** Interictal-periodic-discharges {suggestedTag=RPP-morphology, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=RPP-time-related-feature} [Periodic discharge not further specified (PDs). (Source: Beniczky ea 2017, Table 5.)] +*** Generalized-periodic-discharges [GPDs. The term generalized refers to any bilateral, bisynchronous and symmetric pattern, even if it has a restricted field (e.g. bifrontal). (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.)] +*** Lateralized-periodic-discharges [LPDs. Lateralized includes unilateral and bilateral synchronous but asymmetric; includes focal, regional and hemispheric patterns. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.)] +*** Bilateral-independent-periodic-discharges [BIPDs. Bilateral Independent refers to the presence of 2 independent (asynchronous) lateralized patterns, one in each hemisphere. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.)] +*** Multifocal-periodic-discharges [MfPDs. Multifocal refers to the presence of at least three independent lateralized patterns with at least one in each hemisphere. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.)] +** Extreme-delta-brush {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [(Source: Beniczky ea 2017, Table 5.)] -'''Physiologic-pattern''' {hedId=HED_0042408} [EEG graphoelements or rhythms that are considered normal. They only should be scored if the physician considers that they have a specific clinical significance for the recording. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 14.)] -* Rhythmic-activity-pattern {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042409} [Rhythmic activity. (Source: Beniczky ea 2017, Table 14.)] -* Slow-alpha-variant-rhythm {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042410} [Characteristic rhythms mostly at 4-5 Hz, recorded most prominently over the posterior regions of the head. The signals generally alternate or are intermixed with the alpha rhythm to which they are often harmonically related. Amplitude varies but is frequently close to 50 micro V. Blocked or attenuated by attention, especially visual, and mental effort. Comment: slow alpha variant rhythms should be distinguished from posterior slow waves characteristic of children and adolescents and occasionally seen in young adults. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Fast-alpha-variant-rhythm {suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042411} [Characteristic rhythm at 14-20 Hz, detected most prominently over the posterior regions of the head. May alternate or be intermixed with alpha rhythm. Blocked or attenuated by attention, especially visual, and mental effort. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Lambda-wave {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042412} [Diphasic sharp transient occurring over occipital regions of the head of waking subjects during visual exploration. The main component is positive relative to other areas. Time-locked to saccadic eye movement. Amplitude varies but is generally below 50 microV. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.)] -* Posterior-slow-waves-youth {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042413} [Waves in the delta and theta range, of variable form, lasting 0.35 to 0.5 s or longer without any consistent periodicity, found in the range of 6-12 years (occasionally seen in young adults). Alpha waves are almost always intermingled or superimposed. Reactive similar to alpha activity. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.)] -* Diffuse-slowing-hyperventilation {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042414} [Bilateral, diffuse slowing of brain signals during hyperventilation. Recorded in 70 percent of normal children (3-5 years) and less then 10 percent of adults. Slowing usually appears in the posterior regions and spreads forward in younger age groups, whereas slowing tends to appear in the frontal regions and spreads backward in the older age group. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Photic-driving {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042415} [Physiologic response consisting of rhythmic activity elicited over the posterior regions of the head by repetitive photic stimulation at frequencies of about 5-30 Hz. Comments: term should be limited to activity time-locked to the stimulus and of frequency identical or harmonically related to the stimulus frequency. Photic driving should be distinguished from the visual evoked potentials elicited by isolated flashes of light or flashes repeated at very low frequency. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.)] -* Photomyogenic-response {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042416} [A response to intermittent photic stimulation characterized by the appearance in the record of brief, repetitive muscular artifacts (spikes) over the anterior regions of the head. These often increase gradually in amplitude as stimuli are continued and cease promptly when the stimulus is withdrawn. Comment: this response is frequently associated with flutter of the eyelids and vertical oscillations of the eyeballs and sometimes with discrete jerking mostly involving the musculature of the face and head. (Preferred to synonym: photo-myoclonic response). (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.)] -* Arousal-pattern {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042417} [Arousal pattern in children. Prolonged, marked high voltage 4-6/s activity in all leads with some intermixed slower frequencies. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Frontal-arousal-rhythm {suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042418} [Prolonged (up to 20s) rhythmical sharp or spiky activity over the frontal areas (maximum over the frontal midline) seen at arousal from sleep in children with minimal cerebral dysfunction. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Other-physiologic-pattern {requireChild, hedId=HED_0042419} -** # {takesValue, valueClass=textClass, hedId=HED_0042420} [Free text.] +'''Physiologic-pattern''' [EEG graphoelements or rhythms that are considered normal. They only should be scored if the physician considers that they have a specific clinical significance for the recording. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 14.)] +* Rhythmic-activity-pattern {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Rhythmic activity. (Source: Beniczky ea 2017, Table 14.)] +* Slow-alpha-variant-rhythm {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Characteristic rhythms mostly at 4-5 Hz, recorded most prominently over the posterior regions of the head. The signals generally alternate or are intermixed with the alpha rhythm to which they are often harmonically related. Amplitude varies but is frequently close to 50 micro V. Blocked or attenuated by attention, especially visual, and mental effort. Comment: slow alpha variant rhythms should be distinguished from posterior slow waves characteristic of children and adolescents and occasionally seen in young adults. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Fast-alpha-variant-rhythm {suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Characteristic rhythm at 14-20 Hz, detected most prominently over the posterior regions of the head. May alternate or be intermixed with alpha rhythm. Blocked or attenuated by attention, especially visual, and mental effort. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Lambda-wave {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Diphasic sharp transient occurring over occipital regions of the head of waking subjects during visual exploration. The main component is positive relative to other areas. Time-locked to saccadic eye movement. Amplitude varies but is generally below 50 microV. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.)] +* Posterior-slow-waves-youth {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Waves in the delta and theta range, of variable form, lasting 0.35 to 0.5 s or longer without any consistent periodicity, found in the range of 6-12 years (occasionally seen in young adults). Alpha waves are almost always intermingled or superimposed. Reactive similar to alpha activity. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.)] +* Diffuse-slowing-hyperventilation {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Bilateral, diffuse slowing of brain signals during hyperventilation. Recorded in 70 percent of normal children (3-5 years) and less then 10 percent of adults. Slowing usually appears in the posterior regions and spreads forward in younger age groups, whereas slowing tends to appear in the frontal regions and spreads backward in the older age group. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Photic-driving {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Physiologic response consisting of rhythmic activity elicited over the posterior regions of the head by repetitive photic stimulation at frequencies of about 5-30 Hz. Comments: term should be limited to activity time-locked to the stimulus and of frequency identical or harmonically related to the stimulus frequency. Photic driving should be distinguished from the visual evoked potentials elicited by isolated flashes of light or flashes repeated at very low frequency. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.)] +* Photomyogenic-response {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [A response to intermittent photic stimulation characterized by the appearance in the record of brief, repetitive muscular artifacts (spikes) over the anterior regions of the head. These often increase gradually in amplitude as stimuli are continued and cease promptly when the stimulus is withdrawn. Comment: this response is frequently associated with flutter of the eyelids and vertical oscillations of the eyeballs and sometimes with discrete jerking mostly involving the musculature of the face and head. (Preferred to synonym: photo-myoclonic response). (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.)] +* Arousal-pattern {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Arousal pattern in children. Prolonged, marked high voltage 4-6/s activity in all leads with some intermixed slower frequencies. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Frontal-arousal-rhythm {suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Prolonged (up to 20s) rhythmical sharp or spiky activity over the frontal areas (maximum over the frontal midline) seen at arousal from sleep in children with minimal cerebral dysfunction. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Other-physiologic-pattern {requireChild} +** # {takesValue, valueClass=textClass} [Free text.] -'''Polygraphic-channel-finding''' {hedId=HED_0042421} [Changes observed in polygraphic channels can be scored: EOG, Respiration, ECG, EMG, other polygraphic channel (+ free text), and their significance logged (normal, abnormal, no definite abnormality). (Source: Beniczky ea 2017, Section 13.)] -* EOG-channel-finding {suggestedTag=Finding-significance-to-recording, hedId=HED_0042422} [Electrooculogram (EOG) channel findings. (Source: Beniczky ea 2017, Section 13.)] -** # {takesValue, valueClass=textClass, hedId=HED_0042423} [Free text.] -* Respiration-channel-finding {suggestedTag=Finding-significance-to-recording, hedId=HED_0042424} [Findings in respiration sensors. (Source: Beniczky ea 2017, Section 13, Table 16.)] -** Oxygen-saturation {requireChild, hedId=HED_0042425} [Percentage. (Source: Beniczky ea 2013, Table 9; Beniczky ea 2017, Table 16.)] -*** # {takesValue, valueClass=numericClass, hedId=HED_0042426} -** Apnea {hedId=HED_0042427} [Temporary cessation of breathing (Source: Wikipedia). Duration (range in seconds). (Source: Beniczky ea 2013, Table 9.)] -*** # {takesValue, valueClass=numericClass, hedId=HED_0042428} -** Hypopnea {hedId=HED_0042429} [Overly shallow breathing or an abnormally low respiratory rate. Duration (range in seconds). (Source: Wikipedia; Beniczky ea 2013, Table 9.)] -*** # {takesValue, valueClass=numericClass, hedId=HED_0042430} -** Apnea-hypopnea-index {suggestedTag=Frequency, hedId=HED_0042431} [Events/hour as calculated by dividing the number of apnoea and hypopnoea events by the number of hours of sleep. (Source: Wikipedia; Beniczky ea 2013, Table 9.)] -*** # {takesValue, valueClass=numericClass, hedId=HED_0042432} -** Periodic-respiration {hedId=HED_0042433} [Source: Beniczky ea 2017, Table 16] -*** # {takesValue, valueClass=textClass, hedId=HED_0042434} [Free text.(Source: Beniczky ea 2017, Table 16.)] -** Tachypnea {suggestedTag=Frequency, hedId=HED_0042435} [Numerical value for cycles / minute. (Source: Beniczky ea 2017, Table 16.)] -*** # {takesValue, valueClass=numericClass, hedId=HED_0042436} -** Other-respiration-feature {requireChild, hedId=HED_0042437} [Source: Beniczky ea 2017, Table 16] -*** # {takesValue, valueClass=textClass, hedId=HED_0042438} [Free text.] -* ECG-channel-finding {suggestedTag=Finding-significance-to-recording, hedId=HED_0042439} [Findings in Electrocardiogram recordings. (Source: Beniczky ea 2017, Section 13, Table 16.)] -** ECG-QT-period {requireChild, hedId=HED_0042440} [The time from the start of the Q wave to the end of the T wave (Source: Wikipedia; Beniczky ea 2013, Table 9; Beniczky ea 2017, Table 16.)] -*** # {takesValue, valueClass=numericClass, unitClass=timeUnits, hedId=HED_0042441} -** ECG-normal-rhythm {suggestedTag=Frequency, hedId=HED_0042442} [Normal rhythm. (Source: Beniczky ea 2017, Table 16.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042443} [Free text.] -** ECG-arrhythmia {hedId=HED_0042444} [Free text annotating characteristics of arrythymia. (Source: Beniczky ea 2017, Table 16.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042445} [Free text.] -** ECG-asystolia {hedId=HED_0042446} [Absence of ventricular contractions in the context of a lethal heart arrhythmia. Duration in seconds of the absence. (Source: Wikipedia; Beniczky ea 2013, Table 9.)] -*** # {takesValue, valueClass=numericClass, unitClass=timeUnits, hedId=HED_0042447} -** ECG-bradycardia {suggestedTag=Frequency, hedId=HED_0042448} [A resting heart rate under 60 beats per minute. Numerical value for frequency in beats/minute. (Source: Wikipedia; Beniczky ea 2017, Table 16; Beniczky ea 2013, Table 9.)] -*** # {takesValue, valueClass=numericClass, hedId=HED_0042449} -** ECG-extrasystole {hedId=HED_0042450} [A heart rhythm disorder corresponding to a premature contraction of one of the chambers of the heart. (Source: Wikipedia; Beniczky ea 2017, Table 16.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042451} [Free text.] -** ECG-ventricular-premature-depolarization {hedId=HED_0042452} [A premature ventricular contraction (PVC) is a common event where the heartbeat is initiated by Purkinje fibers in the ventricles rather than by the sinoatrial node. (Source: Wikipedia; Beniczky ea 2017, Table 16.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042453} [Free text.] -** ECG-tachycardia {suggestedTag=Frequency, hedId=HED_0042454} [Numerical value for frequency in beats/minute. (Source: Beniczky ea 2017, Table 16; Beniczky ea 2013, Table 9.)] -*** # {takesValue, valueClass=numericClass, hedId=HED_0042455} -** Other-ECG-feature {requireChild, hedId=HED_0042456} [Source: Beniczky ea 2017, Table 16.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042457} [Free text.] -* EMG-channel-finding {suggestedTag=Finding-significance-to-recording, suggestedTag=Symmetrical, suggestedTag=Left, suggestedTag=Right, hedId=HED_0042458} [Findings in Electromyography recordings (Source: Beniczky ea 2017, Section 13, Table 16.). Suggested tags can be used to note the side of the muscle (Left or Right). The order of activation may be indicated using Temporal-relation: (Left, (Before,Right)).] -** EMG-muscle-name {requireChild, hedId=HED_0042459} [Source: Beniczky ea 2017, Table 16.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042460} [Free text.] -** Myoclonus {hedId=HED_0042461} [Source: Beniczky ea 2017, Table 16.] -*** Negative-myoclonus {hedId=HED_0042462} [Source: Beniczky ea 2017, Table 16.] -*** Myoclonus-rhythmic {hedId=HED_0042463} [Numerical value for frequency. (Source: Beniczky ea 2017, Table 16.)] -**** # {takesValue, valueClass=numericClass, hedId=HED_0042464} -*** Myoclonus-arrhythmic {hedId=HED_0042465} [Source: Beniczky ea 2017, Table 16.] -*** Myoclonus-synchronous {hedId=HED_0042466} [Source: Beniczky ea 2017, Table 16.] -*** Myoclonus-asynchronous {hedId=HED_0042467} [Source: Beniczky ea 2017, Table 16.] -** PLMS {hedId=HED_0042468} [Periodic limb movements in sleep. (Source: Beniczky ea 2017, Table 16.)] -** Spasm {hedId=HED_0042469} [Source: Beniczky ea 2017, Table 16.] -** Tonic-contraction {hedId=HED_0042470} [Source: Beniczky ea 2017, Table 16.] -** Other-EMG-features {requireChild, hedId=HED_0042471} [Source: Beniczky ea 2017, Table 16.] -*** # {takesValue, valueClass=textClass, hedId=HED_0042472} [Free text.] -* Other-polygraphic-channel-feature {requireChild, hedId=HED_0042473} [Add the name and type of the polygraphic channel as well as the feature in the description. (Source: Beniczky ea 2017, Section 13.)] -** # {takesValue, valueClass=textClass, hedId=HED_0042474} [Free text.] +'''Polygraphic-channel-feature''' [Changes observed in polygraphic channels can be scored: EOG, Respiration, ECG, EMG, other polygraphic channel (+ free text), and their significance logged (normal, abnormal, no definite abnormality). (Source: Beniczky ea 2017, Section 13.)] +* EOG-channel-feature {suggestedTag=Feature-significance-to-recording} [Electrooculogram (EOG) channel features. (Source: Beniczky ea 2017, Section 13.)] +** # {takesValue, valueClass=textClass} [Free text.] +* Respiration-channel-feature {suggestedTag=Feature-significance-to-recording} [Findings in respiration sensors. (Source: Beniczky ea 2017, Section 13, Table 16.)] +** Oxygen-saturation {requireChild} [Percentage. (Source: Beniczky ea 2013, Table 9; Beniczky ea 2017, Table 16.)] +*** # {takesValue, valueClass=numericClass} +** Apnea [Temporary cessation of breathing (Source: Wikipedia). Duration (range in seconds). (Source: Beniczky ea 2013, Table 9.)] +*** # {takesValue, valueClass=numericClass} +** Hypopnea [Overly shallow breathing or an abnormally low respiratory rate. Duration (range in seconds). (Source: Wikipedia; Beniczky ea 2013, Table 9.)] +*** # {takesValue, valueClass=numericClass} +** Apnea-hypopnea-index {suggestedTag=Frequency} [Events/hour as calculated by dividing the number of apnoea and hypopnoea events by the number of hours of sleep. (Source: Wikipedia; Beniczky ea 2013, Table 9.)] +*** # {takesValue, valueClass=numericClass} +** Periodic-respiration [Source: Beniczky ea 2017, Table 16] +*** # {takesValue, valueClass=textClass} [Free text.(Source: Beniczky ea 2017, Table 16.)] +** Tachypnea {suggestedTag=Frequency} [Numerical value for cycles / minute. (Source: Beniczky ea 2017, Table 16.)] +*** # {takesValue, valueClass=numericClass} +** Other-respiration-feature {requireChild} [Source: Beniczky ea 2017, Table 16] +*** # {takesValue, valueClass=textClass} [Free text.] +* ECG-channel-feature {suggestedTag=Feature-significance-to-recording} [Findings in Electrocardiogram recordings. (Source: Beniczky ea 2017, Section 13, Table 16.)] +** ECG-QT-period {requireChild} [The time from the start of the Q wave to the end of the T wave (Source: Wikipedia; Beniczky ea 2013, Table 9; Beniczky ea 2017, Table 16.)] +*** # {takesValue, valueClass=numericClass, unitClass=timeUnits} +** ECG-normal-rhythm {suggestedTag=Frequency} [Normal rhythm. (Source: Beniczky ea 2017, Table 16.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** ECG-arrhythmia [Free text annotating characteristics of arrythymia. (Source: Beniczky ea 2017, Table 16.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** ECG-asystolia [Absence of ventricular contractions in the context of a lethal heart arrhythmia. Duration in seconds of the absence. (Source: Wikipedia; Beniczky ea 2013, Table 9.)] +*** # {takesValue, valueClass=numericClass, unitClass=timeUnits} +** ECG-bradycardia {suggestedTag=Frequency} [A resting heart rate under 60 beats per minute. Numerical value for frequency in beats/minute. (Source: Wikipedia; Beniczky ea 2017, Table 16; Beniczky ea 2013, Table 9.)] +*** # {takesValue, valueClass=numericClass} +** ECG-extrasystole [A heart rhythm disorder corresponding to a premature contraction of one of the chambers of the heart. (Source: Wikipedia; Beniczky ea 2017, Table 16.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** ECG-ventricular-premature-depolarization [A premature ventricular contraction (PVC) is a common event where the heartbeat is initiated by Purkinje fibers in the ventricles rather than by the sinoatrial node. (Source: Wikipedia; Beniczky ea 2017, Table 16.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** ECG-tachycardia {suggestedTag=Frequency} [Numerical value for frequency in beats/minute. (Source: Beniczky ea 2017, Table 16; Beniczky ea 2013, Table 9.)] +*** # {takesValue, valueClass=numericClass} +** Other-ECG-feature {requireChild} [Source: Beniczky ea 2017, Table 16.] +*** # {takesValue, valueClass=textClass} [Free text.] +* EMG-channel-feature {suggestedTag=Feature-significance-to-recording, suggestedTag=Symmetrical, suggestedTag=Left, suggestedTag=Right} [Findings in Electromyography recordings (Source: Beniczky ea 2017, Section 13, Table 16.). Suggested tags can be used to note the side of the muscle (Left or Right). The order of activation may be indicated using Temporal-relation: (Left, (Before,Right)).] +** EMG-muscle-name {requireChild} [Source: Beniczky ea 2017, Table 16.] +*** # {takesValue, valueClass=textClass} [Free text.] +** Myoclonus [Source: Beniczky ea 2017, Table 16.] +*** Negative-myoclonus [Source: Beniczky ea 2017, Table 16.] +*** Myoclonus-rhythmic [Numerical value for frequency. (Source: Beniczky ea 2017, Table 16.)] +**** # {takesValue, valueClass=numericClass} +*** Myoclonus-arrhythmic [Source: Beniczky ea 2017, Table 16.] +*** Myoclonus-synchronous [Source: Beniczky ea 2017, Table 16.] +*** Myoclonus-asynchronous [Source: Beniczky ea 2017, Table 16.] +** PLMS [Periodic limb movements in sleep. (Source: Beniczky ea 2017, Table 16.)] +** Spasm [Source: Beniczky ea 2017, Table 16.] +** Tonic-contraction [Source: Beniczky ea 2017, Table 16.] +** Other-EMG-features {requireChild} [Source: Beniczky ea 2017, Table 16.] +*** # {takesValue, valueClass=textClass} [Free text.] +* Other-polygraphic-channel-feature {requireChild} [Add the name and type of the polygraphic channel as well as the feature in the description. (Source: Beniczky ea 2017, Section 13.)] +** # {takesValue, valueClass=textClass} [Free text.] -'''Sleep-and-drowsiness''' {hedId=HED_0042475} [The features of the ongoing activity during sleep are scored here. If abnormal graphoelements appear, disappear or change their morphology during sleep, that is not scored here but at the entry corresponding to that graphoelement (as a modulator). (Source: Beniczky ea 2013. Appendix S1.)] -* Sleep-architecture {suggestedTag=Property-not-possible-to-determine, hedId=HED_0042476} [For longer recordings. Only to be scored if whole-night sleep is part of the recording. It is a global descriptor of the structure and pattern of sleep: estimation of the amount of time spent in REM and NREM sleep, sleep duration, NREM-REM cycle. (Source: Beniczky ea 2013, Appendix S3.)] -** Normal-sleep-architecture {hedId=HED_0042477} [Recording containing sleep-patterns that are considered normal for the attained sleep stages and for the age. (Source: Benizcky ea 2013, Appendix S3.)] -** Abnormal-sleep-architecture {hedId=HED_0042478} [Absence or consistently marked amplitude asymmetry (>50%) of a normal sleep graphoelement. (Source: Benizcky ea 2013, Appendix S3.)] -* Sleep-stage-reached {requireChild, suggestedTag=Property-not-possible-to-determine, suggestedTag=Finding-significance-to-recording, hedId=HED_0042479} [For normal sleep patterns the sleep stages reached during the recording can be specified. (Source: Beniczky ea 2017, Section 7.)] -** Sleep-stage-N1 {hedId=HED_0042480} [Sleep stage 1. (Source: Beniczky ea 2017, Section 7.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042481} [Free text.] -** Sleep-stage-N2 {hedId=HED_0042482} [Sleep stage 2. (Source: Beniczky ea 2017, Section 7.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042483} [Free text.] -** Sleep-stage-N3 {hedId=HED_0042484} [Sleep stage 3. (Source: Beniczky ea 2017, Section 7.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042485} [Free text.] -** Sleep-stage-REM {hedId=HED_0042486} [Rapid eye movement. (Source: Beniczky ea 2017, Section 7.)] -*** # {takesValue, valueClass=textClass, hedId=HED_0042487} [Free text.] -* Sleep-spindles {suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, hedId=HED_0042488} [Burst at 11-15 Hz but mostly at 12-14 Hz generally diffuse but of higher voltage over the central regions of the head, occurring during sleep. Amplitude varies but is mostly below 50 microV in the adult. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] -* Vertex-wave {suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, hedId=HED_0042489} [Sharp potential, maximal at the vertex, negative relative to other areas, apparently occurring spontaneously during sleep or in response to a sensory stimulus during sleep or wakefulness. May be single or repetitive. Amplitude varies but rarely exceeds 250 microV. Abbreviation: V wave. Synonym: vertex sharp wave. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] -* K-complex {suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, hedId=HED_0042490} [A burst of somewhat variable appearance, consisting most commonly of a high voltage negative slow wave followed by a smaller positive slow wave frequently associated with a sleep spindle. Duration greater than 0.5 s. Amplitude is generally maximal in the frontal vertex. K complexes occur during nonREM sleep, apparently spontaneously, or in response to sudden sensory / auditory stimuli, and are not specific for any individual sensory modality. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] -* Saw-tooth-waves {suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, hedId=HED_0042491} [Vertex negative 2-5 Hz waves occurring in series during REM sleep. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] -* POSTS {suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, hedId=HED_0042492} [Positive occipital sharp transients of sleep. Sharp transient maximal over the occipital regions, positive relative to other areas, apparently occurring spontaneously during sleep. May be single or repetitive. Amplitude varies but is generally below 50 microV. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] -* Hypnagogic-hypersynchrony {suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, hedId=HED_0042493} [Hypnagogic/hypnopompic hypersynchrony in children. Bursts of bilateral, synchronous delta or theta activity of large amplitude, occasionally with superimposed faster components, occurring during falling asleep or during awakening, in children. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] -* Non-reactive-sleep {hedId=HED_0042494} [EEG activity consisting of normal sleep graphoelements, but which cannot be interrupted by external stimuli/ the patient cannot be wakened. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] +'''Sleep-and-drowsiness''' [The features of the ongoing activity during sleep are scored here. If abnormal graphoelements appear, disappear or change their morphology during sleep, that is not scored here but at the entry corresponding to that graphoelement (as a modulator). (Source: Beniczky ea 2013. Appendix S1.)] +* Sleep-architecture {suggestedTag=Property-not-possible-to-determine} [For longer recordings. Only to be scored if whole-night sleep is part of the recording. It is a global descriptor of the structure and pattern of sleep: estimation of the amount of time spent in REM and NREM sleep, sleep duration, NREM-REM cycle. (Source: Beniczky ea 2013, Appendix S3.)] +** Normal-sleep-architecture [Recording containing sleep-patterns that are considered normal for the attained sleep stages and for the age. (Source: Benizcky ea 2013, Appendix S3.)] +** Abnormal-sleep-architecture [Absence or consistently marked amplitude asymmetry (>50%) of a normal sleep graphoelement. (Source: Benizcky ea 2013, Appendix S3.)] +* Sleep-stage-reached {requireChild, suggestedTag=Property-not-possible-to-determine, suggestedTag=Feature-significance-to-recording} [For normal sleep patterns the sleep stages reached during the recording can be specified. (Source: Beniczky ea 2017, Section 7.)] +** Sleep-stage-N1 [Sleep stage 1. (Source: Beniczky ea 2017, Section 7.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Sleep-stage-N2 [Sleep stage 2. (Source: Beniczky ea 2017, Section 7.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Sleep-stage-N3 [Sleep stage 3. (Source: Beniczky ea 2017, Section 7.)] +*** # {takesValue, valueClass=textClass} [Free text.] +** Sleep-stage-REM [Rapid eye movement. (Source: Beniczky ea 2017, Section 7.)] +*** # {takesValue, valueClass=textClass} [Free text.] +* Sleep-spindles {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical} [Burst at 11-15 Hz but mostly at 12-14 Hz generally diffuse but of higher voltage over the central regions of the head, occurring during sleep. Amplitude varies but is mostly below 50 microV in the adult. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] +* Vertex-wave {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical} [Sharp potential, maximal at the vertex, negative relative to other areas, apparently occurring spontaneously during sleep or in response to a sensory stimulus during sleep or wakefulness. May be single or repetitive. Amplitude varies but rarely exceeds 250 microV. Abbreviation: V wave. Synonym: vertex sharp wave. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] +* K-complex {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical} [A burst of somewhat variable appearance, consisting most commonly of a high voltage negative slow wave followed by a smaller positive slow wave frequently associated with a sleep spindle. Duration greater than 0.5 s. Amplitude is generally maximal in the frontal vertex. K complexes occur during nonREM sleep, apparently spontaneously, or in response to sudden sensory / auditory stimuli, and are not specific for any individual sensory modality. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] +* Saw-tooth-waves {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical} [Vertex negative 2-5 Hz waves occurring in series during REM sleep. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] +* POSTS {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical} [Positive occipital sharp transients of sleep. Sharp transient maximal over the occipital regions, positive relative to other areas, apparently occurring spontaneously during sleep. May be single or repetitive. Amplitude varies but is generally below 50 microV. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] +* Hypnagogic-hypersynchrony {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical} [Hypnagogic/hypnopompic hypersynchrony in children. Bursts of bilateral, synchronous delta or theta activity of large amplitude, occasionally with superimposed faster components, occurring during falling asleep or during awakening, in children. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] +* Non-reactive-sleep [EEG activity consisting of normal sleep graphoelements, but which cannot be interrupted by external stimuli/ the patient cannot be wakened. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.)] -'''Uncertain-significant-pattern''' {hedId=HED_0042495} [EEG graphoelements or rhythms that resemble abnormal patterns but that are not necessarily associated with a pathology, and the physician does not consider them abnormal in the context of the scored recording (like normal variants and patterns). (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 14.)] -* Sharp-transient-pattern {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042496} [Sharp transient. (Source: Beniczky ea 2017, Table 14.)] -* Wicket-spikes {hedId=HED_0042497} [Spike-like monophasic negative single waves or trains of waves occurring over the temporal regions during drowsiness that have an arcuate or mu-like appearance. These are mainly seen in older individuals and represent a benign variant that is of little clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Small-sharp-spikes {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042498} [Benign Epileptiform Transients of Sleep (BETS). Small Sharp Spikes (SSS) of very short duration and low amplitude, often followed by a small theta wave, occurring in the temporal regions during drowsiness and light sleep. They occur on one or both sides (often asynchronously). The main negative and positive components are of about equally spiky character. Rarely seen in children, they are seen most often in adults and the elderly. Two thirds of the patients have a history of epileptic seizures. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Fourteen-six-Hz-positive-burst {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042499} [Burst of arch-shaped waves at 13-17 Hz and/or 5-7-Hz but most commonly at 14 and/or 6 Hz seen generally over the posterior temporal and adjacent areas of one or both sides of the head during sleep. The sharp peaks of its component waves are positive with respect to other regions. Amplitude varies but is generally below 75 micro V. Comments: (1) best demonstrated by referential recording using contralateral earlobe or other remote, reference electrodes. (2) This pattern has no established clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Six-Hz-spike-slow-wave {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042500} [Spike and slow wave complexes at 4-7 Hz, but mostly at 6 Hz occurring generally in brief bursts bilaterally and synchronously, symmetrically or asymmetrically, and either confined to or of larger amplitude over the posterior or anterior regions of the head. The spike has a strong positive component. Amplitude varies but is generally smaller than that of spike-and slow-wave complexes repeating at slower rates. Comment: this pattern should be distinguished from epileptiform discharges. Synonym: wave and spike phantom. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Rudimentary-spike-wave-complex {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042501} [Synonym: pseudo petit mal discharge. Paroxysmal discharge that consists of generalized or nearly generalized high voltage 3 to 4/sec waves with poorly developed spike in the positive trough between the slow waves, occurring in drowsiness only. It is found only in infancy and early childhood when marked hypnagogic rhythmical theta activity is paramount in the drowsy state. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Slow-fused-transient {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042502} [A posterior slow-wave preceded by a sharp-contoured potential that blends together with the ensuing slow wave, in children. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Needle-like-occipital-spikes-blind {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042503} [Spike discharges of a particularly fast and needle-like character develop over the occipital region in most congenitally blind children. Completely disappear during childhood or adolescence. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Subclinical-rhythmic-EEG-discharge-adults {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042504} [Subclinical Rhythmic EEG Discharge of Adults (SERDA). A rhythmic pattern seen in adults, mainly in the waking state or drowsiness. It consists of a mixture of frequencies, often predominant in the theta range. The onset may be fairly abrupt with widespread sharp rhythmical theta and occasionally with delta activity. As to the spatial distribution, a maximum of this discharge is usually found over the centroparietal region and especially over the vertex. It may resemble a seizure discharge but is not accompanied by any clinical signs or symptoms. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Rhythmic-temporal-theta-burst-drowsiness {hedId=HED_0042505} [Rhythmic temporal theta burst of drowsiness (RTTD). Characteristic burst of 4-7 Hz waves frequently notched by faster waves, occurring over the temporal regions of the head during drowsiness. Synonym: psychomotor variant pattern. Comment: this is a pattern of drowsiness that is of no clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Ciganek-rhythm {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042506} [Ciganek rhythm (midline central theta) (Source: Beniczky ea 2017, Table 14.)] -* Temporal-slowing-elderly {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042507} [Focal theta and/or delta activity over the temporal regions, especially the left, in persons over the age of 60. Amplitudes are low/similar to the background activity. Comment: focal temporal theta was found in 20 percent of people between the ages of 40-59 years, and 40 percent of people between 60 and 79 years. One third of people older than 60 years had focal temporal delta activity. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Breach-rhythm {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, hedId=HED_0042508} [Rhythmical activity recorded over cranial bone defects. Usually it is in the 6 to 11/sec range and does not respond to movements. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] -* Other-uncertain-significant-pattern {requireChild, hedId=HED_0042509} -** # {takesValue, valueClass=textClass, hedId=HED_0042510} [Free text.] +'''Uncertain-significant-pattern''' [EEG graphoelements or rhythms that resemble abnormal patterns but that are not necessarily associated with a pathology, and the physician does not consider them abnormal in the context of the scored recording (like normal variants and patterns). (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 14.)] +* Sharp-transient-pattern {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Sharp transient. (Source: Beniczky ea 2017, Table 14.)] +* Wicket-spikes [Spike-like monophasic negative single waves or trains of waves occurring over the temporal regions during drowsiness that have an arcuate or mu-like appearance. These are mainly seen in older individuals and represent a benign variant that is of little clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Small-sharp-spikes {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Benign Epileptiform Transients of Sleep (BETS). Small Sharp Spikes (SSS) of very short duration and low amplitude, often followed by a small theta wave, occurring in the temporal regions during drowsiness and light sleep. They occur on one or both sides (often asynchronously). The main negative and positive components are of about equally spiky character. Rarely seen in children, they are seen most often in adults and the elderly. Two thirds of the patients have a history of epileptic seizures. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Fourteen-six-Hz-positive-burst {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Burst of arch-shaped waves at 13-17 Hz and/or 5-7-Hz but most commonly at 14 and/or 6 Hz seen generally over the posterior temporal and adjacent areas of one or both sides of the head during sleep. The sharp peaks of its component waves are positive with respect to other regions. Amplitude varies but is generally below 75 micro V. Comments: (1) best demonstrated by referential recording using contralateral earlobe or other remote, reference electrodes. (2) This pattern has no established clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Six-Hz-spike-slow-wave {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Spike and slow wave complexes at 4-7 Hz, but mostly at 6 Hz occurring generally in brief bursts bilaterally and synchronously, symmetrically or asymmetrically, and either confined to or of larger amplitude over the posterior or anterior regions of the head. The spike has a strong positive component. Amplitude varies but is generally smaller than that of spike-and slow-wave complexes repeating at slower rates. Comment: this pattern should be distinguished from epileptiform discharges. Synonym: wave and spike phantom. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Rudimentary-spike-wave-complex {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Synonym: pseudo petit mal discharge. Paroxysmal discharge that consists of generalized or nearly generalized high voltage 3 to 4/sec waves with poorly developed spike in the positive trough between the slow waves, occurring in drowsiness only. It is found only in infancy and early childhood when marked hypnagogic rhythmical theta activity is paramount in the drowsy state. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Slow-fused-transient {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [A posterior slow-wave preceded by a sharp-contoured potential that blends together with the ensuing slow wave, in children. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Needle-like-occipital-spikes-blind {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Spike discharges of a particularly fast and needle-like character develop over the occipital region in most congenitally blind children. Completely disappear during childhood or adolescence. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Subclinical-rhythmic-EEG-discharge-adults {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Subclinical Rhythmic EEG Discharge of Adults (SERDA). A rhythmic pattern seen in adults, mainly in the waking state or drowsiness. It consists of a mixture of frequencies, often predominant in the theta range. The onset may be fairly abrupt with widespread sharp rhythmical theta and occasionally with delta activity. As to the spatial distribution, a maximum of this discharge is usually found over the centroparietal region and especially over the vertex. It may resemble a seizure discharge but is not accompanied by any clinical signs or symptoms. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Rhythmic-temporal-theta-burst-drowsiness [Rhythmic temporal theta burst of drowsiness (RTTD). Characteristic burst of 4-7 Hz waves frequently notched by faster waves, occurring over the temporal regions of the head during drowsiness. Synonym: psychomotor variant pattern. Comment: this is a pattern of drowsiness that is of no clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Ciganek-rhythm {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Ciganek rhythm (midline central theta) (Source: Beniczky ea 2017, Table 14.)] +* Temporal-slowing-elderly {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Focal theta and/or delta activity over the temporal regions, especially the left, in persons over the age of 60. Amplitudes are low/similar to the background activity. Comment: focal temporal theta was found in 20 percent of people between the ages of 40-59 years, and 40 percent of people between 60 and 79 years. One third of people older than 60 years had focal temporal delta activity. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Breach-rhythm {suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern} [Rhythmical activity recorded over cranial bone defects. Usually it is in the 6 to 11/sec range and does not respond to movements. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.)] +* Other-uncertain-significant-pattern {requireChild} +** # {takesValue, valueClass=textClass} [Free text.] !# end schema @@ -550,11 +550,11 @@ A second revised and extended version of SCORE achieved international consensus. 1 Beniczky ea 2013: "Standardized computer based organized reporting of EEG: SCORE." Epilepsia 54(6) pp.1112-1124. 2 Beniczky ea 2017: "Standardized computer based organized reporting of EEG: SCORE second version." Clinical Neurophysiology 128(11) pp.2334-2346. -3 Hirsch ea 2013: "American Clinical Neurophysiology Society’s Standardized Critical Care EEG Terminology: 2012 version." Journal of clinical neurophysiology 30(1) pp.1-27. +3 Hirsch ea 2013: "American Clinical Neurophysiology Society's Standardized Critical Care EEG Terminology: 2012 version." Journal of clinical neurophysiology 30(1) pp.1-27. 4 Fisher ea 2017: "Instruction manual for the ILAE 2017 operational classification of seizure types." Epilepsia 58(4) pp.531-542. 5 Trenité ea 2001: "Visual sensitivity and epilepsy: a proposed terminology and classification for clinical and EEG phenomenology." Epilepsia 42(5) pp.692-701. 6 Blume ea 2001: "Glossary of descriptive terminology for ictal semiology: report of the ILAE task force on classification and terminology." Epilepsia 42(9) pp.1212-1218. -TPA July 2023 +TPA KR DH SM July 2024 !# end hed diff --git a/library_schemas/score/prerelease/HED_score_2.0.0.xml b/library_schemas/score/prerelease/HED_score_2.0.0.xml index af4a0d0..abf0d3b 100644 --- a/library_schemas/score/prerelease/HED_score_2.0.0.xml +++ b/library_schemas/score/prerelease/HED_score_2.0.0.xml @@ -155,11 +155,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Modulator - External stimuli / interventions or changes in the alertness level (sleep) that modify: the background activity, or how often a graphoelement is occurring, or change other features of the graphoelement (like intra-burst frequency). For each observed finding, there is an option of specifying how they are influenced by the modulators and procedures that were done during the recording. - - hedId - HED_0042001 - + External stimuli / interventions or changes in the alertness level (sleep) that modify: the background activity, or how often a graphoelement is occurring, or change other features of the graphoelement (like intra-burst frequency). For each observed feature, there is an option of specifying how they are influenced by the modulators and procedures that were done during the recording. inLibrary score @@ -171,10 +167,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Drowsy - - hedId - HED_0042002 - inLibrary score @@ -182,10 +174,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sleep-deprivation Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042003 - inLibrary score @@ -200,10 +188,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042004 - inLibrary score @@ -213,10 +197,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sleep-following-sleep-deprivation Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042005 - inLibrary score @@ -231,10 +211,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042006 - inLibrary score @@ -244,10 +220,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Natural-sleep Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042007 - inLibrary score @@ -262,10 +234,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042008 - inLibrary score @@ -275,10 +243,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Induced-sleep Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042009 - inLibrary score @@ -293,10 +257,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042010 - inLibrary score @@ -306,10 +266,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Awakening Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042011 - inLibrary score @@ -324,10 +280,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042012 - inLibrary score @@ -337,10 +289,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Medication-modulator - - hedId - HED_0042013 - inLibrary score @@ -348,10 +296,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Medication-administered-during-recording Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042014 - inLibrary score @@ -366,10 +310,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042015 - inLibrary score @@ -379,10 +319,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Medication-withdrawal-or-reduction-during-recording Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042016 - inLibrary score @@ -397,10 +333,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042017 - inLibrary score @@ -410,10 +342,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Eye-modulator - - hedId - HED_0042018 - inLibrary score @@ -421,10 +349,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Manual-eye-closure Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042019 - inLibrary score @@ -439,10 +363,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042020 - inLibrary score @@ -452,10 +372,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Manual-eye-opening Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042021 - inLibrary score @@ -470,10 +386,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042022 - inLibrary score @@ -483,10 +395,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Stimulation-modulator - - hedId - HED_0042023 - inLibrary score @@ -498,10 +406,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Intermittent-photic-stimulation-effect - - hedId - HED_0042024 - inLibrary score @@ -519,10 +423,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind unitClass frequencyUnits - - hedId - HED_0042025 - inLibrary score @@ -532,10 +432,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Auditory-stimulation Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042026 - inLibrary score @@ -550,10 +446,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042027 - inLibrary score @@ -563,10 +455,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Nociceptive-stimulation Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042028 - inLibrary score @@ -581,10 +469,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042029 - inLibrary score @@ -595,20 +479,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hyperventilation When selecting hyperventilation from the list, the user is prompted to score the quality of the hyperventilation (excellent effort, good effort, poor effort, refused the procedure, unable to do the procedure). (Source: Beniczky ea 2017, Section 4, Table 2.) - - hedId - HED_0042030 - inLibrary score Hyperventilation-refused-procedure - - hedId - HED_0042031 - inLibrary score @@ -623,10 +499,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042032 - inLibrary score @@ -635,10 +507,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hyperventilation-poor-effort - - hedId - HED_0042033 - inLibrary score @@ -653,10 +521,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042034 - inLibrary score @@ -665,10 +529,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hyperventilation-good-effort - - hedId - HED_0042035 - inLibrary score @@ -683,10 +543,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042036 - inLibrary score @@ -695,10 +551,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hyperventilation-excellent-effort - - hedId - HED_0042037 - inLibrary score @@ -713,10 +565,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042038 - inLibrary score @@ -727,10 +575,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Physical-effort Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042039 - inLibrary score @@ -745,10 +589,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042040 - inLibrary score @@ -758,10 +598,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Cognitive-task Source: Beniczky ea 2017, Table 2. - - hedId - HED_0042041 - inLibrary score @@ -776,10 +612,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042042 - inLibrary score @@ -792,10 +624,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042043 - inLibrary score @@ -810,10 +638,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042044 - inLibrary score @@ -824,10 +648,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Background-activity An EEG activity representing the setting in which a given normal or abnormal pattern appears and from which such pattern is distinguished (Source: Beniczky ea 2013, Appendix S1.) - - hedId - HED_0042045 - inLibrary score @@ -837,14 +657,10 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Rhythmic activity occurring during wakefulness over the posterior regions of the head, generally with maximum amplitudes over the occipital areas. Amplitude varies. Best seen with eyes closed and during physical relaxation and relative mental inactivity. Blocked or attenuated by attention, especially visual, and mental effort. In adults this is the alpha rhythm, and the frequency is 8 to 13 Hz. However the frequency can be higher or lower than this range (often a supra or sub harmonic of alpha frequency) and is called alpha variant rhythm (fast and slow alpha variant rhythm). In children, the normal range of the frequency of the posterior dominant rhythm is age-dependant. (Source: Beniczky ea 2013, Appendix S2; suggested tags from Beniczky ea 2017, Table 4.) suggestedTag - Finding-significance-to-recording - Finding-frequency + Feature-significance-to-recording + Feature-frequency Posterior-dominant-rhythm-property - - hedId - HED_0042046 - inLibrary score @@ -855,15 +671,11 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind EEG rhythm at 7-11 Hz composed of arch-shaped waves occurring over the central or centro-parietal regions of the scalp during wakefulness. Amplitudes varies but is mostly below 50 microV. Blocked or attenuated most clearly by contralateral movement, thought of movement, readiness to move or tactile stimulation. (Source: Beniczky ea 2013, Appendix S2.) suggestedTag - Finding-frequency - Finding-significance-to-recording + Feature-frequency + Feature-significance-to-recording Categorical-location-value Sensors - - hedId - HED_0042047 - inLibrary score @@ -878,16 +690,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Rhythmic-property - Finding-significance-to-recording + Feature-significance-to-recording Categorical-location-value Sensors Appearance-mode Discharge-pattern - - hedId - HED_0042048 - inLibrary score @@ -902,10 +710,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042049 - inLibrary score @@ -915,10 +719,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Background-activity-special-feature Special features provide scoring options for the background activity of critically ill patients. (Source: Beniczky ea 2017, Section 6.) - - hedId - HED_0042050 - inLibrary score @@ -932,10 +732,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Sensors - - hedId - HED_0042051 - inLibrary score @@ -950,10 +746,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Sensors - - hedId - HED_0042052 - inLibrary score @@ -968,10 +760,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Sensors - - hedId - HED_0042053 - inLibrary score @@ -985,10 +773,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Sensors - - hedId - HED_0042054 - inLibrary score @@ -1002,10 +786,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Sensors - - hedId - HED_0042055 - inLibrary score @@ -1020,10 +800,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sensors Appearance-mode - - hedId - HED_0042056 - inLibrary score @@ -1032,10 +808,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Electrocerebral-inactivity Absence of any ongoing cortical electric activities; in all leads EEG is isoelectric or only contains artifacts. Sensitivity has to be increased up to 2 microV/mm; recording time: at least 30 minutes. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.) - - hedId - HED_0042057 - inLibrary score @@ -2375,10 +2147,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Critically-ill-patient-patterns Rhythmic or periodic patterns in critically ill patients (RPPs) are scored according to the 2012 version of the American Clinical Neurophysiology Society Standardized Critical Care EEG Terminology (Source: Hirsch ea 2013; Beniczky ea 2017, Section 9). - - hedId - HED_0042058 - inLibrary score @@ -2391,13 +2159,9 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-morphology Categorical-location-value Sensors - Finding-frequency + Feature-frequency RPP-time-related-feature - - hedId - HED_0042059 - inLibrary score @@ -2412,13 +2176,9 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-absolute-amplitude Categorical-location-value Sensors - Finding-frequency + Feature-frequency RPP-time-related-feature - - hedId - HED_0042060 - inLibrary score @@ -2437,14 +2197,10 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-polarity Categorical-location-value Sensors - Multifocal-finding - Finding-frequency + Multifocal-feature + Feature-frequency RPP-time-related-feature - - hedId - HED_0042061 - inLibrary score @@ -2454,10 +2210,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Episode Clinical episode or electrographic seizure. (Source: Beniczky ea 2013, Appendix S1.) - - hedId - HED_0042062 - inLibrary score @@ -2472,10 +2224,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Episode-prodrome Episode-tongue-biting - - hedId - HED_0042063 - inLibrary score @@ -2498,10 +2246,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Emotional-seizure Sensory-seizure - - hedId - HED_0042064 - inLibrary score @@ -2509,10 +2253,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Aware-focal-onset-epileptic-seizure Focal onset and maintained awareness (knowledge of self or environment). (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.A.) - - hedId - HED_0042065 - inLibrary score @@ -2521,10 +2261,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Impaired-awareness-focal-onset-epileptic-seizure Focal onset and impaired or lost awareness (knowledge of self or environment) is a feature of focal impaired awareness seizures, previously called complex partial seizures. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.B.) - - hedId - HED_0042066 - inLibrary score @@ -2533,10 +2269,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Awareness-unknown-focal-onset-epileptic-seizure Focal onset and awareness (knowledge of self or environment) unknown or not specified. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.C.) - - hedId - HED_0042067 - inLibrary score @@ -2545,10 +2277,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Focal-to-bilateral-tonic-clonic-focal-onset-epileptic-seizure A seizure type with focal onset, with awareness or impaired awareness, either motor or non-motor, progressing to bilateral tonic clonic activity. The prior term was seizure with partial onset with secondary generalization. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.D.01.) - - hedId - HED_0042068 - inLibrary score @@ -2573,10 +2301,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Myoclonic-absence-seizure Eyelid-myoclonia-seizure - - hedId - HED_0042069 - inLibrary score @@ -2591,10 +2315,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Epileptic-spasm Behavior-arrest-seizure - - hedId - HED_0042070 - inLibrary score @@ -2602,10 +2322,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Unclassified-epileptic-seizure Referring to a seizure type that cannot be described by the ILAE 2017 classification either because of inadequate information or unusual clinical features. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code III.C.01) - - hedId - HED_0042071 - inLibrary score @@ -2623,10 +2339,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Episode-prodrome Episode-tongue-biting - - hedId - HED_0042072 - inLibrary score @@ -2634,19 +2346,15 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Seizure-PNES - Psychogenic non-epileptic seizure. Paroxysmal events that mimic (or are confused with) epileptic seizures, but which do not result from epileptic activity; they lack the EEG ictal findings during the ictus. (Source: Beniczky ea 2013, Appendix S5; Beniczky ea 2017, Table 9.) + Psychogenic non-epileptic seizure. Paroxysmal events that mimic (or are confused with) epileptic seizures, but which do not result from epileptic activity; they lack the EEG ictal features during the ictus. (Source: Beniczky ea 2013, Appendix S5; Beniczky ea 2017, Table 9.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Episode-consciousness-affected Episode-awareness Episode-prodrome Episode-tongue-biting - - hedId - HED_0042073 - inLibrary score @@ -2657,16 +2365,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind (Source: Beniczky ea 2017, Table 9.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Episode-consciousness-affected Episode-awareness Episode-prodrome Episode-tongue-biting - - hedId - HED_0042074 - inLibrary score @@ -2674,10 +2378,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sleep-related-arousal Normal arousal. (Source: Beniczky ea 2017, Table 9.) - - hedId - HED_0042075 - inLibrary score @@ -2686,10 +2386,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Benign-sleep-myoclonus A distinctive disorder of sleep characterized by a) neonatal onset, b) rhythmic myoclonic jerks only during sleep and c) abrupt and consistent cessation with arousal, d) absence of concomitant electrographic changes suggestive of seizures, and e) good outcome. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042076 - inLibrary score @@ -2698,10 +2394,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Confusional-arousal Episode of non epileptic nature included in NREM parasomnias, characterized by sudden arousal and complex behavior but without full alertness, usually lasting a few minutes and occurring almost in all children at least occasionally. Amnesia of the episode is the rule. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042077 - inLibrary score @@ -2712,16 +2404,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind A sudden decrement in muscle tone and loss of deep tendon reflexes, leading to muscle weakness, paralysis, or postural collapse. Cataplexy usually is precipitated by an outburst of emotional expression-notably laughter, anger, or startle. It is one of the tetrad of symptoms of narcolepsy. During cataplexy, respiration and voluntary eye movements are not compromised. Consciousness is preserved. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Episode-consciousness-affected Episode-awareness Episode-prodrome Episode-tongue-biting - - hedId - HED_0042078 - inLibrary score @@ -2730,10 +2418,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sleep-periodic-limb-movement PLMS. Periodic limb movement in sleep. Episodes are characterized by brief (0.5- to 5.0-second) lower-extremity movements during sleep, which typically occur at 20- to 40-second intervals, most commonly during the first 3 hours of sleep. The affected individual is usually not aware of the movements or of the transient partial arousals. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042079 - inLibrary score @@ -2742,10 +2426,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind REM-sleep-behavioral-disorder REM sleep behavioral disorder. Episodes characterized by: a) presence of REM sleep without atonia (RSWA) on polysomnography (PSG); b) presence of at least 1 of the following conditions - (1) Sleep-related behaviors, by history, that have been injurious, potentially injurious, or disruptive (example: dream enactment behavior); (2) abnormal REM sleep behavior documented during PSG monitoring; (3) absence of epileptiform activity on electroencephalogram (EEG) during REM sleep (unless RBD can be clearly distinguished from any concurrent REM sleep-related seizure disorder); (4) sleep disorder not better explained by another sleep disorder, a medical or neurologic disorder, a mental disorder, medication use, or a substance use disorder. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042080 - inLibrary score @@ -2754,10 +2434,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sleep-walking Episodes characterized by ambulation during sleep; the patient is difficult to arouse during an episode, and is usually amnesic following the episode. Episodes usually occur in the first third of the night during slow wave sleep. Polysomnographic recordings demonstrate 2 abnormalities during the first sleep cycle: frequent, brief, non-behavioral EEG-defined arousals prior to the somnambulistic episode and abnormally low gamma (0.75-2.0 Hz) EEG power on spectral analysis, correlating with high-voltage (hyper-synchronic gamma) waves lasting 10 to 15 s occurring just prior to the movement. This is followed by stage I NREM sleep, and there is no evidence of complete awakening. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042081 - inLibrary score @@ -2769,16 +2445,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind (Source: Beniczky ea 2017, Table 9.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Episode-consciousness-affected Episode-awareness Episode-prodrome Episode-tongue-biting - - hedId - HED_0042082 - inLibrary score @@ -2786,10 +2458,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hyperekplexia Disorder characterized by exaggerated startle response and hypertonicity that may occur during the first year of life and in severe cases during the neonatal period. Children usually present with marked irritability and recurrent startles in response to handling and sounds. Severely affected infants can have severe jerks and stiffening, sometimes with breath-holding spells. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042083 - inLibrary score @@ -2798,10 +2466,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Jactatio-capitis-nocturna Relatively common in normal children at the time of going to bed, especially during the first year of life, the rhythmic head movements persist during sleep. Usually, these phenomena disappear before 3 years of age. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042084 - inLibrary score @@ -2810,10 +2474,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Pavor-nocturnus A nocturnal episode characterized by age of onset of less than five years (mean age 18 months, with peak prevalence at five to seven years), appearance of signs of panic two hours after falling asleep with crying, screams, a fearful expression, inability to recognize other people including parents (for a duration of 5-15 minutes), amnesia upon awakening. Pavor nocturnus occurs in patients almost every night for months or years (but the frequency is highly variable and may be as low as once a month) and is likely to disappear spontaneously at the age of six to eight years. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042085 - inLibrary score @@ -2822,10 +2482,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Pediatric-stereotypical-behavior-episode Repetitive motor behavior in children, typically rhythmic and persistent; usually not paroxysmal and rarely suggest epilepsy. They include headbanging, head-rolling, jactatio capitis nocturna, body rocking, buccal or lingual movements, hand flapping and related mannerisms, repetitive hand-waving (to self-induce photosensitive seizures).(Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042086 - inLibrary score @@ -2837,16 +2493,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Paroxysmal phenomena during neonatal or childhood periods characterized by recurrent motor or behavioral signs or symptoms that must be distinguished from epileptic disorders. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Episode-consciousness-affected Episode-awareness Episode-prodrome Episode-tongue-biting - - hedId - HED_0042087 - inLibrary score @@ -2857,16 +2509,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Episode with loss of consciousness and muscle tone that is abrupt in onset, of short duration and followed by rapid recovery; it occurs in response to transient impairment of cerebral perfusion. Typical prodromal symptoms often herald onset of syncope and postictal symptoms are minimal. Syncopal convulsions resulting from cerebral anoxia are common but are not a form of epilepsy, nor are there any accompanying EEG ictal discharges. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Episode-consciousness-affected Episode-awareness Episode-prodrome Episode-tongue-biting - - hedId - HED_0042088 - inLibrary score @@ -2877,10 +2525,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042089 - inLibrary score @@ -2895,10 +2539,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042090 - inLibrary score @@ -2907,23 +2547,15 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Finding-property + Feature-property Descriptive element similar to main HED /Property. Something that pertains to a thing. A characteristic of some entity. A quality or feature regarded as a characteristic or inherent part of someone or something. HED attributes are adjectives or adverbs. - - hedId - HED_0042091 - inLibrary score Signal-morphology-property - Signal morphology attributes relevant to findings of background, interictal or ictal activity. (Source: Beniczky ea 2017, Table 5, Table 8, Table 12.) - - hedId - HED_0042092 - + Signal morphology attributes relevant to features of background, interictal or ictal activity. (Source: Beniczky ea 2017, Table 5, Table 8, Table 12.) inLibrary score @@ -2931,10 +2563,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Rhythmic-property Rhythmic activity can be observed during background, interictal or ictal activity and HED-SCORE therefore describes this as an property/attribute. (Source: Beniczky ea 2017, Table 5, Table 12, Table 14.) - - hedId - HED_0042093 - inLibrary score @@ -2944,12 +2572,8 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Rhythmic activity in the delta frequency range (under 4 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) suggestedTag - Finding-frequency - Finding-amplitude - - - hedId - HED_0042094 + Feature-frequency + Feature-amplitude inLibrary @@ -2965,10 +2589,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042095 - inLibrary score @@ -2980,12 +2600,8 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Rhythmic activity in the theta frequency range (4-8 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) suggestedTag - Finding-frequency - Finding-amplitude - - - hedId - HED_0042096 + Feature-frequency + Feature-amplitude inLibrary @@ -3001,10 +2617,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042097 - inLibrary score @@ -3016,12 +2628,8 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Rhythmic activity in the alpha frequency range (8-13 Hz), but not a part of the posterior dominant rhythm. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) suggestedTag - Finding-frequency - Finding-amplitude - - - hedId - HED_0042098 + Feature-frequency + Feature-amplitude inLibrary @@ -3037,10 +2645,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042099 - inLibrary score @@ -3052,12 +2656,8 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Rhythmic activity in the beta frequency range (14-40 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) suggestedTag - Finding-frequency - Finding-amplitude - - - hedId - HED_0042100 + Feature-frequency + Feature-amplitude inLibrary @@ -3073,10 +2673,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042101 - inLibrary score @@ -3088,12 +2684,8 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Rhythmic activity in the gamma frequency range. (Source: Beniczky ea 2017, Table 5.) suggestedTag - Finding-frequency - Finding-amplitude - - - hedId - HED_0042102 + Feature-frequency + Feature-amplitude inLibrary @@ -3109,10 +2701,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042103 - inLibrary score @@ -3122,10 +2710,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Polymorphic-delta-activity EEG activity consisting of waves in the delta range (over 250 ms duration for each wave) but of different morphology. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042104 - inLibrary score @@ -3140,10 +2724,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042105 - inLibrary score @@ -3153,10 +2733,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Frontal-intermittent-rhythmic-delta-activity Frontal intermittent rhythmic delta activity (FIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at 1.5-2.5 Hz over the frontal areas of one or both sides of the head. Comment: most commonly associated with unspecified encephalopathy, in adults. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042106 - inLibrary score @@ -3171,10 +2747,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042107 - inLibrary score @@ -3184,10 +2756,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Occipital-intermittent-rhythmic-delta-activity Occipital intermittent rhythmic delta activity (OIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at 2-3 Hz over the occipital or posterior head regions of one or both sides of the head. Frequently blocked or attenuated by opening the eyes. Comment: most commonly associated with unspecified encephalopathy, in children. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042108 - inLibrary score @@ -3202,10 +2770,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042109 - inLibrary score @@ -3215,10 +2779,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Temporal-intermittent-rhythmic-delta-activity Temporal intermittent rhythmic delta activity (TIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at over the temporal areas of one side of the head. Comment: most commonly associated with temporal lobe epilepsy. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042110 - inLibrary score @@ -3233,10 +2793,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042111 - inLibrary score @@ -3247,10 +2803,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Spike A transient, clearly distinguished from background activity, with pointed peak at a conventional paper speed or time scale and duration from 20 to under 70 ms, i.e. 1/50-1/15 s approximately. Main component is generally negative relative to other areas. Amplitude varies. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042112 - inLibrary score @@ -3265,10 +2817,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042113 - inLibrary score @@ -3278,10 +2826,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Spike-and-slow-wave A pattern consisting of a spike followed by a slow wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042114 - inLibrary score @@ -3296,10 +2840,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042115 - inLibrary score @@ -3309,10 +2849,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Runs-of-rapid-spikes Bursts of spike discharges at a rate from 10 to 25/sec (in most cases somewhat irregular). The bursts last more than 2 seconds (usually 2 to 10 seconds) and the runs are typically seen in sleep. Synonyms: rhythmic spikes, generalized paroxysmal fast activity, fast paroxysmal rhythms, grand mal discharge, fast beta activity. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042116 - inLibrary score @@ -3327,10 +2863,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042117 - inLibrary score @@ -3340,10 +2872,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Polyspikes Two or more consecutive spikes. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042118 - inLibrary score @@ -3358,10 +2886,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042119 - inLibrary score @@ -3371,10 +2895,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Polyspike-and-slow-wave Two or more consecutive spikes associated with one or more slow waves. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042120 - inLibrary score @@ -3389,10 +2909,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042121 - inLibrary score @@ -3402,10 +2918,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sharp-wave A transient clearly distinguished from background activity, with pointed peak at a conventional paper speed or time scale, and duration of 70-200 ms, i.e. over 1/4-1/5 s approximately. Main component is generally negative relative to other areas. Amplitude varies. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042122 - inLibrary score @@ -3420,10 +2932,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042123 - inLibrary score @@ -3433,10 +2941,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sharp-and-slow-wave A sequence of a sharp wave and a slow wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042124 - inLibrary score @@ -3451,10 +2955,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042125 - inLibrary score @@ -3464,10 +2964,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Slow-sharp-wave A transient that bears all the characteristics of a sharp-wave, but exceeds 200 ms. Synonym: blunted sharp wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042126 - inLibrary score @@ -3482,10 +2978,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042127 - inLibrary score @@ -3495,10 +2987,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind High-frequency-oscillation High Frequency Oscillation (HFO). Oscillations with a frequency higher than 80 Hz. (Source: Wikipedia; Beniczky ea 2017, Table 5.) - - hedId - HED_0042128 - inLibrary score @@ -3513,10 +3001,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042129 - inLibrary score @@ -3526,10 +3010,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hypsarrhythmia-classic Pattern consisting of diffuse chaotic high voltage (more than 300 μV) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042130 - inLibrary score @@ -3544,10 +3024,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042131 - inLibrary score @@ -3557,10 +3033,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hypsarrhythmia-modified Pattern consisting of diffuse chaotic high voltage (more than 300 μV) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) - - hedId - HED_0042132 - inLibrary score @@ -3575,10 +3047,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042133 - inLibrary score @@ -3588,10 +3056,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Fast-spike-activity A burst consisting of a sequence of spikes. Duration greater than 1 s. Frequency at least in the alpha range. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042134 - inLibrary score @@ -3606,10 +3070,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042135 - inLibrary score @@ -3619,10 +3079,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Low-voltage-fast-activity Refers to the fast, and often recruiting activity which can be recorded at the onset of an ictal discharge, particularly in invasive EEG recording of a seizure. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042136 - inLibrary score @@ -3637,10 +3093,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042137 - inLibrary score @@ -3650,10 +3102,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Polysharp-waves A sequence of two or more sharp-waves. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042138 - inLibrary score @@ -3668,10 +3116,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042139 - inLibrary score @@ -3681,10 +3125,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Slow-wave-large-amplitude Slow wave of large amplitude. (Source: Beniczky ea 2017, Table 12.) - - hedId - HED_0042140 - inLibrary score @@ -3699,10 +3139,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042141 - inLibrary score @@ -3712,10 +3148,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Irregular-delta-or-theta-activity EEG activity consisting of repetitive waves of inconsistent wave-duration but in delta and/or theta range (greater than 125 ms). (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042142 - inLibrary score @@ -3730,10 +3162,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042143 - inLibrary score @@ -3743,10 +3171,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Electrodecremental-change Sudden desynchronization of electrical activity. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042144 - inLibrary score @@ -3761,10 +3185,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042145 - inLibrary score @@ -3774,10 +3194,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind DC-shift Shift of negative polarity of the direct current recordings, during seizures. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042146 - inLibrary score @@ -3792,10 +3208,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042147 - inLibrary score @@ -3805,10 +3217,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Disappearance-of-ongoing-activity Disappearance of the EEG activity that preceded the ictal event but still remnants of background activity (thus not enough to name it electrodecremental change). (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042148 - inLibrary score @@ -3823,10 +3231,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042149 - inLibrary score @@ -3838,11 +3242,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Modifier terms for Rhythmic or Periodic Patterns in critically ill patients (RPPs). (Source: Beniczky ea 2017, Table 8.) suggestedTag - Finding-amplitude - - - hedId - HED_0042150 + Feature-amplitude inLibrary @@ -3855,10 +3255,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Property-not-possible-to-determine - - hedId - HED_0042151 - inLibrary score @@ -3868,11 +3264,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Superimposed fast activity. (Source: Beniczky ea 2017, Table 8.) suggestedTag - Finding-frequency - - - hedId - HED_0042152 + Feature-frequency inLibrary @@ -3888,10 +3280,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042153 - inLibrary score @@ -3903,11 +3291,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Superimposed rhythmic activity (for PDs only). (Source: Beniczky ea 2017, Table 8.) suggestedTag - Finding-frequency - - - hedId - HED_0042154 + Feature-frequency inLibrary @@ -3923,10 +3307,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042155 - inLibrary score @@ -3936,10 +3316,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Superimposed-sharp-waves-or-spikes Superimposed sharp waves or spikes (for RDA only). (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042156 - inLibrary score @@ -3954,10 +3330,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042157 - inLibrary score @@ -3972,10 +3344,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Property-not-possible-to-determine - - hedId - HED_0042158 - inLibrary score @@ -3983,10 +3351,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-spiky Spiky (<70 ms, measured at the baseline). (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042159 - inLibrary score @@ -3995,10 +3359,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-sharp Sharp (70–200 ms). (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042160 - inLibrary score @@ -4007,10 +3367,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-sharply-contoured Sharply contoured. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042161 - inLibrary score @@ -4019,10 +3375,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-blunt Blunt. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042162 - inLibrary score @@ -4037,10 +3389,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Property-not-possible-to-determine Greater-than - - hedId - HED_0042163 - inLibrary score @@ -4054,10 +3402,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass numericClass - - hedId - HED_0042164 - inLibrary score @@ -4067,10 +3411,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Triphasic-morphology Waves with three distinct phases (for PDs and SW). (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042165 - inLibrary score @@ -4078,7 +3418,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-absolute-amplitude - Absolute amplitude (for PDs, RDA, SW). Can use suggested tags for amplitude range. Very low, (Finding-amplitude, (Less-than, (Finding-amplitude/20 uv))): less than 20 microV, Low: 20 to 49 microV, Medium: 50 to 199 microV, High: Greater than 200 microV. (Source: Beniczky ea 2017, Table 8.) + Absolute amplitude (for PDs, RDA, SW). Can use suggested tags for amplitude range. Very low, (Feature-amplitude, (Less-than, (Feature-amplitude/20 uv))): less than 20 microV, Low: 20 to 49 microV, Medium: 50 to 199 microV, High: Greater than 200 microV. (Source: Beniczky ea 2017, Table 8.) suggestedTag Property-not-possible-to-determine @@ -4086,10 +3426,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Medium High - - hedId - HED_0042166 - inLibrary score @@ -4107,10 +3443,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind unitClass electricPotentialUnits - - hedId - HED_0042167 - inLibrary score @@ -4126,10 +3458,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Less-than-or-equal-to Greater-than - - hedId - HED_0042168 - inLibrary score @@ -4144,10 +3472,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Negative Property-not-possible-to-determine - - hedId - HED_0042169 - inLibrary score @@ -4155,10 +3479,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-tangential-polarity Tangential/horizontal dipole. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042170 - inLibrary score @@ -4173,10 +3493,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042171 - inLibrary score @@ -4189,10 +3505,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Source-analysis-property In case source imaging is done, the results are scored at sublobar level: frontal (perisylvian-superior surface; lateral; mesial; polar; orbitofrontal), temporal (polar; basal, lateral-anterior; lateral-posterior; perisylvian-inferior surface), central (lateral convexity; mesial; central sulcus – anterior surface, central sulcus – posterior surface; opercular), parietal (lateral-convexity; mesial; opercular), occipital (lateral; mesial, basal) and insula. (Source: Beniczky ea 2017, Section 8.) - - hedId - HED_0042172 - inLibrary score @@ -4207,10 +3519,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042173 - inLibrary score @@ -4219,17 +3527,13 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Location-property - Location can be scored for findings. Semiologic finding can also be characterized by the somatotopic modifier (i.e. the part of the body where it occurs). In this respect, laterality (left, right, symmetric, asymmetric, left greater than right, right greater than left), body part (eyelid, face, arm, leg, trunk, visceral, left/right) and centricity (axial (trunk), proximal limb, distal limb). (Source: Beniczky ea 2017, Sections 8 and 10) + Location can be scored for features. Semiologic feature can also be characterized by the somatotopic modifier (i.e. the part of the body where it occurs). In this respect, laterality (left, right, symmetric, asymmetric, left greater than right, right greater than left), body part (eyelid, face, arm, leg, trunk, visceral, left/right) and centricity (axial (trunk), proximal limb, distal limb). (Source: Beniczky ea 2017, Sections 8 and 10) suggestedTag Left Right Body-part - - hedId - HED_0042174 - inLibrary score @@ -4240,10 +3544,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042175 - inLibrary score @@ -4258,10 +3558,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042176 - inLibrary score @@ -4269,17 +3565,13 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Finding-propagation + Feature-propagation When propagation within the graphoelement is observed, first the location of the onset region is scored. Then, the location of the propagation can be noted. suggestedTag Body-part Sensors - - hedId - HED_0042177 - inLibrary score @@ -4294,10 +3586,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042178 - inLibrary score @@ -4305,16 +3593,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Multifocal-finding + Multifocal-feature When the same interictal graphoelement is observed bilaterally and at least in three independent locations, can score them using one entry, and choosing multifocal as a descriptor of the locations of the given interictal graphoelements, optionally emphasizing the involved, and the most active sites. suggestedTag Property-not-possible-to-determine - - hedId - HED_0042179 - inLibrary score @@ -4329,10 +3613,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042180 - inLibrary score @@ -4343,10 +3623,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Modulators-property For each described graphoelement, the influence of the modulators can be scored. Only modulators present in the recording are scored. (Source: Beniczky ea 2017, Section 10.) - - hedId - HED_0042181 - inLibrary score @@ -4357,14 +3633,10 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Modulator - Finding-stopped-by + Feature-stopped-by Increasing Decreasing - - hedId - HED_0042182 - inLibrary score @@ -4379,10 +3651,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042183 - inLibrary score @@ -4401,20 +3669,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Asleep Sleep-deprivation - - hedId - HED_0042184 - inLibrary score Other-facilitating-factor - - hedId - HED_0042185 - inLibrary score @@ -4429,10 +3689,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042186 - inLibrary score @@ -4447,20 +3703,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Hyperventilation - - hedId - HED_0042187 - inLibrary score Reflex-provoked - - hedId - HED_0042188 - inLibrary score @@ -4475,10 +3723,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042189 - inLibrary score @@ -4487,10 +3731,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Other-provocative-factor - - hedId - HED_0042190 - inLibrary score @@ -4505,10 +3745,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042191 - inLibrary score @@ -4523,10 +3759,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Normal - - hedId - HED_0042192 - inLibrary score @@ -4536,11 +3768,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Anomalous steady-state VEPs, of unusually sharp waveform or high amplitude. Some types have clinical correlates, for instance, occipital spikes after suppression of generalized PPR by medication and high-amplitude VEPs in neuronal ceroid lipofuscinosis. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) suggestedTag - Finding-frequency - - - hedId - HED_0042193 + Feature-frequency inLibrary @@ -4552,11 +3780,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Limited to the stimulus train: Activity confined to or maximal at the back of the head and not at the flash frequency or at a harmonic thereof. The term includes delta and theta activity and frank epileptiform patterns. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) suggestedTag - Finding-frequency - - - hedId - HED_0042194 + Feature-frequency inLibrary @@ -4568,11 +3792,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Self-sustaining: Self-sustaining posterior stimulus-independent responses that outlast the stimulus train. These often last many seconds and may evolve to an overt seizure. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) suggestedTag - Finding-frequency - - - hedId - HED_0042195 + Feature-frequency inLibrary @@ -4584,11 +3804,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Limited to the stimulus train: Comprises multiple spikes or spike-and-wave activity, which are apparently generalized, but may be of greater amplitude at the front or back of the head. It is termed a photoconvulsive response (PCR) by Bickford et al., and corresponds to type 4 response of Waltz et al. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) suggestedTag - Finding-frequency - - - hedId - HED_0042196 + Feature-frequency inLibrary @@ -4600,11 +3816,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Self-sustaining: Generalized PPR continuing after stimulation. This may not be demonstrated unless the stimulus train is terminated as soon as a generalized PPR is identified. It was termed prolonged photoconvulsive response by Reilly and Peters, and has a strong association with epilepsy and visually induced seizures in patients referred for clinical EEG examination. Its prevalence in asymptomatic general populations is unknown, but was found in five of 13,658 apparently healthy aircrew by Gregory et al. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) suggestedTag - Finding-frequency - - - hedId - HED_0042197 + Feature-frequency inLibrary @@ -4616,11 +3828,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Rarely, photic stimulation may activate an epileptogenic cortex, which is also spontaneously active; IPS could then also elicit a seizure by stimulating this, usually posterior located, area. It is questionable whether this should be considered a photoparoxysmal response (PPR), and it does not figure in established classifications. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) suggestedTag - Finding-frequency - - - hedId - HED_0042198 + Feature-frequency inLibrary @@ -4632,10 +3840,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Time-related-property Estimates of how often a graphoelement is seen in the recording. (Source: Beniczky ea 2017, Table 6, Table 8.) - - hedId - HED_0042199 - inLibrary score @@ -4650,10 +3854,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Repetitive Varying - - hedId - HED_0042200 - inLibrary score @@ -4668,10 +3868,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042201 - inLibrary score @@ -4681,10 +3877,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Discharge-pattern Describes the organization of the EEG signal within the discharge (distinguish between single and repetitive discharges). (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) - - hedId - HED_0042202 - inLibrary score @@ -4694,11 +3886,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Applies to the intra-burst pattern: a graphoelement that is not repetitive; before and after the graphoelement one can distinguish the background activity. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) suggestedTag - Finding-incidence - - - hedId - HED_0042203 + Feature-incidence inLibrary @@ -4710,12 +3898,8 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Applies to the intra-burst pattern: a non-ictal graphoelement that repeats itself without returning to the background activity between them. The graphoelements within this repetition occur at approximately constant period. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) suggestedTag - Finding-prevalence - Finding-frequency - - - hedId - HED_0042204 + Feature-prevalence + Feature-frequency inLibrary @@ -4727,11 +3911,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Applies to the intra-burst pattern: a non-ictal graphoelement that repeats itself without returning to the background activity between them. The graphoelements within this repetition occur at inconstant period. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) suggestedTag - Finding-prevalence - - - hedId - HED_0042205 + Feature-prevalence inLibrary @@ -4741,10 +3921,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Fragmented-discharge Source: Beniczky ea 2017, Table 6. - - hedId - HED_0042206 - inLibrary score @@ -4754,10 +3930,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-time-related-feature Time related feature for Rhythmic or Periodic Patterns in critically ill patients (RPPs). (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042207 - inLibrary score @@ -4765,10 +3937,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-duration Duration (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042208 - inLibrary score @@ -4776,10 +3944,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Very-brief-RPP-duration Less than 10 sec. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042209 - inLibrary score @@ -4788,10 +3952,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Brief-RPP-duration 10 to 59 sec. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042210 - inLibrary score @@ -4800,10 +3960,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Intermediate-RPP-duration 1 to 4.9 min. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042211 - inLibrary score @@ -4812,10 +3968,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Long-RPP-duration 5 to 59 min. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042212 - inLibrary score @@ -4824,10 +3976,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Very-long-RPP-duration Greater than 1 hour. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042213 - inLibrary score @@ -4837,10 +3985,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-onset Onset (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042214 - inLibrary score @@ -4848,10 +3992,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sudden-RPP-onset Sudden (progressing from absent to well developed within 3 s.). (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042215 - inLibrary score @@ -4860,10 +4000,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Gradual-RPP-onset Gradual onset. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042216 - inLibrary score @@ -4873,10 +4009,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind RPP-dynamics Dynamics (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.) - - hedId - HED_0042217 - inLibrary score @@ -4884,10 +4016,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Evolving-RPP-dynamics Source: Beniczky ea 2017, Table 8. - - hedId - HED_0042218 - inLibrary score @@ -4902,10 +4030,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042219 - inLibrary score @@ -4915,10 +4039,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Fluctuating-RPP-dynamics Source: Beniczky ea 2017, Table 8. - - hedId - HED_0042220 - inLibrary score @@ -4933,10 +4053,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042221 - inLibrary score @@ -4946,10 +4062,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Static-RPP-dynamics Source: Beniczky ea 2017, Table 8. - - hedId - HED_0042222 - inLibrary score @@ -4964,10 +4076,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042223 - inLibrary score @@ -4977,12 +4085,8 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Finding-incidence - Estimate of how often findings are seen in the recording. This is scored differently, depending on the type of finding. For single discharges, this is scored as incidence (how often it occurs/time-epoch). (Source: Beniczky ea 2017, Section 8, Table 6.) - - hedId - HED_0042224 - + Feature-incidence + Estimate of how often features are seen in the recording. This is scored differently, depending on the type of feature. For single discharges, this is scored as incidence (how often it occurs/time-epoch). (Source: Beniczky ea 2017, Section 8, Table 6.) inLibrary score @@ -4990,70 +4094,46 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind One-time-incidence Source: Beniczky ea 2017, Table 6. - - hedId - HED_0042225 - inLibrary score - Rare-finding-incidence + Rare-feature-incidence Less than 1/h. (Source: Beniczky ea 2017, Table 6.) - - hedId - HED_0042226 - inLibrary score - Uncommon-finding-incidence + Uncommon-feature-incidence 1/5 min to 1/h. (Source: Beniczky ea 2017, Table 6.) - - hedId - HED_0042227 - inLibrary score - Occasional-finding-incidence + Occasional-feature-incidence 1/min to 1/5min. (Source: Beniczky ea 2017, Table 6.) - - hedId - HED_0042228 - inLibrary score - Frequent-finding-incidence + Frequent-feature-incidence 1/10 s to 1/min. (Source: Beniczky ea 2017, Table 6.) - - hedId - HED_0042229 - inLibrary score - Abundant-finding-incidence + Abundant-feature-incidence Greater than 1/10 s. (Source: Beniczky ea 2017, Table 6.) - - hedId - HED_0042230 - inLibrary score @@ -5061,12 +4141,8 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Finding-prevalence - Estimate of how often findings are seen in the recording. This is scored differently, depending on the type of finding. For trains or bursts this is scored as prevalence (the percentage of the recording covered by the train/burst). (Source: Beniczky ea 2017, Section 8, Table 6, Table 8.) - - hedId - HED_0042231 - + Feature-prevalence + Estimate of how often features are seen in the recording. This is scored differently, depending on the type of feature. For trains or bursts this is scored as prevalence (the percentage of the recording covered by the train/burst). (Source: Beniczky ea 2017, Section 8, Table 6, Table 8.) inLibrary score @@ -5074,10 +4150,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Rare-prevalence Less than 1 percent. (Source: Beniczky ea 2017, Table 6, Table 8). - - hedId - HED_0042232 - inLibrary score @@ -5086,10 +4158,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Occasional-prevalence 1 to 9 percent. (Source: Beniczky ea 2017, Table 6, Table 8) - - hedId - HED_0042233 - inLibrary score @@ -5098,10 +4166,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Frequent-prevalence 10 to 49 percent. (Source: Beniczky ea 2017, Table 6, Table 8) - - hedId - HED_0042234 - inLibrary score @@ -5110,10 +4174,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Abundant-prevalence 50 to 89 percent. (Source: Beniczky ea 2017, Table 6, Table 8) - - hedId - HED_0042235 - inLibrary score @@ -5122,10 +4182,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Continuous-prevalence Greater than 90 percent. (Source: Beniczky ea 2017, Table 6, Table 8) - - hedId - HED_0042236 - inLibrary score @@ -5135,15 +4191,11 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Posterior-dominant-rhythm-property - Posterior dominant rhythm is the most often scored EEG feature in clinical practice. Therefore, there are specific terms that can be chosen for characterizing the PDR. Note that frequency and amplitude can be further described to be symmetrical or assymetrical. (Source: Beniczky ea 2017, Section 6, Table 4.) + Posterior dominant rhythm is the most often scored EEG feature in clinical practice. Therefore, there are specific terms that can be chosen for characterizing the PDR. Note that frequency and amplitude can be further described to be symmetrical or asymmetrical. (Source: Beniczky ea 2017, Section 6, Table 4.) suggestedTag - Finding-frequency - Finding-amplitude - - - hedId - HED_0042237 + Feature-frequency + Feature-amplitude inLibrary @@ -5158,10 +4210,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Medium High - - hedId - HED_0042238 - inLibrary score @@ -5176,10 +4224,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Left Right - - hedId - HED_0042239 - inLibrary score @@ -5192,10 +4236,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Normal - - hedId - HED_0042240 - inLibrary score @@ -5203,10 +4243,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Posterior-dominant-rhythm-organization-poorly-organized Poorly organized. (Source: Beniczky ea 2017, Table 4.) - - hedId - HED_0042241 - inLibrary score @@ -5215,10 +4251,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Posterior-dominant-rhythm-organization-disorganized Disorganized. (Source: Beniczky ea 2017, Table 4.) - - hedId - HED_0042242 - inLibrary score @@ -5227,10 +4259,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Posterior-dominant-rhythm-organization-markedly-disorganized Markedly disorganized. (Source: Beniczky ea 2017, Table 4.) - - hedId - HED_0042243 - inLibrary score @@ -5248,10 +4276,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Drowsy Hyperventilation - - hedId - HED_0042244 - inLibrary score @@ -5265,10 +4289,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Data-artifact Asleep - - hedId - HED_0042245 - inLibrary score @@ -5276,10 +4296,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Absence-of-posterior-dominant-rhythm-extreme-low-voltage Source: Beniczky ea 2017, Table 4. - - hedId - HED_0042246 - inLibrary score @@ -5288,10 +4304,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Absence-of-posterior-dominant-rhythm-eye-closure-could-not-be-achieved Source: Beniczky ea 2017, Table 4. - - hedId - HED_0042247 - inLibrary score @@ -5300,10 +4312,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Absence-of-posterior-dominant-rhythm-lack-of-compliance Source: Beniczky ea 2017, Table 4. - - hedId - HED_0042248 - inLibrary score @@ -5315,10 +4323,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042249 - inLibrary score @@ -5333,10 +4337,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042250 - inLibrary score @@ -5348,10 +4348,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Episode-property Episode property pertains to the set of characteristics that collectively depict different aspects of an episode, encompassing its manifestations and phases. - - hedId - HED_0042251 - inLibrary score @@ -5359,10 +4355,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Seizure-classification Seizure classification refers to the grouping of seizures based on their clinical features, EEG patterns, and other characteristics. Epileptic seizures are named using the current ILAE seizure classification (Fisher et al., 2017, Beniczky et al., 2017). - - hedId - HED_0042252 - inLibrary score @@ -5374,10 +4366,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Duration - - hedId - HED_0042253 - inLibrary score @@ -5390,10 +4378,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Duration - - hedId - HED_0042254 - inLibrary score @@ -5406,10 +4390,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Duration - - hedId - HED_0042255 - inLibrary score @@ -5417,10 +4397,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Clonic-seizure Jerking, either symmetric or asymmetric, that is regularly repetitive and involves the same muscle groups. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042256 - inLibrary score @@ -5429,10 +4405,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Tonic-seizure A sustained increase in muscle contraction lasting a few seconds to minutes. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042257 - inLibrary score @@ -5441,10 +4413,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Atonic-seizure Sudden loss or diminution of muscle tone without apparent preceding myoclonic or tonic event lasting about 1 to 2 s, involving head, trunk, jaw, or limb musculature. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042258 - inLibrary score @@ -5453,10 +4421,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Myoclonic-atonic-seizure A generalized seizure type with a myoclonic jerk leading to an atonic motor component. This type was previously called myoclonic astatic. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042259 - inLibrary score @@ -5465,10 +4429,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Myoclonic-tonic-clonic-seizure One or a few jerks of limbs bilaterally, followed by a tonic clonic seizure. The initial jerks can be considered to be either a brief period of clonus or myoclonus. Seizures with this characteristic are common in juvenile myoclonic epilepsy. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042260 - inLibrary score @@ -5477,10 +4437,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Tonic-clonic-seizure A sequence consisting of a tonic followed by a clonic phase. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042261 - inLibrary score @@ -5489,10 +4445,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Automatism-seizure A more or less coordinated motor activity usually occurring when cognition is impaired and for which the subject is usually (but not always) amnesic afterward. This often resembles a voluntary movement and may consist of an inappropriate continuation of preictal motor activity. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042262 - inLibrary score @@ -5501,10 +4453,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hyperkinetic-seizure (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042263 - inLibrary score @@ -5513,10 +4461,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Epileptic-spasm A sudden flexion, extension, or mixed extension flexion of predominantly proximal and truncal muscles that is usually more sustained than a myoclonic movement but not as sustained as a tonic seizure. Limited forms may occur: Grimacing, head nodding, or subtle eye movements. Epileptic spasms frequently occur in clusters. Infantile spasms are the best known form, but spasms can occur at all ages. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042264 - inLibrary score @@ -5530,10 +4474,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Duration - - hedId - HED_0042265 - inLibrary score @@ -5541,10 +4481,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Behavior-arrest-seizure Arrest (pause) of activities, freezing, immobilization, as in behavior arrest seizure. A focal behavior arrest seizure shows arrest of behavior as the prominent feature of the entire seizure. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017.) - - hedId - HED_0042266 - inLibrary score @@ -5553,10 +4489,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sensory-seizure A perceptual experience not caused by appropriate stimuli in the external world. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042267 - inLibrary score @@ -5565,10 +4497,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Emotional-seizure Seizures presenting with an emotion or the appearance of having an emotion as an early prominent feature, such as fear, spontaneous joy or euphoria, laughing (gelastic), or crying (dacrystic). Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042268 - inLibrary score @@ -5577,10 +4505,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Cognitive-seizure Pertaining to thinking and higher cortical functions, such as language, spatial perception, memory, and praxis. The previous term for similar usage as a seizure type was psychic. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042269 - inLibrary score @@ -5589,10 +4513,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Autonomic-seizure A distinct alteration of autonomic nervous system function involving cardiovascular, pupillary, gastrointestinal, sudomotor, vasomotor, and thermoregulatory functions. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042270 - inLibrary score @@ -5606,10 +4526,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Duration - - hedId - HED_0042271 - inLibrary score @@ -5617,10 +4533,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Typical-absence-seizure A sudden onset, interruption of ongoing activities, a blank stare, possibly a brief upward deviation of the eyes. Usually the patient will be unresponsive when spoken to. Duration is a few seconds to half a minute with very rapid recovery. Although not always available, an EEG would show generalized epileptiform discharges during the event. An absence seizure is by definition a seizure of generalized onset. The word is not synonymous with a blank stare, which also can be encountered with focal onset seizures. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042272 - inLibrary score @@ -5629,10 +4541,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Atypical-absence-seizure An absence seizure with changes in tone that are more pronounced than in typical absence or the onset and/or cessation is not abrupt, often associated with slow, irregular, generalized spike-wave activity. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042273 - inLibrary score @@ -5641,10 +4549,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Myoclonic-absence-seizure A myoclonic absence seizure refers to an absence seizure with rhythmic three-per-second myoclonic movements, causing ratcheting abduction of the upper limbs leading to progressive arm elevation, and associated with three-per-second generalized spike-wave discharges. Duration is typically 10 to 60 s. Impairment of consciousness may not be obvious. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, page 536.) - - hedId - HED_0042274 - inLibrary score @@ -5653,10 +4557,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Eyelid-myoclonia-seizure Jerking of the eyelids at frequencies of at least 3 per second, commonly with upward eye deviation, usually lasting <10 s, often precipitated by eye closure. There may or may not be associated brief loss of awareness. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) - - hedId - HED_0042275 - inLibrary score @@ -5666,16 +4566,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Seizure-semiology - Seizure semiology refers to the clinical signs and sympoms that are observed during a seizure. Semiology is described according to the ILAE Glossary of Descriptive Terminology for Ictal Semiology (Blume et al., 2001). Besides the name, the semiologic finding can also be characterized by the somatotopic modifier, laterality, body part and centricity. Uses Location-property tags. (Source: Beniczky ea 2017, Section 10; Duration tag from Beniczky ea Table 13.) + Seizure semiology refers to the clinical signs and sympoms that are observed during a seizure. Semiology is described according to the ILAE Glossary of Descriptive Terminology for Ictal Semiology (Blume et al., 2001). Besides the name, the semiologic feature can also be characterized by the somatotopic modifier, laterality, body part and centricity. Uses Location-property tags. (Source: Beniczky ea 2017, Section 10; Duration tag from Beniczky ea Table 13.) suggestedTag None Duration - - hedId - HED_0042276 - inLibrary score @@ -5688,10 +4584,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042277 - inLibrary score @@ -5700,10 +4592,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-dyscognitive The term describes events in which (1) disturbance of cognition is the predominant or most apparent feature, and (2a) two or more of the following components are involved, or (2b) involvement of such components remains undetermined. Otherwise, use the more specific term (e.g., mnemonic experiential seizure or hallucinatory experiential seizure). Components of cognition: ++ perception: symbolic conception of sensory information ++ attention: appropriate selection of a principal perception or task ++ emotion: appropriate affective significance of a perception ++ memory: ability to store and retrieve percepts or concepts ++ executive function: anticipation, selection, monitoring of consequences, and initiation of motor activity including praxis, speech. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042278 - inLibrary score @@ -5712,10 +4600,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-elementary-motor A single type of contraction of a muscle or group of muscles that is usually stereotyped and not decomposable into phases. However, see tonic-clonic, an elementary motor sequence. (Source: Blume ea 2001, 1.1; Beniczky ea 2017, Table 10.) - - hedId - HED_0042279 - inLibrary score @@ -5728,10 +4612,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042280 - inLibrary score @@ -5745,10 +4625,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042281 - inLibrary score @@ -5762,10 +4638,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042282 - inLibrary score @@ -5779,10 +4651,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042283 - inLibrary score @@ -5796,10 +4664,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042284 - inLibrary score @@ -5813,10 +4677,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042285 - inLibrary score @@ -5830,10 +4690,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042286 - inLibrary score @@ -5847,10 +4703,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042287 - inLibrary score @@ -5863,10 +4715,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Body-part - - hedId - HED_0042288 - inLibrary score @@ -5880,10 +4728,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042289 - inLibrary score @@ -5891,10 +4735,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-tonic-clonic-without-figure-of-four Without figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042290 - inLibrary score @@ -5903,10 +4743,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-tonic-clonic-with-figure-of-four-extension-left-elbow With figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042291 - inLibrary score @@ -5915,10 +4751,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-tonic-clonic-with-figure-of-four-extension-right-elbow With figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042292 - inLibrary score @@ -5933,10 +4765,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042293 - inLibrary score @@ -5950,10 +4778,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042294 - inLibrary score @@ -5966,10 +4790,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Categorical-location-value - - hedId - HED_0042295 - inLibrary score @@ -5985,10 +4805,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Categorical-location-value - - hedId - HED_0042296 - inLibrary score @@ -6003,10 +4819,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042297 - inLibrary score @@ -6018,10 +4830,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042298 - inLibrary score @@ -6036,10 +4844,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042299 - inLibrary score @@ -6050,10 +4854,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-automatisms A more or less coordinated, repetitive, motor activity usually occurring when cognition is impaired and for which the subject is usually amnesic afterward. This often resembles a voluntary movement and may consist of an inappropriate continuation of ongoing preictal motor activity. (Source: Beniczky ea 2017, Table 10; Fisher ea 2017, Table 2.) - - hedId - HED_0042300 - inLibrary score @@ -6061,10 +4861,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-mimetic Facial expression suggesting an emotional state, often fear. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042301 - inLibrary score @@ -6073,10 +4869,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-oroalimentary Lip smacking, lip pursing, chewing, licking, tooth grinding, or swallowing. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042302 - inLibrary score @@ -6085,10 +4877,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-dacrystic Bursts of crying. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042303 - inLibrary score @@ -6101,10 +4889,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Categorical-location-value - - hedId - HED_0042304 - inLibrary score @@ -6117,10 +4901,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Categorical-location-value - - hedId - HED_0042305 - inLibrary score @@ -6134,10 +4914,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042306 - inLibrary score @@ -6151,10 +4927,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042307 - inLibrary score @@ -6163,10 +4935,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-gelastic Bursts of laughter or giggling, usually without an appropriate affective tone. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042308 - inLibrary score @@ -6178,10 +4946,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042309 - inLibrary score @@ -6196,10 +4960,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042310 - inLibrary score @@ -6210,10 +4970,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-sensory A perceptual experience not caused by appropriate stimuli in the external world. Modifies seizure or aura. (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 2.2.) - - hedId - HED_0042311 - inLibrary score @@ -6225,10 +4981,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Categorical-location-value - - hedId - HED_0042312 - inLibrary score @@ -6241,10 +4993,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Categorical-location-value - - hedId - HED_0042313 - inLibrary score @@ -6257,10 +5005,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Categorical-location-value - - hedId - HED_0042314 - inLibrary score @@ -6269,10 +5013,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-olfactory Source: Beniczky ea 2017, Table 10. - - hedId - HED_0042315 - inLibrary score @@ -6281,10 +5021,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-gustatory Taste sensations including acidic, bitter, salty, sweet, or metallic. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042316 - inLibrary score @@ -6293,10 +5029,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-epigastric Abdominal discomfort including nausea, emptiness, tightness, churning, butterflies, malaise, pain, and hunger; sensation may rise to chest or throat. Some phenomena may reflect ictal autonomic dysfunction. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042317 - inLibrary score @@ -6310,10 +5042,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042318 - inLibrary score @@ -6322,10 +5050,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-autonomic-sensation Viscerosensitive. A sensation consistent with involvement of the autonomic nervous system, including cardiovascular, gastrointestinal, sudomotor, vasomotor, and thermoregulatory functions. (Thus autonomic aura; cf. autonomic events 3.0/Semiology-autonomic). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5; Blume ea 2001, 2.2.1.8.) - - hedId - HED_0042319 - inLibrary score @@ -6337,10 +5061,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042320 - inLibrary score @@ -6355,10 +5075,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042321 - inLibrary score @@ -6369,10 +5085,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-experiential Affective, mnemonic, or composite perceptual phenomena including illusory or composite hallucinatory events; these may appear alone or in combination. Included are feelings of depersonalization. These phenomena have subjective qualities similar to those experienced in life but are recognized by the subject as occurring outside of actual context. (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 2.2.2.) - - hedId - HED_0042322 - inLibrary score @@ -6380,10 +5092,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-affective-emotional Components include fear, depression, joy, and (rarely) anger. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042323 - inLibrary score @@ -6392,10 +5100,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-hallucinatory Composite perceptions without corresponding external stimuli involving visual, auditory, somatosensory, olfactory, and/or gustatory phenomena. Example: hearing and seeing people talking. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042324 - inLibrary score @@ -6404,10 +5108,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-illusory An alteration of actual percepts involving the visual, auditory, somatosensory, olfactory, or gustatory systems. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042325 - inLibrary score @@ -6421,10 +5121,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Familiar Unfamiliar - - hedId - HED_0042326 - inLibrary score @@ -6436,10 +5132,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042327 - inLibrary score @@ -6454,10 +5146,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042328 - inLibrary score @@ -6468,10 +5156,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-language Source: Beniczky ea 2017, Table 10. - - hedId - HED_0042329 - inLibrary score @@ -6479,10 +5163,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-vocalization Single or repetitive utterances consisting of sounds such as grunts or shrieks. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042330 - inLibrary score @@ -6491,10 +5171,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-verbalization Single or repetitive utterances consisting of words, phrases, or brief sentences. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042331 - inLibrary score @@ -6503,10 +5179,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-dysphasia Partially impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, paraphasic errors, or a combination of these. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042332 - inLibrary score @@ -6515,10 +5187,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-aphasia Fully impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, paraphasic errors, or a combination of these. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042333 - inLibrary score @@ -6530,10 +5198,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042334 - inLibrary score @@ -6548,10 +5212,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042335 - inLibrary score @@ -6562,10 +5222,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-autonomic An objectively documented and distinct alteration of autonomic nervous system function involving cardiovascular, pupillary, gastrointestinal, sudomotor, vasomotor, and thermoregularity functions (cf. Semiology-autonomic-sensation). (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 3.2.) - - hedId - HED_0042336 - inLibrary score @@ -6577,10 +5233,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Categorical-location-value - - hedId - HED_0042337 - inLibrary score @@ -6589,10 +5241,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-hypersalivation Increase in production of saliva leading to uncontrollable drooling. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042338 - inLibrary score @@ -6601,10 +5249,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-respiratory-apnoeic Subjective shortness of breath, hyperventilation, stridor, coughing, choking, apnea, oxygen desaturation, neurogenic pulmonary edema. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042339 - inLibrary score @@ -6613,10 +5257,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-cardiovascular Modifications of heart rate (tachycardia, bradycardia), cardiac arrhythmias (such as sinus arrhythmia, sinus arrest, supraventricular tachycardia, atrial premature depolarizations, ventricular premature depolarizations, atrio-ventricular block, bundle branch block, atrioventricular nodal escape rhythm, asystole). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042340 - inLibrary score @@ -6625,10 +5265,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-gastrointestinal Nausea, eructation, vomiting, retching, abdominal sensations, abdominal pain, flatulence, spitting, diarrhea. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042341 - inLibrary score @@ -6637,10 +5273,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-urinary-incontinence Urinary urge (intense urinary urge at the beginning of seizures), urinary incontinence, ictal urination (rare symptom of partial seizures without loss of consciousness). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042342 - inLibrary score @@ -6649,10 +5281,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-genital Sexual auras (erotic thoughts and feelings, sexual arousal and orgasm). Genital auras (unpleasant, sometimes painful, frightening or emotionally neutral somatosensory sensations in the genitals that can be accompanied by ictal orgasm). Sexual automatisms (hypermotor movements consisting of writhing, thrusting, rhythmic movements of the pelvis, arms and legs, sometimes associated with picking and rhythmic manipulation of the groin or genitalia, exhibitionism and masturbation). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042343 - inLibrary score @@ -6661,10 +5289,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-vasomotor Flushing or pallor (may be accompanied by feelings of warmth, cold and pain). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042344 - inLibrary score @@ -6677,10 +5301,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Categorical-location-value - - hedId - HED_0042345 - inLibrary score @@ -6689,10 +5309,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Semiology-thermoregulatory Hyperthermia, fever. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042346 - inLibrary score @@ -6703,10 +5319,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042347 - inLibrary score @@ -6721,10 +5333,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042348 - inLibrary score @@ -6737,10 +5345,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042349 - inLibrary score @@ -6755,10 +5359,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042350 - inLibrary score @@ -6774,10 +5374,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind None Duration - - hedId - HED_0042351 - inLibrary score @@ -6785,10 +5381,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-unconscious Unawareness and unresponsiveness. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042352 - inLibrary score @@ -6797,10 +5389,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-quick-recovery-of-consciousness Quick recovery of awareness and responsiveness. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042353 - inLibrary score @@ -6809,10 +5397,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-aphasia-or-dysphasia Impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, parahasic errors or a combination of these. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042354 - inLibrary score @@ -6821,10 +5405,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-behavioral-change Occurring immediately after a seizure. Including psychosis, hypomanina, obsessive-compulsive behavior. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042355 - inLibrary score @@ -6833,10 +5413,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-hemianopia Postictal visual loss in a a hemi field. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042356 - inLibrary score @@ -6845,10 +5421,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-impaired-cognition Decreased Cognitive performance involving one or more of perception, attention, emotion, memory, execution, praxis, speech. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042357 - inLibrary score @@ -6857,10 +5429,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-dysphoria Depression, irritability, euphoric mood, fear, anxiety. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042358 - inLibrary score @@ -6869,10 +5437,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-headache Headache with features of tension-type or migraine headache that develops within 3 h following the seizure and resolves within 72 h after seizure. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042359 - inLibrary score @@ -6885,10 +5449,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Categorical-location-value - - hedId - HED_0042360 - inLibrary score @@ -6897,10 +5457,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-anterograde-amnesia Impaired ability to remember new material. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042361 - inLibrary score @@ -6909,10 +5465,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-retrograde-amnesia Impaired ability to recall previously remember material. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042362 - inLibrary score @@ -6926,10 +5478,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Categorical-location-value Body-part - - hedId - HED_0042363 - inLibrary score @@ -6938,10 +5486,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-sleep Invincible need to sleep after a seizure. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042364 - inLibrary score @@ -6950,10 +5494,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Postictal-unilateral-myoclonic-jerks Unilateral myoclonic jerks. Myoclonus: sudden, brief (<100 ms) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) - - hedId - HED_0042365 - inLibrary score @@ -6965,10 +5505,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042366 - inLibrary score @@ -6983,10 +5519,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042367 - inLibrary score @@ -6997,10 +5529,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Episode-time-context-property Additional clinically relevant features related to episodes can be scored under timing and context. If needed, episode duration can be tagged with suggested tag. (Source: Beniczky ea 2017, Section 10.) - - hedId - HED_0042368 - inLibrary score @@ -7015,10 +5543,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind True Property-not-possible-to-determine - - hedId - HED_0042369 - inLibrary score @@ -7032,10 +5556,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind True False - - hedId - HED_0042370 - inLibrary score @@ -7051,10 +5571,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Property-not-possible-to-determine - - hedId - HED_0042371 - inLibrary score @@ -7068,10 +5584,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass numericClass - - hedId - HED_0042372 - inLibrary score @@ -7081,10 +5593,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Status-epilepticus Episode with duration >30 min but not precisely determined (status epilepticus). (Source: Beniczky ea 2017, Table 13.) - - hedId - HED_0042373 - inLibrary score @@ -7098,10 +5606,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind True False - - hedId - HED_0042374 - inLibrary score @@ -7116,10 +5620,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042375 - inLibrary score @@ -7133,10 +5633,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Asleep Awake - - hedId - HED_0042376 - inLibrary score @@ -7144,10 +5640,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Subsequent-ictal-phase - - hedId - HED_0042377 - inLibrary score @@ -7155,10 +5647,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Post-ictal-phase - - hedId - HED_0042378 - inLibrary score @@ -7172,10 +5660,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind True False - - hedId - HED_0042379 - inLibrary score @@ -7184,14 +5668,10 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Other-finding-property + Other-feature-property requireChild - - hedId - HED_0042380 - inLibrary score @@ -7199,20 +5679,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Artifact-significance-to-recording It is important to score the significance of the described artifacts: recording is not interpretable, recording of reduced diagnostic value, does not interfere with the interpretation of the recording. (Source: Beniczky ea 2017, Section 12) - - hedId - HED_0042381 - inLibrary score Recording-not-interpretable-due-to-artifact - - hedId - HED_0042382 - inLibrary score @@ -7227,10 +5699,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042383 - inLibrary score @@ -7239,10 +5707,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Recording-of-reduced-diagnostic-value-due-to-artifact - - hedId - HED_0042384 - inLibrary score @@ -7257,10 +5721,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042385 - inLibrary score @@ -7269,10 +5729,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Artifact-does-not-interfere-recording - - hedId - HED_0042386 - inLibrary score @@ -7287,10 +5743,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042387 - inLibrary score @@ -7299,18 +5751,14 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Finding-significance-to-recording - Significance of finding. When normal/abnormal could be labeled with with suggested tags. + Feature-significance-to-recording + Significance of feature. When normal/abnormal could be labeled with with suggested tags. suggestedTag Normal Abnormal Property-not-possible-to-determine - - hedId - HED_0042388 - inLibrary score @@ -7325,10 +5773,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042389 - inLibrary score @@ -7336,7 +5780,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Finding-frequency + Feature-frequency Value in Hz (number) typed in. requireChild @@ -7346,10 +5790,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Symmetrical Asymmetrical - - hedId - HED_0042390 - inLibrary score @@ -7367,10 +5807,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind unitClass frequencyUnits - - hedId - HED_0042391 - inLibrary score @@ -7378,8 +5814,8 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Finding-amplitude - Value in microvolts (number) typed in, e.g. (Finding-amplitude/number uv) + Feature-amplitude + Value in microvolts (number) typed in, e.g. (Feature-amplitude/number uv) requireChild @@ -7388,10 +5824,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Symmetrical Asymmetrical - - hedId - HED_0042392 - inLibrary score @@ -7409,10 +5841,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind unitClass electricPotentialUnits - - hedId - HED_0042393 - inLibrary score @@ -7420,14 +5848,10 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Finding-stopped-by + Feature-stopped-by requireChild - - hedId - HED_0042394 - inLibrary score @@ -7442,10 +5866,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042395 - inLibrary score @@ -7455,10 +5875,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Property-not-possible-to-determine Not possible to determine. - - hedId - HED_0042396 - inLibrary score @@ -7473,10 +5889,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042397 - inLibrary score @@ -7486,12 +5898,8 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Interictal-finding - EEG pattern / transient that is distinguished from the background activity, considered abnormal, but is not recorded during ictal period (seizure) or postictal period; the presence of an interictal finding does not necessarily imply that the patient has epilepsy. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 5.) - - hedId - HED_0042398 - + Interictal-activity + EEG pattern / transient that is distinguished from the background activity, considered abnormal, but is not recorded during ictal period (seizure) or postictal period; the presence of interictal activity does not necessarily imply that the patient has epilepsy. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 5.) inLibrary score @@ -7514,15 +5922,11 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hypsarrhythmia-modified Categorical-location-value Sensors - Finding-propagation - Multifocal-finding + Feature-propagation + Multifocal-feature Appearance-mode Discharge-pattern - Finding-incidence - - - hedId - HED_0042399 + Feature-incidence inLibrary @@ -7543,11 +5947,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sensors Appearance-mode Discharge-pattern - Finding-incidence - - - hedId - HED_0042400 + Feature-incidence inLibrary @@ -7557,10 +5957,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Interictal-special-patterns (Source: Beniczky ea 2017, Table 5.) - - hedId - HED_0042401 - inLibrary score @@ -7575,10 +5971,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sensors RPP-time-related-feature - - hedId - HED_0042402 - inLibrary score @@ -7586,10 +5978,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Generalized-periodic-discharges GPDs. The term generalized refers to any bilateral, bisynchronous and symmetric pattern, even if it has a restricted field (e.g. bifrontal). (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) - - hedId - HED_0042403 - inLibrary score @@ -7598,10 +5986,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Lateralized-periodic-discharges LPDs. Lateralized includes unilateral and bilateral synchronous but asymmetric; includes focal, regional and hemispheric patterns. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) - - hedId - HED_0042404 - inLibrary score @@ -7610,10 +5994,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Bilateral-independent-periodic-discharges BIPDs. Bilateral Independent refers to the presence of 2 independent (asynchronous) lateralized patterns, one in each hemisphere. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) - - hedId - HED_0042405 - inLibrary score @@ -7622,10 +6002,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Multifocal-periodic-discharges MfPDs. Multifocal refers to the presence of at least three independent lateralized patterns with at least one in each hemisphere. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) - - hedId - HED_0042406 - inLibrary score @@ -7642,10 +6018,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042407 - inLibrary score @@ -9809,10 +8181,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Physiologic-pattern EEG graphoelements or rhythms that are considered normal. They only should be scored if the physician considers that they have a specific clinical significance for the recording. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 14.) - - hedId - HED_0042408 - inLibrary score @@ -9828,10 +8196,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042409 - inLibrary score @@ -9847,10 +8211,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042410 - inLibrary score @@ -9864,10 +8224,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042411 - inLibrary score @@ -9883,10 +8239,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042412 - inLibrary score @@ -9902,10 +8254,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042413 - inLibrary score @@ -9921,10 +8269,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042414 - inLibrary score @@ -9940,10 +8284,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042415 - inLibrary score @@ -9959,10 +8299,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042416 - inLibrary score @@ -9978,10 +8314,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042417 - inLibrary score @@ -9995,10 +8327,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042418 - inLibrary score @@ -10009,10 +8337,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042419 - inLibrary score @@ -10027,10 +8351,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042420 - inLibrary score @@ -10039,26 +8359,18 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Polygraphic-channel-finding + Polygraphic-channel-feature Changes observed in polygraphic channels can be scored: EOG, Respiration, ECG, EMG, other polygraphic channel (+ free text), and their significance logged (normal, abnormal, no definite abnormality). (Source: Beniczky ea 2017, Section 13.) - - hedId - HED_0042421 - inLibrary score - EOG-channel-finding - Electrooculogram (EOG) channel findings. (Source: Beniczky ea 2017, Section 13.) + EOG-channel-feature + Electrooculogram (EOG) channel features. (Source: Beniczky ea 2017, Section 13.) suggestedTag - Finding-significance-to-recording - - - hedId - HED_0042422 + Feature-significance-to-recording inLibrary @@ -10074,10 +8386,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042423 - inLibrary score @@ -10085,15 +8393,11 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - Respiration-channel-finding + Respiration-channel-feature Findings in respiration sensors. (Source: Beniczky ea 2017, Section 13, Table 16.) suggestedTag - Finding-significance-to-recording - - - hedId - HED_0042424 + Feature-significance-to-recording inLibrary @@ -10103,11 +8407,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Oxygen-saturation Percentage. (Source: Beniczky ea 2013, Table 9; Beniczky ea 2017, Table 16.) - requireChild - - - hedId - HED_0042425 + requireChild inLibrary @@ -10122,10 +8422,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass numericClass - - hedId - HED_0042426 - inLibrary score @@ -10135,10 +8431,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Apnea Temporary cessation of breathing (Source: Wikipedia). Duration (range in seconds). (Source: Beniczky ea 2013, Table 9.) - - hedId - HED_0042427 - inLibrary score @@ -10152,10 +8444,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass numericClass - - hedId - HED_0042428 - inLibrary score @@ -10165,10 +8453,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hypopnea Overly shallow breathing or an abnormally low respiratory rate. Duration (range in seconds). (Source: Wikipedia; Beniczky ea 2013, Table 9.) - - hedId - HED_0042429 - inLibrary score @@ -10182,10 +8466,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass numericClass - - hedId - HED_0042430 - inLibrary score @@ -10199,10 +8479,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Frequency - - hedId - HED_0042431 - inLibrary score @@ -10216,10 +8492,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass numericClass - - hedId - HED_0042432 - inLibrary score @@ -10229,10 +8501,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Periodic-respiration Source: Beniczky ea 2017, Table 16 - - hedId - HED_0042433 - inLibrary score @@ -10247,10 +8515,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042434 - inLibrary score @@ -10264,10 +8528,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Frequency - - hedId - HED_0042435 - inLibrary score @@ -10281,10 +8541,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass numericClass - - hedId - HED_0042436 - inLibrary score @@ -10297,10 +8553,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042437 - inLibrary score @@ -10315,10 +8567,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042438 - inLibrary score @@ -10327,15 +8575,11 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - ECG-channel-finding + ECG-channel-feature Findings in Electrocardiogram recordings. (Source: Beniczky ea 2017, Section 13, Table 16.) suggestedTag - Finding-significance-to-recording - - - hedId - HED_0042439 + Feature-significance-to-recording inLibrary @@ -10347,10 +8591,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042440 - inLibrary score @@ -10368,10 +8608,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind unitClass timeUnits - - hedId - HED_0042441 - inLibrary score @@ -10385,10 +8621,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Frequency - - hedId - HED_0042442 - inLibrary score @@ -10403,10 +8635,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042443 - inLibrary score @@ -10416,10 +8644,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind ECG-arrhythmia Free text annotating characteristics of arrythymia. (Source: Beniczky ea 2017, Table 16.) - - hedId - HED_0042444 - inLibrary score @@ -10434,10 +8658,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042445 - inLibrary score @@ -10447,10 +8667,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind ECG-asystolia Absence of ventricular contractions in the context of a lethal heart arrhythmia. Duration in seconds of the absence. (Source: Wikipedia; Beniczky ea 2013, Table 9.) - - hedId - HED_0042446 - inLibrary score @@ -10468,10 +8684,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind unitClass timeUnits - - hedId - HED_0042447 - inLibrary score @@ -10485,10 +8697,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Frequency - - hedId - HED_0042448 - inLibrary score @@ -10502,10 +8710,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass numericClass - - hedId - HED_0042449 - inLibrary score @@ -10515,10 +8719,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind ECG-extrasystole A heart rhythm disorder corresponding to a premature contraction of one of the chambers of the heart. (Source: Wikipedia; Beniczky ea 2017, Table 16.) - - hedId - HED_0042450 - inLibrary score @@ -10533,10 +8733,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042451 - inLibrary score @@ -10546,10 +8742,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind ECG-ventricular-premature-depolarization A premature ventricular contraction (PVC) is a common event where the heartbeat is initiated by Purkinje fibers in the ventricles rather than by the sinoatrial node. (Source: Wikipedia; Beniczky ea 2017, Table 16.) - - hedId - HED_0042452 - inLibrary score @@ -10564,10 +8756,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042453 - inLibrary score @@ -10581,10 +8769,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Frequency - - hedId - HED_0042454 - inLibrary score @@ -10598,10 +8782,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass numericClass - - hedId - HED_0042455 - inLibrary score @@ -10614,10 +8794,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042456 - inLibrary score @@ -10632,10 +8808,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042457 - inLibrary score @@ -10644,19 +8816,15 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind - EMG-channel-finding + EMG-channel-feature Findings in Electromyography recordings (Source: Beniczky ea 2017, Section 13, Table 16.). Suggested tags can be used to note the side of the muscle (Left or Right). The order of activation may be indicated using Temporal-relation: (Left, (Before,Right)). suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Symmetrical Left Right - - hedId - HED_0042458 - inLibrary score @@ -10667,10 +8835,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042459 - inLibrary score @@ -10685,10 +8849,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042460 - inLibrary score @@ -10698,10 +8858,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Myoclonus Source: Beniczky ea 2017, Table 16. - - hedId - HED_0042461 - inLibrary score @@ -10709,10 +8865,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Negative-myoclonus Source: Beniczky ea 2017, Table 16. - - hedId - HED_0042462 - inLibrary score @@ -10721,10 +8873,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Myoclonus-rhythmic Numerical value for frequency. (Source: Beniczky ea 2017, Table 16.) - - hedId - HED_0042463 - inLibrary score @@ -10738,10 +8886,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass numericClass - - hedId - HED_0042464 - inLibrary score @@ -10751,10 +8895,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Myoclonus-arrhythmic Source: Beniczky ea 2017, Table 16. - - hedId - HED_0042465 - inLibrary score @@ -10763,10 +8903,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Myoclonus-synchronous Source: Beniczky ea 2017, Table 16. - - hedId - HED_0042466 - inLibrary score @@ -10775,10 +8911,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Myoclonus-asynchronous Source: Beniczky ea 2017, Table 16. - - hedId - HED_0042467 - inLibrary score @@ -10788,10 +8920,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind PLMS Periodic limb movements in sleep. (Source: Beniczky ea 2017, Table 16.) - - hedId - HED_0042468 - inLibrary score @@ -10800,10 +8928,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Spasm Source: Beniczky ea 2017, Table 16. - - hedId - HED_0042469 - inLibrary score @@ -10812,10 +8936,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Tonic-contraction Source: Beniczky ea 2017, Table 16. - - hedId - HED_0042470 - inLibrary score @@ -10827,10 +8947,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042471 - inLibrary score @@ -10845,10 +8961,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042472 - inLibrary score @@ -10862,10 +8974,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042473 - inLibrary score @@ -10880,10 +8988,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042474 - inLibrary score @@ -18655,10 +16759,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sleep-and-drowsiness The features of the ongoing activity during sleep are scored here. If abnormal graphoelements appear, disappear or change their morphology during sleep, that is not scored here but at the entry corresponding to that graphoelement (as a modulator). (Source: Beniczky ea 2013. Appendix S1.) - - hedId - HED_0042475 - inLibrary score @@ -18670,10 +16770,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Property-not-possible-to-determine - - hedId - HED_0042476 - inLibrary score @@ -18681,10 +16777,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Normal-sleep-architecture Recording containing sleep-patterns that are considered normal for the attained sleep stages and for the age. (Source: Benizcky ea 2013, Appendix S3.) - - hedId - HED_0042477 - inLibrary score @@ -18693,10 +16785,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Abnormal-sleep-architecture Absence or consistently marked amplitude asymmetry (>50%) of a normal sleep graphoelement. (Source: Benizcky ea 2013, Appendix S3.) - - hedId - HED_0042478 - inLibrary score @@ -18712,11 +16800,7 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind suggestedTag Property-not-possible-to-determine - Finding-significance-to-recording - - - hedId - HED_0042479 + Feature-significance-to-recording inLibrary @@ -18725,10 +16809,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sleep-stage-N1 Sleep stage 1. (Source: Beniczky ea 2017, Section 7.) - - hedId - HED_0042480 - inLibrary score @@ -18743,10 +16823,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042481 - inLibrary score @@ -18756,10 +16832,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sleep-stage-N2 Sleep stage 2. (Source: Beniczky ea 2017, Section 7.) - - hedId - HED_0042482 - inLibrary score @@ -18774,10 +16846,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042483 - inLibrary score @@ -18787,10 +16855,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sleep-stage-N3 Sleep stage 3. (Source: Beniczky ea 2017, Section 7.) - - hedId - HED_0042484 - inLibrary score @@ -18805,10 +16869,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042485 - inLibrary score @@ -18818,10 +16878,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sleep-stage-REM Rapid eye movement. (Source: Beniczky ea 2017, Section 7.) - - hedId - HED_0042486 - inLibrary score @@ -18836,10 +16892,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042487 - inLibrary score @@ -18852,16 +16904,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Burst at 11-15 Hz but mostly at 12-14 Hz generally diffuse but of higher voltage over the central regions of the head, occurring during sleep. Amplitude varies but is mostly below 50 microV in the adult. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Categorical-location-value Sensors Asymmetrical Symmetrical - - hedId - HED_0042488 - inLibrary score @@ -18872,16 +16920,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Sharp potential, maximal at the vertex, negative relative to other areas, apparently occurring spontaneously during sleep or in response to a sensory stimulus during sleep or wakefulness. May be single or repetitive. Amplitude varies but rarely exceeds 250 microV. Abbreviation: V wave. Synonym: vertex sharp wave. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Categorical-location-value Sensors Asymmetrical Symmetrical - - hedId - HED_0042489 - inLibrary score @@ -18892,16 +16936,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind A burst of somewhat variable appearance, consisting most commonly of a high voltage negative slow wave followed by a smaller positive slow wave frequently associated with a sleep spindle. Duration greater than 0.5 s. Amplitude is generally maximal in the frontal vertex. K complexes occur during nonREM sleep, apparently spontaneously, or in response to sudden sensory / auditory stimuli, and are not specific for any individual sensory modality. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Categorical-location-value Sensors Asymmetrical Symmetrical - - hedId - HED_0042490 - inLibrary score @@ -18912,16 +16952,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Vertex negative 2-5 Hz waves occurring in series during REM sleep. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Categorical-location-value Sensors Asymmetrical Symmetrical - - hedId - HED_0042491 - inLibrary score @@ -18932,16 +16968,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Positive occipital sharp transients of sleep. Sharp transient maximal over the occipital regions, positive relative to other areas, apparently occurring spontaneously during sleep. May be single or repetitive. Amplitude varies but is generally below 50 microV. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Categorical-location-value Sensors Asymmetrical Symmetrical - - hedId - HED_0042492 - inLibrary score @@ -18952,16 +16984,12 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Hypnagogic/hypnopompic hypersynchrony in children. Bursts of bilateral, synchronous delta or theta activity of large amplitude, occasionally with superimposed faster components, occurring during falling asleep or during awakening, in children. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) suggestedTag - Finding-significance-to-recording + Feature-significance-to-recording Categorical-location-value Sensors Asymmetrical Symmetrical - - hedId - HED_0042493 - inLibrary score @@ -18970,10 +16998,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Non-reactive-sleep EEG activity consisting of normal sleep graphoelements, but which cannot be interrupted by external stimuli/ the patient cannot be wakened. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) - - hedId - HED_0042494 - inLibrary score @@ -18983,10 +17007,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Uncertain-significant-pattern EEG graphoelements or rhythms that resemble abnormal patterns but that are not necessarily associated with a pathology, and the physician does not consider them abnormal in the context of the scored recording (like normal variants and patterns). (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 14.) - - hedId - HED_0042495 - inLibrary score @@ -19001,10 +17021,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042496 - inLibrary score @@ -19013,10 +17029,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Wicket-spikes Spike-like monophasic negative single waves or trains of waves occurring over the temporal regions during drowsiness that have an arcuate or mu-like appearance. These are mainly seen in older individuals and represent a benign variant that is of little clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) - - hedId - HED_0042497 - inLibrary score @@ -19032,10 +17044,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042498 - inLibrary score @@ -19051,10 +17059,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042499 - inLibrary score @@ -19070,10 +17074,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042500 - inLibrary score @@ -19089,10 +17089,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042501 - inLibrary score @@ -19108,10 +17104,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042502 - inLibrary score @@ -19127,10 +17119,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042503 - inLibrary score @@ -19146,10 +17134,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042504 - inLibrary score @@ -19158,10 +17142,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Rhythmic-temporal-theta-burst-drowsiness Rhythmic temporal theta burst of drowsiness (RTTD). Characteristic burst of 4-7 Hz waves frequently notched by faster waves, occurring over the temporal regions of the head during drowsiness. Synonym: psychomotor variant pattern. Comment: this is a pattern of drowsiness that is of no clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) - - hedId - HED_0042505 - inLibrary score @@ -19177,10 +17157,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042506 - inLibrary score @@ -19196,10 +17172,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042507 - inLibrary score @@ -19215,10 +17187,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind Appearance-mode Discharge-pattern - - hedId - HED_0042508 - inLibrary score @@ -19229,10 +17197,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind requireChild - - hedId - HED_0042509 - inLibrary score @@ -19247,10 +17211,6 @@ For more information see https://hed-schema-library.readthedocs.io/en/latest/ind valueClass textClass - - hedId - HED_0042510 - inLibrary score @@ -21249,10 +19209,10 @@ A second revised and extended version of SCORE achieved international consensus. 1 Beniczky ea 2013: "Standardized computer based organized reporting of EEG: SCORE." Epilepsia 54(6) pp.1112-1124. 2 Beniczky ea 2017: "Standardized computer based organized reporting of EEG: SCORE second version." Clinical Neurophysiology 128(11) pp.2334-2346. -3 Hirsch ea 2013: "American Clinical Neurophysiology Society’s Standardized Critical Care EEG Terminology: 2012 version." Journal of clinical neurophysiology 30(1) pp.1-27. +3 Hirsch ea 2013: "American Clinical Neurophysiology Society's Standardized Critical Care EEG Terminology: 2012 version." Journal of clinical neurophysiology 30(1) pp.1-27. 4 Fisher ea 2017: "Instruction manual for the ILAE 2017 operational classification of seizure types." Epilepsia 58(4) pp.531-542. 5 Trenité ea 2001: "Visual sensitivity and epilepsy: a proposed terminology and classification for clinical and EEG phenomenology." Epilepsia 42(5) pp.692-701. 6 Blume ea 2001: "Glossary of descriptive terminology for ictal semiology: report of the ILAE task force on classification and terminology." Epilepsia 42(9) pp.1212-1218. -TPA July 2023 +TPA KR DH SM July 2024 diff --git a/library_schemas/score/prerelease/hedtsv/HED_score_2.0.0/HED_score_2.0.0_Structure.tsv b/library_schemas/score/prerelease/hedtsv/HED_score_2.0.0/HED_score_2.0.0_Structure.tsv index 3f63d6a..b44079b 100644 --- a/library_schemas/score/prerelease/hedtsv/HED_score_2.0.0/HED_score_2.0.0_Structure.tsv +++ b/library_schemas/score/prerelease/hedtsv/HED_score_2.0.0/HED_score_2.0.0_Structure.tsv @@ -1,4 +1,4 @@ hedId rdfs:label Attributes omn:SubClassOf dc:description omn:EquivalentTo HED_0040010 ScoreHeader "version=""2.0.0"", library=""score"", withStandard=""8.3.0"", unmerged=""True""" HedHeader "HedHeader and (inHedSchema some ScoreSchema) and (version value ""2.0.0"") and (library value ""score"") and (withStandard value ""8.3.0"") and (unmerged value ""True"")" HED_0040011 ScorePrologue HedPrologue This schema is a Hierarchical Event Descriptors (HED) Library Schema implementation of Standardized Computer-based Organized Reporting of EEG (SCORE)(1-2) for describing events occurring during neuroimaging time series recordings.\nThe HED-SCORE library schema allows cliniciand and scientists to annotate electrophysiology recordings using terms from an internationally accepted set of defined terms (SCORE) compatible with the HED framework .\nThe resulting annotations are understandable to clinicians and directly usable in computer analysis.\n\nFuture extensions may be implemented in the HED-SCORE library schema.\nFor more information see https://hed-schema-library.readthedocs.io/en/latest/index.html. HedPrologue and (inHedSchema some ScoreSchema) -HED_0040012 ScoreEpilogue HedEpilogue "The Standardized Computer-based Organized Reporting of EEG (SCORE) is a standard terminology for scalp EEG data assessment designed for use in clinical practice that may also be used for research purposes.\nThe SCORE standard defines terms for describing phenomena observed in scalp EEG data. It is also potentially applicable (with some suitable extensions) to EEG recorded in critical care and neonatal settings.\nThe SCORE standard received European consensus and has been endorsed by the European Chapter of the International Federation of Clinical Neurophysiology (IFCN) and the International League Against Epilepsy (ILAE) Commission on European Affairs.\nA second revised and extended version of SCORE achieved international consensus.\n\n1 Beniczky ea 2013: ""Standardized computer based organized reporting of EEG: SCORE."" Epilepsia 54(6) pp.1112-1124.\n2 Beniczky ea 2017: ""Standardized computer based organized reporting of EEG: SCORE second version."" Clinical Neurophysiology 128(11) pp.2334-2346.\n3 Hirsch ea 2013: ""American Clinical Neurophysiology Society’s Standardized Critical Care EEG Terminology: 2012 version."" Journal of clinical neurophysiology 30(1) pp.1-27.\n4 Fisher ea 2017: ""Instruction manual for the ILAE 2017 operational classification of seizure types."" Epilepsia 58(4) pp.531-542.\n5 Trenité ea 2001: ""Visual sensitivity and epilepsy: a proposed terminology and classification for clinical and EEG phenomenology."" Epilepsia 42(5) pp.692-701.\n6 Blume ea 2001: ""Glossary of descriptive terminology for ictal semiology: report of the ILAE task force on classification and terminology."" Epilepsia 42(9) pp.1212-1218.\n\nTPA July 2023" HedEpilogue and (inHedSchema some ScoreSchema) +HED_0040012 ScoreEpilogue HedEpilogue "The Standardized Computer-based Organized Reporting of EEG (SCORE) is a standard terminology for scalp EEG data assessment designed for use in clinical practice that may also be used for research purposes.\nThe SCORE standard defines terms for describing phenomena observed in scalp EEG data. It is also potentially applicable (with some suitable extensions) to EEG recorded in critical care and neonatal settings.\nThe SCORE standard received European consensus and has been endorsed by the European Chapter of the International Federation of Clinical Neurophysiology (IFCN) and the International League Against Epilepsy (ILAE) Commission on European Affairs.\nA second revised and extended version of SCORE achieved international consensus.\n\n1 Beniczky ea 2013: ""Standardized computer based organized reporting of EEG: SCORE."" Epilepsia 54(6) pp.1112-1124.\n2 Beniczky ea 2017: ""Standardized computer based organized reporting of EEG: SCORE second version."" Clinical Neurophysiology 128(11) pp.2334-2346.\n3 Hirsch ea 2013: ""American Clinical Neurophysiology Society's Standardized Critical Care EEG Terminology: 2012 version."" Journal of clinical neurophysiology 30(1) pp.1-27.\n4 Fisher ea 2017: ""Instruction manual for the ILAE 2017 operational classification of seizure types."" Epilepsia 58(4) pp.531-542.\n5 Trenité ea 2001: ""Visual sensitivity and epilepsy: a proposed terminology and classification for clinical and EEG phenomenology."" Epilepsia 42(5) pp.692-701.\n6 Blume ea 2001: ""Glossary of descriptive terminology for ictal semiology: report of the ILAE task force on classification and terminology."" Epilepsia 42(9) pp.1212-1218.\n\nTPA KR DH SM July 2024" HedEpilogue and (inHedSchema some ScoreSchema) diff --git a/library_schemas/score/prerelease/hedtsv/HED_score_2.0.0/HED_score_2.0.0_Tag.tsv b/library_schemas/score/prerelease/hedtsv/HED_score_2.0.0/HED_score_2.0.0_Tag.tsv index e73d8fb..d572773 100644 --- a/library_schemas/score/prerelease/hedtsv/HED_score_2.0.0/HED_score_2.0.0_Tag.tsv +++ b/library_schemas/score/prerelease/hedtsv/HED_score_2.0.0/HED_score_2.0.0_Tag.tsv @@ -1,511 +1,511 @@ hedId rdfs:label Level omn:SubClassOf Attributes dc:description omn:EquivalentTo -HED_0042001 Modulator 0 HedTag External stimuli / interventions or changes in the alertness level (sleep) that modify: the background activity, or how often a graphoelement is occurring, or change other features of the graphoelement (like intra-burst frequency). For each observed finding, there is an option of specifying how they are influenced by the modulators and procedures that were done during the recording. HedTag and (inHedSchema some ScoreSchema) -HED_0042002 Sleep-modulator 1 Modulator suggestedTag=Drowsy When sleep/drowsiness features are scored during drowsiness, Drowsy should be listed as a modulator (Source: Beniczky ea 2017, Section 7 and Table 2). Modulator and (suggestedTag some Drowsy) -HED_0042003 Sleep-deprivation 2 Sleep-modulator Source: Beniczky ea 2017, Table 2. -HED_0042004 Sleep-deprivation-# 3 Sleep-deprivation takesValue, valueClass=textClass Free text. Sleep-deprivation and (valueClass some textClass) -HED_0042005 Sleep-following-sleep-deprivation 2 Sleep-modulator Source: Beniczky ea 2017, Table 2. -HED_0042006 Sleep-following-sleep-deprivation-# 3 Sleep-following-sleep-deprivation takesValue, valueClass=textClass Free text. Sleep-following-sleep-deprivation and (valueClass some textClass) -HED_0042007 Natural-sleep 2 Sleep-modulator Source: Beniczky ea 2017, Table 2. -HED_0042008 Natural-sleep-# 3 Natural-sleep takesValue, valueClass=textClass Free text. Natural-sleep and (valueClass some textClass) -HED_0042009 Induced-sleep 2 Sleep-modulator Source: Beniczky ea 2017, Table 2. -HED_0042010 Induced-sleep-# 3 Induced-sleep takesValue, valueClass=textClass Free text. Induced-sleep and (valueClass some textClass) -HED_0042011 Awakening 2 Sleep-modulator Source: Beniczky ea 2017, Table 2. -HED_0042012 Awakening-# 3 Awakening takesValue, valueClass=textClass Free text. Awakening and (valueClass some textClass) -HED_0042013 Medication-modulator 1 Modulator -HED_0042014 Medication-administered-during-recording 2 Medication-modulator Source: Beniczky ea 2017, Table 2. -HED_0042015 Medication-administered-during-recording-# 3 Medication-administered-during-recording takesValue, valueClass=textClass Free text. Medication-administered-during-recording and (valueClass some textClass) -HED_0042016 Medication-withdrawal-or-reduction-during-recording 2 Medication-modulator Source: Beniczky ea 2017, Table 2. -HED_0042017 Medication-withdrawal-or-reduction-during-recording-# 3 Medication-withdrawal-or-reduction-during-recording takesValue, valueClass=textClass Free text. Medication-withdrawal-or-reduction-during-recording and (valueClass some textClass) -HED_0042018 Eye-modulator 1 Modulator -HED_0042019 Manual-eye-closure 2 Eye-modulator Source: Beniczky ea 2017, Table 2. -HED_0042020 Manual-eye-closure-# 3 Manual-eye-closure takesValue, valueClass=textClass Free text. Manual-eye-closure and (valueClass some textClass) -HED_0042021 Manual-eye-opening 2 Eye-modulator Source: Beniczky ea 2017, Table 2. -HED_0042022 Manual-eye-opening-# 3 Manual-eye-opening takesValue, valueClass=textClass Free text. Manual-eye-opening and (valueClass some textClass) -HED_0042023 Stimulation-modulator 1 Modulator -HED_0042024 Intermittent-photic-stimulation 2 Stimulation-modulator suggestedTag=Intermittent-photic-stimulation-effect Source: Beniczky ea 2017, Table 2. Stimulation-modulator and (suggestedTag some Intermittent-photic-stimulation-effect) -HED_0042025 Intermittent-photic-stimulation-# 3 Intermittent-photic-stimulation takesValue, valueClass=numericClass, unitClass=frequencyUnits Intermittent-photic-stimulation and (valueClass some numericClass) and (unitClass some frequencyUnits) -HED_0042026 Auditory-stimulation 2 Stimulation-modulator Source: Beniczky ea 2017, Table 2. -HED_0042027 Auditory-stimulation-# 3 Auditory-stimulation takesValue, valueClass=textClass Free text. Auditory-stimulation and (valueClass some textClass) -HED_0042028 Nociceptive-stimulation 2 Stimulation-modulator Source: Beniczky ea 2017, Table 2. -HED_0042029 Nociceptive-stimulation-# 3 Nociceptive-stimulation takesValue, valueClass=textClass Free text. Nociceptive-stimulation and (valueClass some textClass) -HED_0042030 Hyperventilation 1 Modulator When selecting hyperventilation from the list, the user is prompted to score the quality of the hyperventilation (excellent effort, good effort, poor effort, refused the procedure, unable to do the procedure). (Source: Beniczky ea 2017, Section 4, Table 2.) -HED_0042031 Hyperventilation-refused-procedure 2 Hyperventilation -HED_0042032 Hyperventilation-refused-procedure-# 3 Hyperventilation-refused-procedure takesValue, valueClass=textClass Free text. Hyperventilation-refused-procedure and (valueClass some textClass) -HED_0042033 Hyperventilation-poor-effort 2 Hyperventilation -HED_0042034 Hyperventilation-poor-effort-# 3 Hyperventilation-poor-effort takesValue, valueClass=textClass Free text. Hyperventilation-poor-effort and (valueClass some textClass) -HED_0042035 Hyperventilation-good-effort 2 Hyperventilation -HED_0042036 Hyperventilation-good-effort-# 3 Hyperventilation-good-effort takesValue, valueClass=textClass Free text. Hyperventilation-good-effort and (valueClass some textClass) -HED_0042037 Hyperventilation-excellent-effort 2 Hyperventilation -HED_0042038 Hyperventilation-excellent-effort-# 3 Hyperventilation-excellent-effort takesValue, valueClass=textClass Free text. Hyperventilation-excellent-effort and (valueClass some textClass) -HED_0042039 Physical-effort 1 Modulator Source: Beniczky ea 2017, Table 2. -HED_0042040 Physical-effort-# 2 Physical-effort takesValue, valueClass=textClass Free text. Physical-effort and (valueClass some textClass) -HED_0042041 Cognitive-task 1 Modulator Source: Beniczky ea 2017, Table 2. -HED_0042042 Cognitive-task-# 2 Cognitive-task takesValue, valueClass=textClass Free text. Cognitive-task and (valueClass some textClass) -HED_0042043 Other-modulator-or-procedure 1 Modulator requireChild Free text describing other modulators or procedures. (Source: Beniczky ea 2017, Table 2.) -HED_0042044 Other-modulator-or-procedure-# 2 Other-modulator-or-procedure takesValue, valueClass=textClass Free text. Other-modulator-or-procedure and (valueClass some textClass) -HED_0042045 Background-activity 0 HedTag An EEG activity representing the setting in which a given normal or abnormal pattern appears and from which such pattern is distinguished (Source: Beniczky ea 2013, Appendix S1.) HedTag and (inHedSchema some ScoreSchema) -HED_0042046 Posterior-dominant-rhythm 1 Background-activity suggestedTag=Finding-significance-to-recording, suggestedTag=Finding-frequency, suggestedTag=Posterior-dominant-rhythm-property Rhythmic activity occurring during wakefulness over the posterior regions of the head, generally with maximum amplitudes over the occipital areas. Amplitude varies. Best seen with eyes closed and during physical relaxation and relative mental inactivity. Blocked or attenuated by attention, especially visual, and mental effort. In adults this is the alpha rhythm, and the frequency is 8 to 13 Hz. However the frequency can be higher or lower than this range (often a supra or sub harmonic of alpha frequency) and is called alpha variant rhythm (fast and slow alpha variant rhythm). In children, the normal range of the frequency of the posterior dominant rhythm is age-dependant. (Source: Beniczky ea 2013, Appendix S2; suggested tags from Beniczky ea 2017, Table 4.) Background-activity and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Finding-frequency) and (suggestedTag some Posterior-dominant-rhythm-property) -HED_0042047 Mu-rhythm 1 Background-activity suggestedTag=Finding-frequency, suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors EEG rhythm at 7-11 Hz composed of arch-shaped waves occurring over the central or centro-parietal regions of the scalp during wakefulness. Amplitudes varies but is mostly below 50 microV. Blocked or attenuated most clearly by contralateral movement, thought of movement, readiness to move or tactile stimulation. (Source: Beniczky ea 2013, Appendix S2.) Background-activity and (suggestedTag some Finding-frequency) and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) -HED_0042048 Other-organized-rhythm 1 Background-activity requireChild, suggestedTag=Rhythmic-property, suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern EEG activity consisting of waves of approximately constant period that are considered part of the background (ongoing) activity, but do not fulfill the criteria of the posterior dominant rhythm. (Source: Beniczky ea 2013, Appendix S2.) Background-activity and (suggestedTag some Rhythmic-property) and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042049 Other-organized-rhythm-# 2 Other-organized-rhythm takesValue, valueClass=textClass Free text. Other-organized-rhythm and (valueClass some textClass) -HED_0042050 Background-activity-special-feature 1 Background-activity Special features provide scoring options for the background activity of critically ill patients. (Source: Beniczky ea 2017, Section 6.) -HED_0042051 Continuous-background-activity 2 Background-activity-special-feature suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors Source: Beniczky ea 2017, Section 6. Background-activity-special-feature and (suggestedTag some Rhythmic-property) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) -HED_0042052 Nearly-continuous-background-activity 2 Background-activity-special-feature suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors Source: Beniczky ea 2017, Section 6. Background-activity-special-feature and (suggestedTag some Rhythmic-property) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) -HED_0042053 Discontinuous-background-activity 2 Background-activity-special-feature suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors Source: Beniczky ea 2017, Section 6. Background-activity-special-feature and (suggestedTag some Rhythmic-property) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) -HED_0042054 Background-burst-suppression 2 Background-activity-special-feature suggestedTag=Categorical-location-value, suggestedTag=Sensors EEG pattern consisting of bursts (activity appearing and disappearing abruptly) interrupted by periods of low amplitude (below 20 microV). This pattern occurs simultaneously over all head regions. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.) Background-activity-special-feature and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) -HED_0042055 Background-burst-attenuation 2 Background-activity-special-feature suggestedTag=Categorical-location-value, suggestedTag=Sensors Source: Beniczky ea 2017, Section 6. Background-activity-special-feature and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) -HED_0042056 Background-activity-suppression 2 Background-activity-special-feature suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode Periods showing activity under 10 microV (referential montage) and interrupting the background (ongoing) activity. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.) Background-activity-special-feature and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) -HED_0042057 Electrocerebral-inactivity 2 Background-activity-special-feature Absence of any ongoing cortical electric activities; in all leads EEG is isoelectric or only contains artifacts. Sensitivity has to be increased up to 2 microV/mm; recording time: at least 30 minutes. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.) -HED_0042058 Critically-ill-patient-patterns 0 HedTag Rhythmic or periodic patterns in critically ill patients (RPPs) are scored according to the 2012 version of the American Clinical Neurophysiology Society Standardized Critical Care EEG Terminology (Source: Hirsch ea 2013; Beniczky ea 2017, Section 9). HedTag and (inHedSchema some ScoreSchema) -HED_0042059 Critically-ill-patient-periodic-discharges 1 Critically-ill-patient-patterns suggestedTag=RPP-morphology, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Finding-frequency, suggestedTag=RPP-time-related-feature Periodic discharges (PDs): Periodic - repetition of a waveform with relatively uniform morphology and duration with a quantifiable inter-discharge interval between consecutive waveforms and recurrence of the waveform at nearly regular intervals. (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.) Critically-ill-patient-patterns and (suggestedTag some RPP-morphology) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Finding-frequency) and (suggestedTag some RPP-time-related-feature) -HED_0042060 Rhythmic-delta-activity 1 Critically-ill-patient-patterns suggestedTag=RPP-with-superimposed-activity, suggestedTag=RPP-absolute-amplitude, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Finding-frequency, suggestedTag=RPP-time-related-feature Rhythmic Delta Activity (RDA): Rhythmic - repetition of a waveform with relatively uniform morphology and duration, and without an interval between consecutive waveforms. RDA - rhythmic activity less than or equal to 4 Hz. The duration of one cycle (i.e., the period) of the rhythmic pattern should vary by less than 50 percent from the duration of the subsequent cycle for the majority (greater than 50 percent) of cycle pairs to qualify as rhythmic. (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.) Critically-ill-patient-patterns and (suggestedTag some RPP-with-superimposed-activity) and (suggestedTag some RPP-absolute-amplitude) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Finding-frequency) and (suggestedTag some RPP-time-related-feature) -HED_0042061 Spike-or-sharp-and-wave 1 Critically-ill-patient-patterns suggestedTag=RPP-sharpness, suggestedTag=Number-of-RPP-phases, suggestedTag=Triphasic-morphology, suggestedTag=RPP-absolute-amplitude, suggestedTag=RPP-relative-amplitude, suggestedTag=RPP-polarity, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Multifocal-finding, suggestedTag=Finding-frequency, suggestedTag=RPP-time-related-feature Spike-and-wave or Sharp-and-wave (SW) - polyspike, spike or sharp wave consistently followed by a slow wave in a regularly repeating and alternating pattern (spike-wave-spike-wave-spike-wave), with a consistent relationship between the spike (or polyspike or sharp wave) component and the slow wave; and with no interval between one spike-wave complex and the next (if there is an interval, this would qualify as PDs, where each discharge is a spike-and- wave). (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.) Critically-ill-patient-patterns and (suggestedTag some RPP-sharpness) and (suggestedTag some Number-of-RPP-phases) and (suggestedTag some Triphasic-morphology) and (suggestedTag some RPP-absolute-amplitude) and (suggestedTag some RPP-relative-amplitude) and (suggestedTag some RPP-polarity) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Multifocal-finding) and (suggestedTag some Finding-frequency) and (suggestedTag some RPP-time-related-feature) -HED_0042062 Episode 0 HedTag Clinical episode or electrographic seizure. (Source: Beniczky ea 2013, Appendix S1.) HedTag and (inHedSchema some ScoreSchema) -HED_0042063 Epileptic-seizure 1 Episode suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting The ILAE seizure classification divides seizures into focal, generalized onset, or unknown onset. (Source: Beniczky ea 2017, Table 9, Supplement 1; Selection-tree and list of seizure-types, according to the current ILAE seizure classification, Fisher ea 2017.) Episode and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) -HED_0042064 Focal-onset-epileptic-seizure 2 Epileptic-seizure suggestedTag=Automatism-seizure, suggestedTag=Atonic-seizure, suggestedTag=Clonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Hyperkinetic-seizure, suggestedTag=Myoclonic-seizure, suggestedTag=Tonic-seizure, suggestedTag=Autonomic-seizure, suggestedTag=Behavior-arrest-seizure, suggestedTag=Cognitive-seizure, suggestedTag=Emotional-seizure, suggestedTag=Sensory-seizure A focal seizure originates within networks limited to one hemisphere. They may be discretely localized or more widely distributed. Focal seizures may originate in subcortical structures. Focal seizures are optionally subdivided into focal aware and focal impaired awareness seizures. Specific motor and nonmotor classifiers may be added. (Source: Fisher ea 2017, Table 2 and Key Points; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.) Epileptic-seizure and (suggestedTag some Automatism-seizure) and (suggestedTag some Atonic-seizure) and (suggestedTag some Clonic-seizure) and (suggestedTag some Epileptic-spasm) and (suggestedTag some Hyperkinetic-seizure) and (suggestedTag some Myoclonic-seizure) and (suggestedTag some Tonic-seizure) and (suggestedTag some Autonomic-seizure) and (suggestedTag some Behavior-arrest-seizure) and (suggestedTag some Cognitive-seizure) and (suggestedTag some Emotional-seizure) and (suggestedTag some Sensory-seizure) -HED_0042065 Aware-focal-onset-epileptic-seizure 3 Focal-onset-epileptic-seizure Focal onset and maintained awareness (knowledge of self or environment). (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.A.) -HED_0042066 Impaired-awareness-focal-onset-epileptic-seizure 3 Focal-onset-epileptic-seizure Focal onset and impaired or lost awareness (knowledge of self or environment) is a feature of focal impaired awareness seizures, previously called complex partial seizures. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.B.) -HED_0042067 Awareness-unknown-focal-onset-epileptic-seizure 3 Focal-onset-epileptic-seizure Focal onset and awareness (knowledge of self or environment) unknown or not specified. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.C.) -HED_0042068 Focal-to-bilateral-tonic-clonic-focal-onset-epileptic-seizure 3 Focal-onset-epileptic-seizure A seizure type with focal onset, with awareness or impaired awareness, either motor or non-motor, progressing to bilateral tonic clonic activity. The prior term was seizure with partial onset with secondary generalization. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.D.01.) -HED_0042069 Generalized-onset-epileptic-seizure 2 Epileptic-seizure suggestedTag=Tonic-clonic-seizure, suggestedTag=Clonic-seizure, suggestedTag=Tonic-seizure, suggestedTag=Myoclonic-seizure, suggestedTag=Myoclonic-tonic-clonic-seizure, suggestedTag=Myoclonic-atonic-seizure, suggestedTag=Atonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Typical-absence-seizure, suggestedTag=Atypical-absence-seizure, suggestedTag=Myoclonic-absence-seizure, suggestedTag=Eyelid-myoclonia-seizure Generalized seizures originate at some point within, and rapidly engaging, bilaterally distributed networks. Generalized onset seizures can be motor: tonic clonic, clonic, tonic, myoclonic, myoclonic tonic clonic, myoclonic atonic, atonic, and epileptic spasms. Generalized onset seizures can also be nonmotor (absence): typical absence, atypical absence, myoclonic absence, or absence with eyelid myoclonia. (Source: Fisher ea 2017, Table 2 and Key Points; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code II.) Epileptic-seizure and (suggestedTag some Tonic-clonic-seizure) and (suggestedTag some Clonic-seizure) and (suggestedTag some Tonic-seizure) and (suggestedTag some Myoclonic-seizure) and (suggestedTag some Myoclonic-tonic-clonic-seizure) and (suggestedTag some Myoclonic-atonic-seizure) and (suggestedTag some Atonic-seizure) and (suggestedTag some Epileptic-spasm) and (suggestedTag some Typical-absence-seizure) and (suggestedTag some Atypical-absence-seizure) and (suggestedTag some Myoclonic-absence-seizure) and (suggestedTag some Eyelid-myoclonia-seizure) -HED_0042070 Unknown-onset-epileptic-seizure 2 Epileptic-seizure suggestedTag=Tonic-clonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Behavior-arrest-seizure A seizure of unknown onset may still evidence certain defining motor (e.g., tonic clonic) or nonmotor (e.g., behavior arrest) characteristics. With further information or future observed seizures, a reclassification of unknown-onset seizures into focal or generalized-onset categories may become possible. Therefore, “unknown-onset” is not a characteristic of the seizure, but a convenient placeholder for our ignorance. (Source: Fisher ea 2017, page 532; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code III.) Epileptic-seizure and (suggestedTag some Tonic-clonic-seizure) and (suggestedTag some Epileptic-spasm) and (suggestedTag some Behavior-arrest-seizure) -HED_0042071 Unclassified-epileptic-seizure 3 Unknown-onset-epileptic-seizure Referring to a seizure type that cannot be described by the ILAE 2017 classification either because of inadequate information or unusual clinical features. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code III.C.01) -HED_0042072 Electroencephalographic-seizure 1 Episode suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting Refers usually to non convulsive status. Ictal EEG: rhythmic discharge or spike and wave pattern with definite evolution in frequency, location, or morphology lasting at least 10 s; evolution in amplitude alone did not qualify. (Source: Beniczky ea 2013, Appendix S5; Beniczky ea 2017, Table 9.) Episode and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) -HED_0042073 Seizure-PNES 1 Episode suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting Psychogenic non-epileptic seizure. Paroxysmal events that mimic (or are confused with) epileptic seizures, but which do not result from epileptic activity; they lack the EEG ictal findings during the ictus. (Source: Beniczky ea 2013, Appendix S5; Beniczky ea 2017, Table 9.) Episode and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) -HED_0042074 Sleep-related-episode 1 Episode suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting (Source: Beniczky ea 2017, Table 9.) Episode and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) -HED_0042075 Sleep-related-arousal 2 Sleep-related-episode Normal arousal. (Source: Beniczky ea 2017, Table 9.) -HED_0042076 Benign-sleep-myoclonus 2 Sleep-related-episode A distinctive disorder of sleep characterized by a) neonatal onset, b) rhythmic myoclonic jerks only during sleep and c) abrupt and consistent cessation with arousal, d) absence of concomitant electrographic changes suggestive of seizures, and e) good outcome. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) -HED_0042077 Confusional-arousal 2 Sleep-related-episode Episode of non epileptic nature included in NREM parasomnias, characterized by sudden arousal and complex behavior but without full alertness, usually lasting a few minutes and occurring almost in all children at least occasionally. Amnesia of the episode is the rule. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) -HED_0042078 Cataplexy 2 Sleep-related-episode suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting A sudden decrement in muscle tone and loss of deep tendon reflexes, leading to muscle weakness, paralysis, or postural collapse. Cataplexy usually is precipitated by an outburst of emotional expression-notably laughter, anger, or startle. It is one of the tetrad of symptoms of narcolepsy. During cataplexy, respiration and voluntary eye movements are not compromised. Consciousness is preserved. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) Sleep-related-episode and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) -HED_0042079 Sleep-periodic-limb-movement 2 Sleep-related-episode PLMS. Periodic limb movement in sleep. Episodes are characterized by brief (0.5- to 5.0-second) lower-extremity movements during sleep, which typically occur at 20- to 40-second intervals, most commonly during the first 3 hours of sleep. The affected individual is usually not aware of the movements or of the transient partial arousals. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) -HED_0042080 REM-sleep-behavioral-disorder 2 Sleep-related-episode REM sleep behavioral disorder. Episodes characterized by: a) presence of REM sleep without atonia (RSWA) on polysomnography (PSG); b) presence of at least 1 of the following conditions - (1) Sleep-related behaviors, by history, that have been injurious, potentially injurious, or disruptive (example: dream enactment behavior); (2) abnormal REM sleep behavior documented during PSG monitoring; (3) absence of epileptiform activity on electroencephalogram (EEG) during REM sleep (unless RBD can be clearly distinguished from any concurrent REM sleep-related seizure disorder); (4) sleep disorder not better explained by another sleep disorder, a medical or neurologic disorder, a mental disorder, medication use, or a substance use disorder. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) -HED_0042081 Sleep-walking 2 Sleep-related-episode Episodes characterized by ambulation during sleep; the patient is difficult to arouse during an episode, and is usually amnesic following the episode. Episodes usually occur in the first third of the night during slow wave sleep. Polysomnographic recordings demonstrate 2 abnormalities during the first sleep cycle: frequent, brief, non-behavioral EEG-defined arousals prior to the somnambulistic episode and abnormally low gamma (0.75-2.0 Hz) EEG power on spectral analysis, correlating with high-voltage (hyper-synchronic gamma) waves lasting 10 to 15 s occurring just prior to the movement. This is followed by stage I NREM sleep, and there is no evidence of complete awakening. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) -HED_0042082 Pediatric-episode 1 Episode suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting (Source: Beniczky ea 2017, Table 9.) Episode and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) -HED_0042083 Hyperekplexia 2 Pediatric-episode Disorder characterized by exaggerated startle response and hypertonicity that may occur during the first year of life and in severe cases during the neonatal period. Children usually present with marked irritability and recurrent startles in response to handling and sounds. Severely affected infants can have severe jerks and stiffening, sometimes with breath-holding spells. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) -HED_0042084 Jactatio-capitis-nocturna 2 Pediatric-episode Relatively common in normal children at the time of going to bed, especially during the first year of life, the rhythmic head movements persist during sleep. Usually, these phenomena disappear before 3 years of age. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) -HED_0042085 Pavor-nocturnus 2 Pediatric-episode A nocturnal episode characterized by age of onset of less than five years (mean age 18 months, with peak prevalence at five to seven years), appearance of signs of panic two hours after falling asleep with crying, screams, a fearful expression, inability to recognize other people including parents (for a duration of 5-15 minutes), amnesia upon awakening. Pavor nocturnus occurs in patients almost every night for months or years (but the frequency is highly variable and may be as low as once a month) and is likely to disappear spontaneously at the age of six to eight years. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) -HED_0042086 Pediatric-stereotypical-behavior-episode 2 Pediatric-episode Repetitive motor behavior in children, typically rhythmic and persistent; usually not paroxysmal and rarely suggest epilepsy. They include headbanging, head-rolling, jactatio capitis nocturna, body rocking, buccal or lingual movements, hand flapping and related mannerisms, repetitive hand-waving (to self-induce photosensitive seizures).(Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) -HED_0042087 Paroxysmal-motor-event 1 Episode suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting Paroxysmal phenomena during neonatal or childhood periods characterized by recurrent motor or behavioral signs or symptoms that must be distinguished from epileptic disorders. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) Episode and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) -HED_0042088 Syncope 1 Episode suggestedTag=Finding-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting Episode with loss of consciousness and muscle tone that is abrupt in onset, of short duration and followed by rapid recovery; it occurs in response to transient impairment of cerebral perfusion. Typical prodromal symptoms often herald onset of syncope and postictal symptoms are minimal. Syncopal convulsions resulting from cerebral anoxia are common but are not a form of epilepsy, nor are there any accompanying EEG ictal discharges. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) Episode and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) -HED_0042089 Other-episode 1 Episode requireChild -HED_0042090 Other-episode-# 2 Other-episode takesValue, valueClass=textClass Free text. Other-episode and (valueClass some textClass) -HED_0042091 Finding-property 0 HedTag Descriptive element similar to main HED /Property. Something that pertains to a thing. A characteristic of some entity. A quality or feature regarded as a characteristic or inherent part of someone or something. HED attributes are adjectives or adverbs. HedTag and (inHedSchema some ScoreSchema) -HED_0042092 Signal-morphology-property 1 Finding-property Signal morphology attributes relevant to findings of background, interictal or ictal activity. (Source: Beniczky ea 2017, Table 5, Table 8, Table 12.) -HED_0042093 Rhythmic-property 2 Signal-morphology-property Rhythmic activity can be observed during background, interictal or ictal activity and HED-SCORE therefore describes this as an property/attribute. (Source: Beniczky ea 2017, Table 5, Table 12, Table 14.) -HED_0042094 Delta-activity 3 Rhythmic-property suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude Rhythmic activity in the delta frequency range (under 4 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) Rhythmic-property and (suggestedTag some Finding-frequency) and (suggestedTag some Finding-amplitude) -HED_0042095 Delta-activity-# 4 Delta-activity takesValue, valueClass=textClass Free text. Delta-activity and (valueClass some textClass) -HED_0042096 Theta-activity 3 Rhythmic-property suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude Rhythmic activity in the theta frequency range (4-8 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) Rhythmic-property and (suggestedTag some Finding-frequency) and (suggestedTag some Finding-amplitude) -HED_0042097 Theta-activity-# 4 Theta-activity takesValue, valueClass=textClass Free text. Theta-activity and (valueClass some textClass) -HED_0042098 Alpha-activity 3 Rhythmic-property suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude Rhythmic activity in the alpha frequency range (8-13 Hz), but not a part of the posterior dominant rhythm. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) Rhythmic-property and (suggestedTag some Finding-frequency) and (suggestedTag some Finding-amplitude) -HED_0042099 Alpha-activity-# 4 Alpha-activity takesValue, valueClass=textClass Free text. Alpha-activity and (valueClass some textClass) -HED_0042100 Beta-activity 3 Rhythmic-property suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude Rhythmic activity in the beta frequency range (14-40 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) Rhythmic-property and (suggestedTag some Finding-frequency) and (suggestedTag some Finding-amplitude) -HED_0042101 Beta-activity-# 4 Beta-activity takesValue, valueClass=textClass Free text. Beta-activity and (valueClass some textClass) -HED_0042102 Gamma-activity 3 Rhythmic-property suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude Rhythmic activity in the gamma frequency range. (Source: Beniczky ea 2017, Table 5.) Rhythmic-property and (suggestedTag some Finding-frequency) and (suggestedTag some Finding-amplitude) -HED_0042103 Gamma-activity-# 4 Gamma-activity takesValue, valueClass=textClass Free text. Gamma-activity and (valueClass some textClass) -HED_0042104 Polymorphic-delta-activity 3 Rhythmic-property EEG activity consisting of waves in the delta range (over 250 ms duration for each wave) but of different morphology. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042105 Polymorphic-delta-activity-# 4 Polymorphic-delta-activity takesValue, valueClass=textClass Free text. Polymorphic-delta-activity and (valueClass some textClass) -HED_0042106 Frontal-intermittent-rhythmic-delta-activity 3 Rhythmic-property Frontal intermittent rhythmic delta activity (FIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at 1.5-2.5 Hz over the frontal areas of one or both sides of the head. Comment: most commonly associated with unspecified encephalopathy, in adults. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042107 Frontal-intermittent-rhythmic-delta-activity-# 4 Frontal-intermittent-rhythmic-delta-activity takesValue, valueClass=textClass Free text. Frontal-intermittent-rhythmic-delta-activity and (valueClass some textClass) -HED_0042108 Occipital-intermittent-rhythmic-delta-activity 3 Rhythmic-property Occipital intermittent rhythmic delta activity (OIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at 2-3 Hz over the occipital or posterior head regions of one or both sides of the head. Frequently blocked or attenuated by opening the eyes. Comment: most commonly associated with unspecified encephalopathy, in children. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042109 Occipital-intermittent-rhythmic-delta-activity-# 4 Occipital-intermittent-rhythmic-delta-activity takesValue, valueClass=textClass Free text. Occipital-intermittent-rhythmic-delta-activity and (valueClass some textClass) -HED_0042110 Temporal-intermittent-rhythmic-delta-activity 3 Rhythmic-property Temporal intermittent rhythmic delta activity (TIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at over the temporal areas of one side of the head. Comment: most commonly associated with temporal lobe epilepsy. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042111 Temporal-intermittent-rhythmic-delta-activity-# 4 Temporal-intermittent-rhythmic-delta-activity takesValue, valueClass=textClass Free text. Temporal-intermittent-rhythmic-delta-activity and (valueClass some textClass) -HED_0042112 Spike 2 Signal-morphology-property A transient, clearly distinguished from background activity, with pointed peak at a conventional paper speed or time scale and duration from 20 to under 70 ms, i.e. 1/50-1/15 s approximately. Main component is generally negative relative to other areas. Amplitude varies. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042113 Spike-# 3 Spike takesValue, valueClass=textClass Free text. Spike and (valueClass some textClass) -HED_0042114 Spike-and-slow-wave 2 Signal-morphology-property A pattern consisting of a spike followed by a slow wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042115 Spike-and-slow-wave-# 3 Spike-and-slow-wave takesValue, valueClass=textClass Free text. Spike-and-slow-wave and (valueClass some textClass) -HED_0042116 Runs-of-rapid-spikes 2 Signal-morphology-property Bursts of spike discharges at a rate from 10 to 25/sec (in most cases somewhat irregular). The bursts last more than 2 seconds (usually 2 to 10 seconds) and the runs are typically seen in sleep. Synonyms: rhythmic spikes, generalized paroxysmal fast activity, fast paroxysmal rhythms, grand mal discharge, fast beta activity. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042117 Runs-of-rapid-spikes-# 3 Runs-of-rapid-spikes takesValue, valueClass=textClass Free text. Runs-of-rapid-spikes and (valueClass some textClass) -HED_0042118 Polyspikes 2 Signal-morphology-property Two or more consecutive spikes. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042119 Polyspikes-# 3 Polyspikes takesValue, valueClass=textClass Free text. Polyspikes and (valueClass some textClass) -HED_0042120 Polyspike-and-slow-wave 2 Signal-morphology-property Two or more consecutive spikes associated with one or more slow waves. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042121 Polyspike-and-slow-wave-# 3 Polyspike-and-slow-wave takesValue, valueClass=textClass Free text. Polyspike-and-slow-wave and (valueClass some textClass) -HED_0042122 Sharp-wave 2 Signal-morphology-property A transient clearly distinguished from background activity, with pointed peak at a conventional paper speed or time scale, and duration of 70-200 ms, i.e. over 1/4-1/5 s approximately. Main component is generally negative relative to other areas. Amplitude varies. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042123 Sharp-wave-# 3 Sharp-wave takesValue, valueClass=textClass Free text. Sharp-wave and (valueClass some textClass) -HED_0042124 Sharp-and-slow-wave 2 Signal-morphology-property A sequence of a sharp wave and a slow wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042125 Sharp-and-slow-wave-# 3 Sharp-and-slow-wave takesValue, valueClass=textClass Free text. Sharp-and-slow-wave and (valueClass some textClass) -HED_0042126 Slow-sharp-wave 2 Signal-morphology-property A transient that bears all the characteristics of a sharp-wave, but exceeds 200 ms. Synonym: blunted sharp wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042127 Slow-sharp-wave-# 3 Slow-sharp-wave takesValue, valueClass=textClass Free text. Slow-sharp-wave and (valueClass some textClass) -HED_0042128 High-frequency-oscillation 2 Signal-morphology-property High Frequency Oscillation (HFO). Oscillations with a frequency higher than 80 Hz. (Source: Wikipedia; Beniczky ea 2017, Table 5.) -HED_0042129 High-frequency-oscillation-# 3 High-frequency-oscillation takesValue, valueClass=textClass Free text. High-frequency-oscillation and (valueClass some textClass) -HED_0042130 Hypsarrhythmia-classic 2 Signal-morphology-property Pattern consisting of diffuse chaotic high voltage (more than 300 μV) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042131 Hypsarrhythmia-classic-# 3 Hypsarrhythmia-classic takesValue, valueClass=textClass Free text. Hypsarrhythmia-classic and (valueClass some textClass) -HED_0042132 Hypsarrhythmia-modified 2 Signal-morphology-property Pattern consisting of diffuse chaotic high voltage (more than 300 μV) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) -HED_0042133 Hypsarrhythmia-modified-# 3 Hypsarrhythmia-modified takesValue, valueClass=textClass Free text. Hypsarrhythmia-modified and (valueClass some textClass) -HED_0042134 Fast-spike-activity 2 Signal-morphology-property A burst consisting of a sequence of spikes. Duration greater than 1 s. Frequency at least in the alpha range. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) -HED_0042135 Fast-spike-activity-# 3 Fast-spike-activity takesValue, valueClass=textClass Free text. Fast-spike-activity and (valueClass some textClass) -HED_0042136 Low-voltage-fast-activity 2 Signal-morphology-property Refers to the fast, and often recruiting activity which can be recorded at the onset of an ictal discharge, particularly in invasive EEG recording of a seizure. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) -HED_0042137 Low-voltage-fast-activity-# 3 Low-voltage-fast-activity takesValue, valueClass=textClass Free text. Low-voltage-fast-activity and (valueClass some textClass) -HED_0042138 Polysharp-waves 2 Signal-morphology-property A sequence of two or more sharp-waves. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) -HED_0042139 Polysharp-waves-# 3 Polysharp-waves takesValue, valueClass=textClass Free text. Polysharp-waves and (valueClass some textClass) -HED_0042140 Slow-wave-large-amplitude 2 Signal-morphology-property Slow wave of large amplitude. (Source: Beniczky ea 2017, Table 12.) -HED_0042141 Slow-wave-large-amplitude-# 3 Slow-wave-large-amplitude takesValue, valueClass=textClass Free text. Slow-wave-large-amplitude and (valueClass some textClass) -HED_0042142 Irregular-delta-or-theta-activity 2 Signal-morphology-property EEG activity consisting of repetitive waves of inconsistent wave-duration but in delta and/or theta range (greater than 125 ms). (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) -HED_0042143 Irregular-delta-or-theta-activity-# 3 Irregular-delta-or-theta-activity takesValue, valueClass=textClass Free text. Irregular-delta-or-theta-activity and (valueClass some textClass) -HED_0042144 Electrodecremental-change 2 Signal-morphology-property Sudden desynchronization of electrical activity. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) -HED_0042145 Electrodecremental-change-# 3 Electrodecremental-change takesValue, valueClass=textClass Free text. Electrodecremental-change and (valueClass some textClass) -HED_0042146 DC-shift 2 Signal-morphology-property Shift of negative polarity of the direct current recordings, during seizures. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) -HED_0042147 DC-shift-# 3 DC-shift takesValue, valueClass=textClass Free text. DC-shift and (valueClass some textClass) -HED_0042148 Disappearance-of-ongoing-activity 2 Signal-morphology-property Disappearance of the EEG activity that preceded the ictal event but still remnants of background activity (thus not enough to name it electrodecremental change). (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) -HED_0042149 Disappearance-of-ongoing-activity-# 3 Disappearance-of-ongoing-activity takesValue, valueClass=textClass Free text. Disappearance-of-ongoing-activity and (valueClass some textClass) -HED_0042150 RPP-morphology 2 Signal-morphology-property suggestedTag=Finding-amplitude Modifier terms for Rhythmic or Periodic Patterns in critically ill patients (RPPs). (Source: Beniczky ea 2017, Table 8.) Signal-morphology-property and (suggestedTag some Finding-amplitude) -HED_0042151 RPP-with-superimposed-activity 3 RPP-morphology suggestedTag=Property-not-possible-to-determine Superimposed activity (for PDs and RDA). (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Property-not-possible-to-determine) -HED_0042152 Superimposed-fast-activity 4 RPP-with-superimposed-activity suggestedTag=Finding-frequency Superimposed fast activity. (Source: Beniczky ea 2017, Table 8.) RPP-with-superimposed-activity and (suggestedTag some Finding-frequency) -HED_0042153 Superimposed-fast-activity-# 5 Superimposed-fast-activity takesValue, valueClass=textClass Free text. Superimposed-fast-activity and (valueClass some textClass) -HED_0042154 Superimposed-rhythmic-activity 4 RPP-with-superimposed-activity suggestedTag=Finding-frequency Superimposed rhythmic activity (for PDs only). (Source: Beniczky ea 2017, Table 8.) RPP-with-superimposed-activity and (suggestedTag some Finding-frequency) -HED_0042155 Superimposed-rhythmic-activity-# 5 Superimposed-rhythmic-activity takesValue, valueClass=textClass Free text. Superimposed-rhythmic-activity and (valueClass some textClass) -HED_0042156 Superimposed-sharp-waves-or-spikes 4 RPP-with-superimposed-activity Superimposed sharp waves or spikes (for RDA only). (Source: Beniczky ea 2017, Table 8.) -HED_0042157 Superimposed-sharp-waves-or-spikes-# 5 Superimposed-sharp-waves-or-spikes takesValue, valueClass=textClass Free text. Superimposed-sharp-waves-or-spikes and (valueClass some textClass) -HED_0042158 RPP-sharpness 3 RPP-morphology suggestedTag=Property-not-possible-to-determine Sharpness (for PDs and SW). (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Property-not-possible-to-determine) -HED_0042159 RPP-spiky 4 RPP-sharpness Spiky (<70 ms, measured at the baseline). (Source: Beniczky ea 2017, Table 8.) -HED_0042160 RPP-sharp 4 RPP-sharpness Sharp (70–200 ms). (Source: Beniczky ea 2017, Table 8.) -HED_0042161 RPP-sharply-contoured 4 RPP-sharpness Sharply contoured. (Source: Beniczky ea 2017, Table 8.) -HED_0042162 RPP-blunt 4 RPP-sharpness Blunt. (Source: Beniczky ea 2017, Table 8.) -HED_0042163 Number-of-RPP-phases 3 RPP-morphology suggestedTag=Property-not-possible-to-determine, suggestedTag=Greater-than Number of phases (for PDs and SW): 1, 2 or 3. (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Greater-than) -HED_0042164 Number-of-RPP-phases-# 4 Number-of-RPP-phases takesValue, valueClass=numericClass Number-of-RPP-phases and (valueClass some numericClass) -HED_0042165 Triphasic-morphology 3 RPP-morphology Waves with three distinct phases (for PDs and SW). (Source: Beniczky ea 2017, Table 8.) -HED_0042166 RPP-absolute-amplitude 3 RPP-morphology suggestedTag=Property-not-possible-to-determine, suggestedTag=Low, suggestedTag=Medium, suggestedTag=High Absolute amplitude (for PDs, RDA, SW). Can use suggested tags for amplitude range. Very low, (Finding-amplitude, (Less-than, (Finding-amplitude/20 uv))): less than 20 microV, Low: 20 to 49 microV, Medium: 50 to 199 microV, High: Greater than 200 microV. (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Low) and (suggestedTag some Medium) and (suggestedTag some High) -HED_0042167 RPP-absolute-amplitude-# 4 RPP-absolute-amplitude takesValue, valueClass=numericClass, unitClass=electricPotentialUnits RPP-absolute-amplitude and (valueClass some numericClass) and (unitClass some electricPotentialUnits) -HED_0042168 RPP-relative-amplitude 3 RPP-morphology suggestedTag=Property-not-possible-to-determine, suggestedTag=Less-than-or-equal-to, suggestedTag=Greater-than Relative amplitude (for PDs), should indicate if it's less than or equal to 2 or greater than 2. (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Less-than-or-equal-to) and (suggestedTag some Greater-than) -HED_0042169 RPP-polarity 3 RPP-morphology suggestedTag=Positive, suggestedTag=Negative, suggestedTag=Property-not-possible-to-determine Polarity (for PDs and SW). (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Positive) and (suggestedTag some Negative) and (suggestedTag some Property-not-possible-to-determine) -HED_0042170 RPP-tangential-polarity 4 RPP-polarity Tangential/horizontal dipole. (Source: Beniczky ea 2017, Table 8.) -HED_0042171 RPP-tangential-polarity-# 5 RPP-tangential-polarity takesValue, valueClass=textClass Free text. RPP-tangential-polarity and (valueClass some textClass) -HED_0042172 Source-analysis-property 1 Finding-property In case source imaging is done, the results are scored at sublobar level: frontal (perisylvian-superior surface; lateral; mesial; polar; orbitofrontal), temporal (polar; basal, lateral-anterior; lateral-posterior; perisylvian-inferior surface), central (lateral convexity; mesial; central sulcus – anterior surface, central sulcus – posterior surface; opercular), parietal (lateral-convexity; mesial; opercular), occipital (lateral; mesial, basal) and insula. (Source: Beniczky ea 2017, Section 8.) -HED_0042173 Source-analysis-property-# 2 Source-analysis-property takesValue, valueClass=textClass Free text. Source-analysis-property and (valueClass some textClass) -HED_0042174 Location-property 1 Finding-property suggestedTag=Left, suggestedTag=Right, suggestedTag=Body-part Location can be scored for findings. Semiologic finding can also be characterized by the somatotopic modifier (i.e. the part of the body where it occurs). In this respect, laterality (left, right, symmetric, asymmetric, left greater than right, right greater than left), body part (eyelid, face, arm, leg, trunk, visceral, left/right) and centricity (axial (trunk), proximal limb, distal limb). (Source: Beniczky ea 2017, Sections 8 and 10) Finding-property and (suggestedTag some Left) and (suggestedTag some Right) and (suggestedTag some Body-part) -HED_0042175 Sensors 2 Location-property requireChild Lists all corresponding sensors (electrodes/channels in montage). The sensor-group is selected from a list defined in the site-settings for each EEG-lab. -HED_0042176 Sensors-# 3 Sensors takesValue, valueClass=textClass Free text. Sensors and (valueClass some textClass) -HED_0042177 Finding-propagation 2 Location-property suggestedTag=Body-part, suggestedTag=Sensors When propagation within the graphoelement is observed, first the location of the onset region is scored. Then, the location of the propagation can be noted. Location-property and (suggestedTag some Body-part) and (suggestedTag some Sensors) -HED_0042178 Finding-propagation-# 3 Finding-propagation takesValue, valueClass=textClass Free text. Finding-propagation and (valueClass some textClass) -HED_0042179 Multifocal-finding 2 Location-property suggestedTag=Property-not-possible-to-determine When the same interictal graphoelement is observed bilaterally and at least in three independent locations, can score them using one entry, and choosing multifocal as a descriptor of the locations of the given interictal graphoelements, optionally emphasizing the involved, and the most active sites. Location-property and (suggestedTag some Property-not-possible-to-determine) -HED_0042180 Multifocal-finding-# 3 Multifocal-finding takesValue, valueClass=textClass Free text. Multifocal-finding and (valueClass some textClass) -HED_0042181 Modulators-property 1 Finding-property For each described graphoelement, the influence of the modulators can be scored. Only modulators present in the recording are scored. (Source: Beniczky ea 2017, Section 10.) -HED_0042182 Modulators-reactivity 2 Modulators-property suggestedTag=Modulator, suggestedTag=Finding-stopped-by, suggestedTag=Increasing, suggestedTag=Decreasing Susceptibility of individual rhythms or the EEG as a whole to change following sensory stimulation or other physiologic actions (Source: Beniczky ea 2013, Appendix S2). The type of stimulus can be a modulator or can be specified in free-text. Modulators-property and (suggestedTag some Modulator) and (suggestedTag some Finding-stopped-by) and (suggestedTag some Increasing) and (suggestedTag some Decreasing) -HED_0042183 Modulators-reactivity-# 3 Modulators-reactivity takesValue, valueClass=textClass Free text. Modulators-reactivity and (valueClass some textClass) -HED_0042184 Facilitating-factor 2 Modulators-property suggestedTag=Catamenial, suggestedTag=Fever, suggestedTag=Intoxicated, suggestedTag=Awake, suggestedTag=Asleep, suggestedTag=Sleep-deprivation The facilitating factors (if known) can be selected: alcohol (Suggested tag: Intoxicated), awakening, catamenial, fever, sleep, sleep-deprivation, other (free text). Facilitating factors are defined as transient and sporadic endogenous or exogenous elements capable of augmenting seizure incidence (increasing the likelihood of seizure occurrence). (Source: Beniczky ea 2013.) Modulators-property and (suggestedTag some Catamenial) and (suggestedTag some Fever) and (suggestedTag some Intoxicated) and (suggestedTag some Awake) and (suggestedTag some Asleep) and (suggestedTag some Sleep-deprivation) -HED_0042185 Other-facilitating-factor 3 Facilitating-factor -HED_0042186 Other-facilitating-factor-# 4 Other-facilitating-factor takesValue, valueClass=textClass Free text. Other-facilitating-factor and (valueClass some textClass) -HED_0042187 Provocative-factor 2 Modulators-property suggestedTag=Hyperventilation Provocative factors are defined as transient and sporadic endogenous or exogenous elements capable of evoking/triggering seizures immediately following the exposure to it. (Source: Beniczky ea 2013.) Modulators-property and (suggestedTag some Hyperventilation) -HED_0042188 Reflex-provoked 3 Provocative-factor -HED_0042189 Reflex-provoked-# 4 Reflex-provoked takesValue, valueClass=textClass Free text. Reflex-provoked and (valueClass some textClass) -HED_0042190 Other-provocative-factor 3 Provocative-factor -HED_0042191 Other-provocative-factor-# 4 Other-provocative-factor takesValue, valueClass=textClass Free text. Other-provocative-factor and (valueClass some textClass) -HED_0042192 Intermittent-photic-stimulation-effect 2 Modulators-property suggestedTag=Normal The effect of Intermittent Photic Stimulation (IPS) is scored according to the terminology proposed by Kasteleijn-Nolst Trenité ea (2001). (Source: Beniczky ea 2017.) Modulators-property and (suggestedTag some Normal) -HED_0042193 Posterior-stimulus-dependent-response 3 Intermittent-photic-stimulation-effect suggestedTag=Finding-frequency Anomalous steady-state VEPs, of unusually sharp waveform or high amplitude. Some types have clinical correlates, for instance, occipital spikes after suppression of generalized PPR by medication and high-amplitude VEPs in neuronal ceroid lipofuscinosis. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Finding-frequency) -HED_0042194 Posterior-stimulus-independent-response-limited 3 Intermittent-photic-stimulation-effect suggestedTag=Finding-frequency Limited to the stimulus train: Activity confined to or maximal at the back of the head and not at the flash frequency or at a harmonic thereof. The term includes delta and theta activity and frank epileptiform patterns. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Finding-frequency) -HED_0042195 Posterior-stimulus-independent-response-self-sustained 3 Intermittent-photic-stimulation-effect suggestedTag=Finding-frequency Self-sustaining: Self-sustaining posterior stimulus-independent responses that outlast the stimulus train. These often last many seconds and may evolve to an overt seizure. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Finding-frequency) -HED_0042196 Generalized-photoparoxysmal-response-limited 3 Intermittent-photic-stimulation-effect suggestedTag=Finding-frequency Limited to the stimulus train: Comprises multiple spikes or spike-and-wave activity, which are apparently generalized, but may be of greater amplitude at the front or back of the head. It is termed a photoconvulsive response (PCR) by Bickford et al., and corresponds to type 4 response of Waltz et al. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Finding-frequency) -HED_0042197 Generalized-photoparoxysmal-response-self-sustained 3 Intermittent-photic-stimulation-effect suggestedTag=Finding-frequency Self-sustaining: Generalized PPR continuing after stimulation. This may not be demonstrated unless the stimulus train is terminated as soon as a generalized PPR is identified. It was termed prolonged photoconvulsive response by Reilly and Peters, and has a strong association with epilepsy and visually induced seizures in patients referred for clinical EEG examination. Its prevalence in asymptomatic general populations is unknown, but was found in five of 13,658 apparently healthy aircrew by Gregory et al. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Finding-frequency) -HED_0042198 Activation-of-pre-existing-epileptogenic-area 3 Intermittent-photic-stimulation-effect suggestedTag=Finding-frequency Rarely, photic stimulation may activate an epileptogenic cortex, which is also spontaneously active; IPS could then also elicit a seizure by stimulating this, usually posterior located, area. It is questionable whether this should be considered a photoparoxysmal response (PPR), and it does not figure in established classifications. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Finding-frequency) -HED_0042199 Time-related-property 1 Finding-property Estimates of how often a graphoelement is seen in the recording. (Source: Beniczky ea 2017, Table 6, Table 8.) -HED_0042200 Appearance-mode 2 Time-related-property suggestedTag=Property-not-possible-to-determine, suggestedTag=Random, suggestedTag=Repetitive, suggestedTag=Varying Describes how the non-ictal EEG pattern/graphoelement is distributed through the recording. Occurrence of the non-ictal EEG pattern / graphoelement can be Random, Repetitive or Varying. Random: occurring without any rhythmicity / periodicity, Repetitive: occurring at an approximately regular rate / interval (generally of 1 to several seconds). Variable: occurring sometimes rhythmic or periodic, other times random, throughout the recording. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) Time-related-property and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Random) and (suggestedTag some Repetitive) and (suggestedTag some Varying) -HED_0042201 Appearance-mode-# 3 Appearance-mode takesValue, valueClass=textClass Free text. Appearance-mode and (valueClass some textClass) -HED_0042202 Discharge-pattern 2 Time-related-property Describes the organization of the EEG signal within the discharge (distinguish between single and repetitive discharges). (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) -HED_0042203 Single-discharge 3 Discharge-pattern suggestedTag=Finding-incidence Applies to the intra-burst pattern: a graphoelement that is not repetitive; before and after the graphoelement one can distinguish the background activity. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) Discharge-pattern and (suggestedTag some Finding-incidence) -HED_0042204 Rhythmic-trains-or-bursts 3 Discharge-pattern suggestedTag=Finding-prevalence, suggestedTag=Finding-frequency Applies to the intra-burst pattern: a non-ictal graphoelement that repeats itself without returning to the background activity between them. The graphoelements within this repetition occur at approximately constant period. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) Discharge-pattern and (suggestedTag some Finding-prevalence) and (suggestedTag some Finding-frequency) -HED_0042205 Arrhythmic-trains-or-bursts 3 Discharge-pattern suggestedTag=Finding-prevalence Applies to the intra-burst pattern: a non-ictal graphoelement that repeats itself without returning to the background activity between them. The graphoelements within this repetition occur at inconstant period. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) Discharge-pattern and (suggestedTag some Finding-prevalence) -HED_0042206 Fragmented-discharge 3 Discharge-pattern Source: Beniczky ea 2017, Table 6. -HED_0042207 RPP-time-related-feature 2 Time-related-property Time related feature for Rhythmic or Periodic Patterns in critically ill patients (RPPs). (Source: Beniczky ea 2017, Table 8.) -HED_0042208 RPP-duration 3 RPP-time-related-feature Duration (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.) -HED_0042209 Very-brief-RPP-duration 4 RPP-duration Less than 10 sec. (Source: Beniczky ea 2017, Table 8.) -HED_0042210 Brief-RPP-duration 4 RPP-duration 10 to 59 sec. (Source: Beniczky ea 2017, Table 8.) -HED_0042211 Intermediate-RPP-duration 4 RPP-duration 1 to 4.9 min. (Source: Beniczky ea 2017, Table 8.) -HED_0042212 Long-RPP-duration 4 RPP-duration 5 to 59 min. (Source: Beniczky ea 2017, Table 8.) -HED_0042213 Very-long-RPP-duration 4 RPP-duration Greater than 1 hour. (Source: Beniczky ea 2017, Table 8.) -HED_0042214 RPP-onset 3 RPP-time-related-feature Onset (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.) -HED_0042215 Sudden-RPP-onset 4 RPP-onset Sudden (progressing from absent to well developed within 3 s.). (Source: Beniczky ea 2017, Table 8.) -HED_0042216 Gradual-RPP-onset 4 RPP-onset Gradual onset. (Source: Beniczky ea 2017, Table 8.) -HED_0042217 RPP-dynamics 3 RPP-time-related-feature Dynamics (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.) -HED_0042218 Evolving-RPP-dynamics 4 RPP-dynamics Source: Beniczky ea 2017, Table 8. -HED_0042219 Evolving-RPP-dynamics-# 5 Evolving-RPP-dynamics takesValue, valueClass=textClass Free text. Evolving-RPP-dynamics and (valueClass some textClass) -HED_0042220 Fluctuating-RPP-dynamics 4 RPP-dynamics Source: Beniczky ea 2017, Table 8. -HED_0042221 Fluctuating-RPP-dynamics-# 5 Fluctuating-RPP-dynamics takesValue, valueClass=textClass Free text. Fluctuating-RPP-dynamics and (valueClass some textClass) -HED_0042222 Static-RPP-dynamics 4 RPP-dynamics Source: Beniczky ea 2017, Table 8. -HED_0042223 Static-RPP-dynamics-# 5 Static-RPP-dynamics takesValue, valueClass=textClass Free text. Static-RPP-dynamics and (valueClass some textClass) -HED_0042224 Finding-incidence 2 Time-related-property Estimate of how often findings are seen in the recording. This is scored differently, depending on the type of finding. For single discharges, this is scored as incidence (how often it occurs/time-epoch). (Source: Beniczky ea 2017, Section 8, Table 6.) -HED_0042225 One-time-incidence 3 Finding-incidence Source: Beniczky ea 2017, Table 6. -HED_0042226 Rare-finding-incidence 3 Finding-incidence Less than 1/h. (Source: Beniczky ea 2017, Table 6.) -HED_0042227 Uncommon-finding-incidence 3 Finding-incidence 1/5 min to 1/h. (Source: Beniczky ea 2017, Table 6.) -HED_0042228 Occasional-finding-incidence 3 Finding-incidence 1/min to 1/5min. (Source: Beniczky ea 2017, Table 6.) -HED_0042229 Frequent-finding-incidence 3 Finding-incidence 1/10 s to 1/min. (Source: Beniczky ea 2017, Table 6.) -HED_0042230 Abundant-finding-incidence 3 Finding-incidence Greater than 1/10 s. (Source: Beniczky ea 2017, Table 6.) -HED_0042231 Finding-prevalence 2 Time-related-property Estimate of how often findings are seen in the recording. This is scored differently, depending on the type of finding. For trains or bursts this is scored as prevalence (the percentage of the recording covered by the train/burst). (Source: Beniczky ea 2017, Section 8, Table 6, Table 8.) -HED_0042232 Rare-prevalence 3 Finding-prevalence Less than 1 percent. (Source: Beniczky ea 2017, Table 6, Table 8). -HED_0042233 Occasional-prevalence 3 Finding-prevalence 1 to 9 percent. (Source: Beniczky ea 2017, Table 6, Table 8) -HED_0042234 Frequent-prevalence 3 Finding-prevalence 10 to 49 percent. (Source: Beniczky ea 2017, Table 6, Table 8) -HED_0042235 Abundant-prevalence 3 Finding-prevalence 50 to 89 percent. (Source: Beniczky ea 2017, Table 6, Table 8) -HED_0042236 Continuous-prevalence 3 Finding-prevalence Greater than 90 percent. (Source: Beniczky ea 2017, Table 6, Table 8) -HED_0042237 Posterior-dominant-rhythm-property 1 Finding-property suggestedTag=Finding-frequency, suggestedTag=Finding-amplitude Posterior dominant rhythm is the most often scored EEG feature in clinical practice. Therefore, there are specific terms that can be chosen for characterizing the PDR. Note that frequency and amplitude can be further described to be symmetrical or assymetrical. (Source: Beniczky ea 2017, Section 6, Table 4.) Finding-property and (suggestedTag some Finding-frequency) and (suggestedTag some Finding-amplitude) -HED_0042238 Posterior-dominant-rhythm-amplitude-range 2 Posterior-dominant-rhythm-property suggestedTag=Low, suggestedTag=Medium, suggestedTag=High Low: less than 20 microV, Medium: 20 to 70 microVSource, High: more than 70 microV. (Source: Beniczky ea 2017, Table 4.) Posterior-dominant-rhythm-property and (suggestedTag some Low) and (suggestedTag some Medium) and (suggestedTag some High) -HED_0042239 Posterior-dominant-rhythm-eye-opening-reactivity 2 Posterior-dominant-rhythm-property suggestedTag=Property-not-possible-to-determine, suggestedTag=Left, suggestedTag=Right Change (disappearance or measurable decrease in amplitude) of a posterior dominant rhythm following eye-opening. Eye closure has the opposite effect. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Table 4.) Posterior-dominant-rhythm-property and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Left) and (suggestedTag some Right) -HED_0042240 Posterior-dominant-rhythm-organization 2 Posterior-dominant-rhythm-property suggestedTag=Normal Posterior dominant rhythm organization. When normal could be labeled with suggested tag. (Source: Beniczky ea 2017, Table 4.) Posterior-dominant-rhythm-property and (suggestedTag some Normal) -HED_0042241 Posterior-dominant-rhythm-organization-poorly-organized 3 Posterior-dominant-rhythm-organization Poorly organized. (Source: Beniczky ea 2017, Table 4.) -HED_0042242 Posterior-dominant-rhythm-organization-disorganized 3 Posterior-dominant-rhythm-organization Disorganized. (Source: Beniczky ea 2017, Table 4.) -HED_0042243 Posterior-dominant-rhythm-organization-markedly-disorganized 3 Posterior-dominant-rhythm-organization Markedly disorganized. (Source: Beniczky ea 2017, Table 4.) -HED_0042244 Posterior-dominant-rhythm-caveat 2 Posterior-dominant-rhythm-property suggestedTag=None, suggestedTag=Eyes-open, suggestedTag=Sleep-deprivation, suggestedTag=Drowsy, suggestedTag=Hyperventilation Caveats for PDR annotation, use suggestedTags to indicate whether there were: no caveats, only open eyes during the recording, sleep-deprived, drowsy or only following hyperventilation. (Source: Beniczky ea 2017, Table 4.) Posterior-dominant-rhythm-property and (suggestedTag some None) and (suggestedTag some Eyes-open) and (suggestedTag some Sleep-deprivation) and (suggestedTag some Drowsy) and (suggestedTag some Hyperventilation) -HED_0042245 Absence-of-posterior-dominant-rhythm 2 Posterior-dominant-rhythm-property suggestedTag=Data-artifact, suggestedTag=Asleep Reason for absence of PDR. (Source: Beniczky ea 2017, Table 4.) Posterior-dominant-rhythm-property and (suggestedTag some Data-artifact) and (suggestedTag some Asleep) -HED_0042246 Absence-of-posterior-dominant-rhythm-extreme-low-voltage 3 Absence-of-posterior-dominant-rhythm Source: Beniczky ea 2017, Table 4. -HED_0042247 Absence-of-posterior-dominant-rhythm-eye-closure-could-not-be-achieved 3 Absence-of-posterior-dominant-rhythm Source: Beniczky ea 2017, Table 4. -HED_0042248 Absence-of-posterior-dominant-rhythm-lack-of-compliance 3 Absence-of-posterior-dominant-rhythm Source: Beniczky ea 2017, Table 4. -HED_0042249 Absence-of-posterior-dominant-rhythm-other-causes 3 Absence-of-posterior-dominant-rhythm requireChild Source: Beniczky ea 2017, Table 4. -HED_0042250 Absence-of-posterior-dominant-rhythm-other-causes-# 4 Absence-of-posterior-dominant-rhythm-other-causes takesValue, valueClass=textClass Free text. Absence-of-posterior-dominant-rhythm-other-causes and (valueClass some textClass) -HED_0042251 Episode-property 1 Finding-property Episode property pertains to the set of characteristics that collectively depict different aspects of an episode, encompassing its manifestations and phases. -HED_0042252 Seizure-classification 2 Episode-property Seizure classification refers to the grouping of seizures based on their clinical features, EEG patterns, and other characteristics. Epileptic seizures are named using the current ILAE seizure classification (Fisher et al., 2017, Beniczky et al., 2017). -HED_0042253 Myoclonic-seizure 3 Seizure-classification suggestedTag=Duration Sudden, brief (lower than 100 msec) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). Myoclonus is less regularly repetitive and less sustained than is clonus. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.) Seizure-classification and (suggestedTag some Duration) -HED_0042254 Negative-myoclonic-seizure 3 Seizure-classification suggestedTag=Duration Source: Beniczky ea 2017, Supplement 1; Duration tag from Beniczky ea Table 13. Seizure-classification and (suggestedTag some Duration) -HED_0042255 Motor-seizure 3 Seizure-classification suggestedTag=Duration Involves musculature in any form. The motor event could consist of an increase (positive) or decrease (negative) in muscle contraction to produce a movement. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.) Seizure-classification and (suggestedTag some Duration) -HED_0042256 Clonic-seizure 4 Motor-seizure Jerking, either symmetric or asymmetric, that is regularly repetitive and involves the same muscle groups. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042257 Tonic-seizure 4 Motor-seizure A sustained increase in muscle contraction lasting a few seconds to minutes. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042258 Atonic-seizure 4 Motor-seizure Sudden loss or diminution of muscle tone without apparent preceding myoclonic or tonic event lasting about 1 to 2 s, involving head, trunk, jaw, or limb musculature. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042259 Myoclonic-atonic-seizure 4 Motor-seizure A generalized seizure type with a myoclonic jerk leading to an atonic motor component. This type was previously called myoclonic astatic. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042260 Myoclonic-tonic-clonic-seizure 4 Motor-seizure One or a few jerks of limbs bilaterally, followed by a tonic clonic seizure. The initial jerks can be considered to be either a brief period of clonus or myoclonus. Seizures with this characteristic are common in juvenile myoclonic epilepsy. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042261 Tonic-clonic-seizure 4 Motor-seizure A sequence consisting of a tonic followed by a clonic phase. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042262 Automatism-seizure 4 Motor-seizure A more or less coordinated motor activity usually occurring when cognition is impaired and for which the subject is usually (but not always) amnesic afterward. This often resembles a voluntary movement and may consist of an inappropriate continuation of preictal motor activity. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042263 Hyperkinetic-seizure 4 Motor-seizure (Source: Fisher ea 2017, Table 2.) -HED_0042264 Epileptic-spasm 4 Motor-seizure A sudden flexion, extension, or mixed extension flexion of predominantly proximal and truncal muscles that is usually more sustained than a myoclonic movement but not as sustained as a tonic seizure. Limited forms may occur: Grimacing, head nodding, or subtle eye movements. Epileptic spasms frequently occur in clusters. Infantile spasms are the best known form, but spasms can occur at all ages. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042265 Nonmotor-seizure 3 Seizure-classification suggestedTag=Duration Focal or generalized seizure types in which motor activity is not prominent. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.) Seizure-classification and (suggestedTag some Duration) -HED_0042266 Behavior-arrest-seizure 4 Nonmotor-seizure Arrest (pause) of activities, freezing, immobilization, as in behavior arrest seizure. A focal behavior arrest seizure shows arrest of behavior as the prominent feature of the entire seizure. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017.) -HED_0042267 Sensory-seizure 4 Nonmotor-seizure A perceptual experience not caused by appropriate stimuli in the external world. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042268 Emotional-seizure 4 Nonmotor-seizure Seizures presenting with an emotion or the appearance of having an emotion as an early prominent feature, such as fear, spontaneous joy or euphoria, laughing (gelastic), or crying (dacrystic). Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042269 Cognitive-seizure 4 Nonmotor-seizure Pertaining to thinking and higher cortical functions, such as language, spatial perception, memory, and praxis. The previous term for similar usage as a seizure type was psychic. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042270 Autonomic-seizure 4 Nonmotor-seizure A distinct alteration of autonomic nervous system function involving cardiovascular, pupillary, gastrointestinal, sudomotor, vasomotor, and thermoregulatory functions. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042271 Absence-seizure 3 Seizure-classification suggestedTag=Duration Absence seizures present with a sudden cessation of activity and awareness. Absence seizures tend to occur in younger age groups, have more sudden start and termination, and they usually display less complex automatisms than do focal seizures with impaired awareness, but the distinctions are not absolute. EEG information may be required for accurate classification. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.) Seizure-classification and (suggestedTag some Duration) -HED_0042272 Typical-absence-seizure 4 Absence-seizure A sudden onset, interruption of ongoing activities, a blank stare, possibly a brief upward deviation of the eyes. Usually the patient will be unresponsive when spoken to. Duration is a few seconds to half a minute with very rapid recovery. Although not always available, an EEG would show generalized epileptiform discharges during the event. An absence seizure is by definition a seizure of generalized onset. The word is not synonymous with a blank stare, which also can be encountered with focal onset seizures. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042273 Atypical-absence-seizure 4 Absence-seizure An absence seizure with changes in tone that are more pronounced than in typical absence or the onset and/or cessation is not abrupt, often associated with slow, irregular, generalized spike-wave activity. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042274 Myoclonic-absence-seizure 4 Absence-seizure A myoclonic absence seizure refers to an absence seizure with rhythmic three-per-second myoclonic movements, causing ratcheting abduction of the upper limbs leading to progressive arm elevation, and associated with three-per-second generalized spike-wave discharges. Duration is typically 10 to 60 s. Impairment of consciousness may not be obvious. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, page 536.) -HED_0042275 Eyelid-myoclonia-seizure 4 Absence-seizure Jerking of the eyelids at frequencies of at least 3 per second, commonly with upward eye deviation, usually lasting <10 s, often precipitated by eye closure. There may or may not be associated brief loss of awareness. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) -HED_0042276 Seizure-semiology 2 Episode-property suggestedTag=None, suggestedTag=Duration Seizure semiology refers to the clinical signs and sympoms that are observed during a seizure. Semiology is described according to the ILAE Glossary of Descriptive Terminology for Ictal Semiology (Blume et al., 2001). Besides the name, the semiologic finding can also be characterized by the somatotopic modifier, laterality, body part and centricity. Uses Location-property tags. (Source: Beniczky ea 2017, Section 10; Duration tag from Beniczky ea Table 13.) Episode-property and (suggestedTag some None) and (suggestedTag some Duration) -HED_0042277 Semiology-motor-behavioral-arrest 3 Seizure-semiology suggestedTag=Categorical-location-value, suggestedTag=Body-part Interruption of ongoing motor activity or of ongoing behaviors with fixed gaze, without movement of the head or trunk (oro-alimentary and hand automatisms may continue). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Seizure-semiology and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042278 Semiology-dyscognitive 3 Seizure-semiology The term describes events in which (1) disturbance of cognition is the predominant or most apparent feature, and (2a) two or more of the following components are involved, or (2b) involvement of such components remains undetermined. Otherwise, use the more specific term (e.g., mnemonic experiential seizure or hallucinatory experiential seizure). Components of cognition: ++ perception: symbolic conception of sensory information ++ attention: appropriate selection of a principal perception or task ++ emotion: appropriate affective significance of a perception ++ memory: ability to store and retrieve percepts or concepts ++ executive function: anticipation, selection, monitoring of consequences, and initiation of motor activity including praxis, speech. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042279 Semiology-elementary-motor 3 Seizure-semiology A single type of contraction of a muscle or group of muscles that is usually stereotyped and not decomposable into phases. However, see tonic-clonic, an elementary motor sequence. (Source: Blume ea 2001, 1.1; Beniczky ea 2017, Table 10.) -HED_0042280 Semiology-myoclonic-jerk 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Characterized by myoclonus. MYOCLONUS : sudden, brief (lower than 100 ms) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042281 Semiology-negative-myoclonus 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Characterized by negative myoclonus. NEGATIVE MYOCLONUS: interruption of tonic muscular activity for lower than 500 ms without evidence of preceding myoclonia. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042282 Semiology-clonic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Myoclonus that is regularly repetitive, involves the same muscle groups, at a frequency of about 2 to 3 c/s, and is prolonged. Synonym: rhythmic myoclonus. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042283 Semiology-jacksonian-march 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Term indicating spread of clonic movements through contiguous body parts unilaterally. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042284 Semiology-epileptic-spasm 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part A sudden flexion, extension, or mixed extension flexion of predominantly proximal and truncal muscles that is usually more sustained than a myoclonic movement but not so sustained as a tonic seizure (i.e., about 1 s). Limited forms may occur: grimacing, head nodding. Frequent occurrence in clusters. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042285 Semiology-tonic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part A sustained increase in muscle contraction lasting a few seconds to minutes. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042286 Semiology-dystonic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Sustained contractions of both agonist and antagonist muscles producing athetoid or twisting movements, which, when prolonged, may produce abnormal postures. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042287 Semiology-postural 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Adoption of a posture that may be bilaterally symmetric or asymmetric (as in a fencing posture). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042288 Semiology-versive 4 Semiology-elementary-motor suggestedTag=Body-part A sustained, forced conjugate ocular, cephalic, and/or truncal rotation or lateral deviation from the midline. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Body-part) -HED_0042289 Semiology-tonic-clonic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part A sequence consisting of a tonic followed by a clonic phase. Variants such as clonic-tonic-clonic may be seen. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042290 Semiology-tonic-clonic-without-figure-of-four 5 Semiology-tonic-clonic Without figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042291 Semiology-tonic-clonic-with-figure-of-four-extension-left-elbow 5 Semiology-tonic-clonic With figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042292 Semiology-tonic-clonic-with-figure-of-four-extension-right-elbow 5 Semiology-tonic-clonic With figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042293 Semiology-astatic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Loss of erect posture that results from an atonic, myoclonic, or tonic mechanism. Synonym: drop attack. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042294 Semiology-atonic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Sudden loss or diminution of muscle tone without apparent preceding myoclonic or tonic event lasting greater or equal to 1 to 2 s, involving head, trunk, jaw, or limb musculature. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042295 Semiology-eye-blinking 4 Semiology-elementary-motor suggestedTag=Categorical-location-value Source: Beniczky ea 2017, Table 10. Semiology-elementary-motor and (suggestedTag some Categorical-location-value) -HED_0042296 Semiology-subtle-motor-phenomena 4 Semiology-elementary-motor requireChild, suggestedTag=Categorical-location-value Source: Beniczky ea 2017, Table 10. Semiology-elementary-motor and (suggestedTag some Categorical-location-value) -HED_0042297 Semiology-subtle-motor-phenomena-# 5 Semiology-subtle-motor-phenomena takesValue, valueClass=textClass Free text. Semiology-subtle-motor-phenomena and (valueClass some textClass) -HED_0042298 Semiology-other-elementary-motor 4 Semiology-elementary-motor requireChild -HED_0042299 Semiology-other-elementary-motor-# 5 Semiology-other-elementary-motor takesValue, valueClass=textClass Free text. Semiology-other-elementary-motor and (valueClass some textClass) -HED_0042300 Semiology-automatisms 3 Seizure-semiology A more or less coordinated, repetitive, motor activity usually occurring when cognition is impaired and for which the subject is usually amnesic afterward. This often resembles a voluntary movement and may consist of an inappropriate continuation of ongoing preictal motor activity. (Source: Beniczky ea 2017, Table 10; Fisher ea 2017, Table 2.) -HED_0042301 Semiology-mimetic 4 Semiology-automatisms Facial expression suggesting an emotional state, often fear. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042302 Semiology-oroalimentary 4 Semiology-automatisms Lip smacking, lip pursing, chewing, licking, tooth grinding, or swallowing. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042303 Semiology-dacrystic 4 Semiology-automatisms Bursts of crying. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042304 Semiology-manual 4 Semiology-automatisms suggestedTag=Categorical-location-value 1. Indicates principally distal components, bilateral or unilateral. 2. Fumbling, tapping, manipulating movements. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-automatisms and (suggestedTag some Categorical-location-value) -HED_0042305 Semiology-gestural 4 Semiology-automatisms suggestedTag=Categorical-location-value Semipurposive, asynchronous hand movements. Often unilateral. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-automatisms and (suggestedTag some Categorical-location-value) -HED_0042306 Semiology-hypermotor 4 Semiology-automatisms suggestedTag=Categorical-location-value, suggestedTag=Body-part 1. Involves predominantly proximal limb or axial muscles producing irregular sequential ballistic movements, such as pedaling, pelvic thrusting, thrashing, rocking movements. 2. Increase in rate of ongoing movements or inappropriately rapid performance of a movement. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-automatisms and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042307 Semiology-hypokinetic 4 Semiology-automatisms suggestedTag=Categorical-location-value, suggestedTag=Body-part A decrease in amplitude and/or rate or arrest of ongoing motor activity. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-automatisms and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042308 Semiology-gelastic 4 Semiology-automatisms Bursts of laughter or giggling, usually without an appropriate affective tone. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042309 Semiology-other-automatisms 4 Semiology-automatisms requireChild Source: Beniczky ea 2017, Table 10. -HED_0042310 Semiology-other-automatisms-# 5 Semiology-other-automatisms takesValue, valueClass=textClass Free text. Semiology-other-automatisms and (valueClass some textClass) -HED_0042311 Semiology-sensory 3 Seizure-semiology A perceptual experience not caused by appropriate stimuli in the external world. Modifies seizure or aura. (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 2.2.) -HED_0042312 Semiology-headache 4 Semiology-sensory suggestedTag=Categorical-location-value Headache occurring in close temporal proximity to the seizure or as the sole seizure manifestation. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-sensory and (suggestedTag some Categorical-location-value) -HED_0042313 Semiology-visual 4 Semiology-sensory suggestedTag=Categorical-location-value Flashing or flickering lights, spots, simple patterns, scotomata, or amaurosis. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-sensory and (suggestedTag some Categorical-location-value) -HED_0042314 Semiology-auditory 4 Semiology-sensory suggestedTag=Categorical-location-value Buzzing, drumming sounds or single tones. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-sensory and (suggestedTag some Categorical-location-value) -HED_0042315 Semiology-olfactory 4 Semiology-sensory Source: Beniczky ea 2017, Table 10. -HED_0042316 Semiology-gustatory 4 Semiology-sensory Taste sensations including acidic, bitter, salty, sweet, or metallic. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042317 Semiology-epigastric 4 Semiology-sensory Abdominal discomfort including nausea, emptiness, tightness, churning, butterflies, malaise, pain, and hunger; sensation may rise to chest or throat. Some phenomena may reflect ictal autonomic dysfunction. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042318 Semiology-somatosensory 4 Semiology-sensory suggestedTag=Categorical-location-value, suggestedTag=Body-part Tingling, numbness, electric-shock sensation, sense of movement or desire to move. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-sensory and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042319 Semiology-autonomic-sensation 4 Semiology-sensory Viscerosensitive. A sensation consistent with involvement of the autonomic nervous system, including cardiovascular, gastrointestinal, sudomotor, vasomotor, and thermoregulatory functions. (Thus autonomic aura; cf. autonomic events 3.0/Semiology-autonomic). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5; Blume ea 2001, 2.2.1.8.) -HED_0042320 Semiology-sensory-other 4 Semiology-sensory requireChild Source: Beniczky ea 2017, Table 10. -HED_0042321 Semiology-sensory-other-# 5 Semiology-sensory-other takesValue, valueClass=textClass Free text. Semiology-sensory-other and (valueClass some textClass) -HED_0042322 Semiology-experiential 3 Seizure-semiology Affective, mnemonic, or composite perceptual phenomena including illusory or composite hallucinatory events; these may appear alone or in combination. Included are feelings of depersonalization. These phenomena have subjective qualities similar to those experienced in life but are recognized by the subject as occurring outside of actual context. (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 2.2.2.) -HED_0042323 Semiology-affective-emotional 4 Semiology-experiential Components include fear, depression, joy, and (rarely) anger. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042324 Semiology-hallucinatory 4 Semiology-experiential Composite perceptions without corresponding external stimuli involving visual, auditory, somatosensory, olfactory, and/or gustatory phenomena. Example: hearing and seeing people talking. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042325 Semiology-illusory 4 Semiology-experiential An alteration of actual percepts involving the visual, auditory, somatosensory, olfactory, or gustatory systems. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042326 Semiology-mnemonic 4 Semiology-experiential suggestedTag=Familiar, suggestedTag=Unfamiliar Components that reflect ictal dysmnesia such as feelings of familiarity (deja-vu) and unfamiliarity (jamais-vu). Use suggested tags to indicate Familiar (deja-vu) or Unfamiliar (jamais-vu). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-experiential and (suggestedTag some Familiar) and (suggestedTag some Unfamiliar) -HED_0042327 Semiology-experiential-other 4 Semiology-experiential requireChild Source: Beniczky ea 2017, Table 10. -HED_0042328 Semiology-experiential-other-# 5 Semiology-experiential-other takesValue, valueClass=textClass Free text. Semiology-experiential-other and (valueClass some textClass) -HED_0042329 Semiology-language 3 Seizure-semiology Source: Beniczky ea 2017, Table 10. -HED_0042330 Semiology-vocalization 4 Semiology-language Single or repetitive utterances consisting of sounds such as grunts or shrieks. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042331 Semiology-verbalization 4 Semiology-language Single or repetitive utterances consisting of words, phrases, or brief sentences. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042332 Semiology-dysphasia 4 Semiology-language Partially impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, paraphasic errors, or a combination of these. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042333 Semiology-aphasia 4 Semiology-language Fully impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, paraphasic errors, or a combination of these. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042334 Semiology-language-other 4 Semiology-language requireChild Source: Beniczky ea 2017, Table 10. -HED_0042335 Semiology-language-other-# 5 Semiology-language-other takesValue, valueClass=textClass Free text. Semiology-language-other and (valueClass some textClass) -HED_0042336 Semiology-autonomic 3 Seizure-semiology An objectively documented and distinct alteration of autonomic nervous system function involving cardiovascular, pupillary, gastrointestinal, sudomotor, vasomotor, and thermoregularity functions (cf. Semiology-autonomic-sensation). (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 3.2.) -HED_0042337 Semiology-pupillary 4 Semiology-autonomic suggestedTag=Categorical-location-value Mydriasis, miosis (either bilateral or unilateral). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-autonomic and (suggestedTag some Categorical-location-value) -HED_0042338 Semiology-hypersalivation 4 Semiology-autonomic Increase in production of saliva leading to uncontrollable drooling. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042339 Semiology-respiratory-apnoeic 4 Semiology-autonomic Subjective shortness of breath, hyperventilation, stridor, coughing, choking, apnea, oxygen desaturation, neurogenic pulmonary edema. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042340 Semiology-cardiovascular 4 Semiology-autonomic Modifications of heart rate (tachycardia, bradycardia), cardiac arrhythmias (such as sinus arrhythmia, sinus arrest, supraventricular tachycardia, atrial premature depolarizations, ventricular premature depolarizations, atrio-ventricular block, bundle branch block, atrioventricular nodal escape rhythm, asystole). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042341 Semiology-gastrointestinal 4 Semiology-autonomic Nausea, eructation, vomiting, retching, abdominal sensations, abdominal pain, flatulence, spitting, diarrhea. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042342 Semiology-urinary-incontinence 4 Semiology-autonomic Urinary urge (intense urinary urge at the beginning of seizures), urinary incontinence, ictal urination (rare symptom of partial seizures without loss of consciousness). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042343 Semiology-genital 4 Semiology-autonomic Sexual auras (erotic thoughts and feelings, sexual arousal and orgasm). Genital auras (unpleasant, sometimes painful, frightening or emotionally neutral somatosensory sensations in the genitals that can be accompanied by ictal orgasm). Sexual automatisms (hypermotor movements consisting of writhing, thrusting, rhythmic movements of the pelvis, arms and legs, sometimes associated with picking and rhythmic manipulation of the groin or genitalia, exhibitionism and masturbation). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042344 Semiology-vasomotor 4 Semiology-autonomic Flushing or pallor (may be accompanied by feelings of warmth, cold and pain). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042345 Semiology-sudomotor 4 Semiology-autonomic suggestedTag=Categorical-location-value Sweating and piloerection (may be accompanied by feelings of warmth, cold and pain). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-autonomic and (suggestedTag some Categorical-location-value) -HED_0042346 Semiology-thermoregulatory 4 Semiology-autonomic Hyperthermia, fever. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) -HED_0042347 Semiology-autonomic-other 4 Semiology-autonomic requireChild -HED_0042348 Semiology-autonomic-other-# 5 Semiology-autonomic-other takesValue, valueClass=textClass Free text. Semiology-autonomic-other and (valueClass some textClass) -HED_0042349 Semiology-manifestation-other 3 Seizure-semiology requireChild -HED_0042350 Semiology-manifestation-other-# 4 Semiology-manifestation-other takesValue, valueClass=textClass Free text. Semiology-manifestation-other and (valueClass some textClass) -HED_0042351 Postictal-semiology 2 Episode-property suggestedTag=None, suggestedTag=Duration A transient clinical abnormality of central nervous system function that appears or becomes accentuated when clinical signs of the ictus have ended. (Source: Blume ea 2001; Beniczky ea 2017, Table 11; Duration tag from Beniczky ea Table 13.) Episode-property and (suggestedTag some None) and (suggestedTag some Duration) -HED_0042352 Postictal-unconscious 3 Postictal-semiology Unawareness and unresponsiveness. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042353 Postictal-quick-recovery-of-consciousness 3 Postictal-semiology Quick recovery of awareness and responsiveness. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042354 Postictal-aphasia-or-dysphasia 3 Postictal-semiology Impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, parahasic errors or a combination of these. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042355 Postictal-behavioral-change 3 Postictal-semiology Occurring immediately after a seizure. Including psychosis, hypomanina, obsessive-compulsive behavior. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042356 Postictal-hemianopia 3 Postictal-semiology Postictal visual loss in a a hemi field. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042357 Postictal-impaired-cognition 3 Postictal-semiology Decreased Cognitive performance involving one or more of perception, attention, emotion, memory, execution, praxis, speech. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042358 Postictal-dysphoria 3 Postictal-semiology Depression, irritability, euphoric mood, fear, anxiety. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042359 Postictal-headache 3 Postictal-semiology Headache with features of tension-type or migraine headache that develops within 3 h following the seizure and resolves within 72 h after seizure. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042360 Postictal-nose-wiping 3 Postictal-semiology suggestedTag=Categorical-location-value Noes-wiping usually within 60 sec of seizure offset, usually with the hand ipsilateral to the seizure onset. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) Postictal-semiology and (suggestedTag some Categorical-location-value) -HED_0042361 Postictal-anterograde-amnesia 3 Postictal-semiology Impaired ability to remember new material. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042362 Postictal-retrograde-amnesia 3 Postictal-semiology Impaired ability to recall previously remember material. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042363 Postictal-paresis 3 Postictal-semiology suggestedTag=Categorical-location-value, suggestedTag=Body-part Todds palsy. Any unilateral postictal dysfunction relating to motor, language, sensory and/or integrative functions. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) Postictal-semiology and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) -HED_0042364 Postictal-sleep 3 Postictal-semiology Invincible need to sleep after a seizure. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042365 Postictal-unilateral-myoclonic-jerks 3 Postictal-semiology Unilateral myoclonic jerks. Myoclonus: sudden, brief (<100 ms) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042366 Postictal-other-unilateral-motor-phenomena 3 Postictal-semiology requireChild Unilateral motor phenomena, other then specified above, occurring in the postictal phase. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) -HED_0042367 Postictal-other-unilateral-motor-phenomena-# 4 Postictal-other-unilateral-motor-phenomena takesValue, valueClass=textClass Free text. Postictal-other-unilateral-motor-phenomena and (valueClass some textClass) -HED_0042368 Episode-time-context-property 2 Episode-property Additional clinically relevant features related to episodes can be scored under timing and context. If needed, episode duration can be tagged with suggested tag. (Source: Beniczky ea 2017, Section 10.) -HED_0042369 Episode-consciousness-affected 3 Episode-time-context-property suggestedTag=False, suggestedTag=Some, suggestedTag=True, suggestedTag=Property-not-possible-to-determine Source: Beniczky ea 2017, Table 13. Episode-time-context-property and (suggestedTag some False) and (suggestedTag some Some) and (suggestedTag some True) and (suggestedTag some Property-not-possible-to-determine) -HED_0042370 Episode-awareness 3 Episode-time-context-property suggestedTag=True, suggestedTag=False False: the patient is not aware of the episode. True: the patient is aware of the episode. (Source: Beniczky ea 2017, Table 13.) Episode-time-context-property and (suggestedTag some True) and (suggestedTag some False) -HED_0042371 Episode-event-count 3 Episode-time-context-property requireChild, suggestedTag=Property-not-possible-to-determine Number of stereotypical episodes during the recording. (Source: Beniczky ea 2017, Table 13.) Episode-time-context-property and (suggestedTag some Property-not-possible-to-determine) -HED_0042372 Episode-event-count-# 4 Episode-event-count takesValue, valueClass=numericClass Episode-event-count and (valueClass some numericClass) -HED_0042373 Status-epilepticus 3 Episode-time-context-property Episode with duration >30 min but not precisely determined (status epilepticus). (Source: Beniczky ea 2017, Table 13.) -HED_0042374 Episode-prodrome 3 Episode-time-context-property suggestedTag=True, suggestedTag=False Prodrome is a preictal phenomenon, and it is defined as a subjective or objective clinical alteration (e.g., ill-localized sensation or agitation) that heralds the onset of an epileptic seizure but does not form part of it (Blume ea 2001). Therefore, prodrome should be distinguished from aura (which is an ictal phenomenon). If prodrome present/true + free text. (Source: Blume ea 2001; Beniczky ea 2017, Table 13.) Episode-time-context-property and (suggestedTag some True) and (suggestedTag some False) -HED_0042375 Episode-prodrome-# 4 Episode-prodrome takesValue, valueClass=textClass Free text. Episode-prodrome and (valueClass some textClass) -HED_0042376 Initial-ictal-phase 3 Episode-time-context-property suggestedTag=Asleep, suggestedTag=Awake Episode-time-context-property and (suggestedTag some Asleep) and (suggestedTag some Awake) -HED_0042377 Subsequent-ictal-phase 3 Episode-time-context-property -HED_0042378 Post-ictal-phase 3 Episode-time-context-property -HED_0042379 Episode-tongue-biting 3 Episode-time-context-property suggestedTag=True, suggestedTag=False Beniczky ea 2017, Table 13. Episode-time-context-property and (suggestedTag some True) and (suggestedTag some False) -HED_0042380 Other-finding-property 1 Finding-property requireChild -HED_0042381 Artifact-significance-to-recording 2 Other-finding-property It is important to score the significance of the described artifacts: recording is not interpretable, recording of reduced diagnostic value, does not interfere with the interpretation of the recording. (Source: Beniczky ea 2017, Section 12) -HED_0042382 Recording-not-interpretable-due-to-artifact 3 Artifact-significance-to-recording -HED_0042383 Recording-not-interpretable-due-to-artifact-# 4 Recording-not-interpretable-due-to-artifact takesValue, valueClass=textClass Free text. Recording-not-interpretable-due-to-artifact and (valueClass some textClass) -HED_0042384 Recording-of-reduced-diagnostic-value-due-to-artifact 3 Artifact-significance-to-recording -HED_0042385 Recording-of-reduced-diagnostic-value-due-to-artifact-# 4 Recording-of-reduced-diagnostic-value-due-to-artifact takesValue, valueClass=textClass Free text. Recording-of-reduced-diagnostic-value-due-to-artifact and (valueClass some textClass) -HED_0042386 Artifact-does-not-interfere-recording 3 Artifact-significance-to-recording -HED_0042387 Artifact-does-not-interfere-recording-# 4 Artifact-does-not-interfere-recording takesValue, valueClass=textClass Free text. Artifact-does-not-interfere-recording and (valueClass some textClass) -HED_0042388 Finding-significance-to-recording 2 Other-finding-property suggestedTag=Normal, suggestedTag=Abnormal, suggestedTag=Property-not-possible-to-determine Significance of finding. When normal/abnormal could be labeled with with suggested tags. Other-finding-property and (suggestedTag some Normal) and (suggestedTag some Abnormal) and (suggestedTag some Property-not-possible-to-determine) -HED_0042389 Finding-significance-to-recording-# 3 Finding-significance-to-recording takesValue, valueClass=textClass Free text. Finding-significance-to-recording and (valueClass some textClass) -HED_0042390 Finding-frequency 2 Other-finding-property requireChild, suggestedTag=Symmetrical, suggestedTag=Asymmetrical Value in Hz (number) typed in. Other-finding-property and (suggestedTag some Symmetrical) and (suggestedTag some Asymmetrical) -HED_0042391 Finding-frequency-# 3 Finding-frequency takesValue, valueClass=numericClass, unitClass=frequencyUnits Finding-frequency and (valueClass some numericClass) and (unitClass some frequencyUnits) -HED_0042392 Finding-amplitude 2 Other-finding-property requireChild, suggestedTag=Symmetrical, suggestedTag=Asymmetrical Value in microvolts (number) typed in, e.g. (Finding-amplitude/number uv) Other-finding-property and (suggestedTag some Symmetrical) and (suggestedTag some Asymmetrical) -HED_0042393 Finding-amplitude-# 3 Finding-amplitude takesValue, valueClass=numericClass, unitClass=electricPotentialUnits Finding-amplitude and (valueClass some numericClass) and (unitClass some electricPotentialUnits) -HED_0042394 Finding-stopped-by 2 Other-finding-property requireChild -HED_0042395 Finding-stopped-by-# 3 Finding-stopped-by takesValue, valueClass=textClass Free text. Finding-stopped-by and (valueClass some textClass) -HED_0042396 Property-not-possible-to-determine 2 Other-finding-property Not possible to determine. -HED_0042397 Property-not-possible-to-determine-# 3 Property-not-possible-to-determine takesValue, valueClass=textClass Free text. Property-not-possible-to-determine and (valueClass some textClass) -HED_0042398 Interictal-finding 0 HedTag EEG pattern / transient that is distinguished from the background activity, considered abnormal, but is not recorded during ictal period (seizure) or postictal period; the presence of an interictal finding does not necessarily imply that the patient has epilepsy. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 5.) HedTag and (inHedSchema some ScoreSchema) -HED_0042399 Epileptiform-interictal-activity 1 Interictal-finding suggestedTag=Spike, suggestedTag=Spike-and-slow-wave, suggestedTag=Runs-of-rapid-spikes, suggestedTag=Polyspikes, suggestedTag=Polyspike-and-slow-wave, suggestedTag=Sharp-wave, suggestedTag=Sharp-and-slow-wave, suggestedTag=Slow-sharp-wave, suggestedTag=High-frequency-oscillation, suggestedTag=Hypsarrhythmia-classic, suggestedTag=Hypsarrhythmia-modified, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Finding-propagation, suggestedTag=Multifocal-finding, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, suggestedTag=Finding-incidence Transients distinguishable from background activity, with characteristic spiky morphology, typically, but neither exclusively, nor invariably found in interictal EEGs of people with epilepsy. (Source: Beniczky ea 2013, Appendix S4; Morphologies from Beniczky ea 2017, Table 5; Suggested tags from Beniczky ea 2017, Section 8.) Interictal-finding and (suggestedTag some Spike) and (suggestedTag some Spike-and-slow-wave) and (suggestedTag some Runs-of-rapid-spikes) and (suggestedTag some Polyspikes) and (suggestedTag some Polyspike-and-slow-wave) and (suggestedTag some Sharp-wave) and (suggestedTag some Sharp-and-slow-wave) and (suggestedTag some Slow-sharp-wave) and (suggestedTag some High-frequency-oscillation) and (suggestedTag some Hypsarrhythmia-classic) and (suggestedTag some Hypsarrhythmia-modified) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Finding-propagation) and (suggestedTag some Multifocal-finding) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) and (suggestedTag some Finding-incidence) -HED_0042400 Abnormal-interictal-rhythmic-activity 1 Interictal-finding suggestedTag=Rhythmic-property, suggestedTag=Polymorphic-delta-activity, suggestedTag=Frontal-intermittent-rhythmic-delta-activity, suggestedTag=Occipital-intermittent-rhythmic-delta-activity, suggestedTag=Temporal-intermittent-rhythmic-delta-activity, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, suggestedTag=Finding-incidence Activity of frequency lower than alpha, that clearly exceeds the amount considered physiologically normal for patient age and state of alertness. (Source: Beniczky ea 2013, Appendix S4; Morphologies from Beniczky ea 2017, Table 5; Suggested tags from Beniczky ea 2017, Section 8.) Interictal-finding and (suggestedTag some Rhythmic-property) and (suggestedTag some Polymorphic-delta-activity) and (suggestedTag some Frontal-intermittent-rhythmic-delta-activity) and (suggestedTag some Occipital-intermittent-rhythmic-delta-activity) and (suggestedTag some Temporal-intermittent-rhythmic-delta-activity) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) and (suggestedTag some Finding-incidence) -HED_0042401 Interictal-special-patterns 1 Interictal-finding (Source: Beniczky ea 2017, Table 5.) -HED_0042402 Interictal-periodic-discharges 2 Interictal-special-patterns suggestedTag=RPP-morphology, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=RPP-time-related-feature Periodic discharge not further specified (PDs). (Source: Beniczky ea 2017, Table 5.) Interictal-special-patterns and (suggestedTag some RPP-morphology) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some RPP-time-related-feature) -HED_0042403 Generalized-periodic-discharges 3 Interictal-periodic-discharges GPDs. The term generalized refers to any bilateral, bisynchronous and symmetric pattern, even if it has a restricted field (e.g. bifrontal). (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) -HED_0042404 Lateralized-periodic-discharges 3 Interictal-periodic-discharges LPDs. Lateralized includes unilateral and bilateral synchronous but asymmetric; includes focal, regional and hemispheric patterns. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) -HED_0042405 Bilateral-independent-periodic-discharges 3 Interictal-periodic-discharges BIPDs. Bilateral Independent refers to the presence of 2 independent (asynchronous) lateralized patterns, one in each hemisphere. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) -HED_0042406 Multifocal-periodic-discharges 3 Interictal-periodic-discharges MfPDs. Multifocal refers to the presence of at least three independent lateralized patterns with at least one in each hemisphere. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) -HED_0042407 Extreme-delta-brush 2 Interictal-special-patterns suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern (Source: Beniczky ea 2017, Table 5.) Interictal-special-patterns and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042408 Physiologic-pattern 0 HedTag EEG graphoelements or rhythms that are considered normal. They only should be scored if the physician considers that they have a specific clinical significance for the recording. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 14.) HedTag and (inHedSchema some ScoreSchema) -HED_0042409 Rhythmic-activity-pattern 1 Physiologic-pattern suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Rhythmic activity. (Source: Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Rhythmic-property) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042410 Slow-alpha-variant-rhythm 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Characteristic rhythms mostly at 4-5 Hz, recorded most prominently over the posterior regions of the head. The signals generally alternate or are intermixed with the alpha rhythm to which they are often harmonically related. Amplitude varies but is frequently close to 50 micro V. Blocked or attenuated by attention, especially visual, and mental effort. Comment: slow alpha variant rhythms should be distinguished from posterior slow waves characteristic of children and adolescents and occasionally seen in young adults. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042411 Fast-alpha-variant-rhythm 1 Physiologic-pattern suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Characteristic rhythm at 14-20 Hz, detected most prominently over the posterior regions of the head. May alternate or be intermixed with alpha rhythm. Blocked or attenuated by attention, especially visual, and mental effort. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042412 Lambda-wave 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Diphasic sharp transient occurring over occipital regions of the head of waking subjects during visual exploration. The main component is positive relative to other areas. Time-locked to saccadic eye movement. Amplitude varies but is generally below 50 microV. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042413 Posterior-slow-waves-youth 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Waves in the delta and theta range, of variable form, lasting 0.35 to 0.5 s or longer without any consistent periodicity, found in the range of 6-12 years (occasionally seen in young adults). Alpha waves are almost always intermingled or superimposed. Reactive similar to alpha activity. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042414 Diffuse-slowing-hyperventilation 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Bilateral, diffuse slowing of brain signals during hyperventilation. Recorded in 70 percent of normal children (3-5 years) and less then 10 percent of adults. Slowing usually appears in the posterior regions and spreads forward in younger age groups, whereas slowing tends to appear in the frontal regions and spreads backward in the older age group. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042415 Photic-driving 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Physiologic response consisting of rhythmic activity elicited over the posterior regions of the head by repetitive photic stimulation at frequencies of about 5-30 Hz. Comments: term should be limited to activity time-locked to the stimulus and of frequency identical or harmonically related to the stimulus frequency. Photic driving should be distinguished from the visual evoked potentials elicited by isolated flashes of light or flashes repeated at very low frequency. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042416 Photomyogenic-response 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern A response to intermittent photic stimulation characterized by the appearance in the record of brief, repetitive muscular artifacts (spikes) over the anterior regions of the head. These often increase gradually in amplitude as stimuli are continued and cease promptly when the stimulus is withdrawn. Comment: this response is frequently associated with flutter of the eyelids and vertical oscillations of the eyeballs and sometimes with discrete jerking mostly involving the musculature of the face and head. (Preferred to synonym: photo-myoclonic response). (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042417 Arousal-pattern 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Arousal pattern in children. Prolonged, marked high voltage 4-6/s activity in all leads with some intermixed slower frequencies. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042418 Frontal-arousal-rhythm 1 Physiologic-pattern suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Prolonged (up to 20s) rhythmical sharp or spiky activity over the frontal areas (maximum over the frontal midline) seen at arousal from sleep in children with minimal cerebral dysfunction. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042419 Other-physiologic-pattern 1 Physiologic-pattern requireChild -HED_0042420 Other-physiologic-pattern-# 2 Other-physiologic-pattern takesValue, valueClass=textClass Free text. Other-physiologic-pattern and (valueClass some textClass) -HED_0042421 Polygraphic-channel-finding 0 HedTag Changes observed in polygraphic channels can be scored: EOG, Respiration, ECG, EMG, other polygraphic channel (+ free text), and their significance logged (normal, abnormal, no definite abnormality). (Source: Beniczky ea 2017, Section 13.) HedTag and (inHedSchema some ScoreSchema) -HED_0042422 EOG-channel-finding 1 Polygraphic-channel-finding suggestedTag=Finding-significance-to-recording Electrooculogram (EOG) channel findings. (Source: Beniczky ea 2017, Section 13.) Polygraphic-channel-finding and (suggestedTag some Finding-significance-to-recording) -HED_0042423 EOG-channel-finding-# 2 EOG-channel-finding takesValue, valueClass=textClass Free text. EOG-channel-finding and (valueClass some textClass) -HED_0042424 Respiration-channel-finding 1 Polygraphic-channel-finding suggestedTag=Finding-significance-to-recording Findings in respiration sensors. (Source: Beniczky ea 2017, Section 13, Table 16.) Polygraphic-channel-finding and (suggestedTag some Finding-significance-to-recording) -HED_0042425 Oxygen-saturation 2 Respiration-channel-finding requireChild Percentage. (Source: Beniczky ea 2013, Table 9; Beniczky ea 2017, Table 16.) -HED_0042426 Oxygen-saturation-# 3 Oxygen-saturation takesValue, valueClass=numericClass Oxygen-saturation and (valueClass some numericClass) -HED_0042427 Apnea 2 Respiration-channel-finding Temporary cessation of breathing (Source: Wikipedia). Duration (range in seconds). (Source: Beniczky ea 2013, Table 9.) -HED_0042428 Apnea-# 3 Apnea takesValue, valueClass=numericClass Apnea and (valueClass some numericClass) -HED_0042429 Hypopnea 2 Respiration-channel-finding Overly shallow breathing or an abnormally low respiratory rate. Duration (range in seconds). (Source: Wikipedia; Beniczky ea 2013, Table 9.) -HED_0042430 Hypopnea-# 3 Hypopnea takesValue, valueClass=numericClass Hypopnea and (valueClass some numericClass) -HED_0042431 Apnea-hypopnea-index 2 Respiration-channel-finding suggestedTag=Frequency Events/hour as calculated by dividing the number of apnoea and hypopnoea events by the number of hours of sleep. (Source: Wikipedia; Beniczky ea 2013, Table 9.) Respiration-channel-finding and (suggestedTag some Frequency) -HED_0042432 Apnea-hypopnea-index-# 3 Apnea-hypopnea-index takesValue, valueClass=numericClass Apnea-hypopnea-index and (valueClass some numericClass) -HED_0042433 Periodic-respiration 2 Respiration-channel-finding Source: Beniczky ea 2017, Table 16 -HED_0042434 Periodic-respiration-# 3 Periodic-respiration takesValue, valueClass=textClass Free text.(Source: Beniczky ea 2017, Table 16.) Periodic-respiration and (valueClass some textClass) -HED_0042435 Tachypnea 2 Respiration-channel-finding suggestedTag=Frequency Numerical value for cycles / minute. (Source: Beniczky ea 2017, Table 16.) Respiration-channel-finding and (suggestedTag some Frequency) -HED_0042436 Tachypnea-# 3 Tachypnea takesValue, valueClass=numericClass Tachypnea and (valueClass some numericClass) -HED_0042437 Other-respiration-feature 2 Respiration-channel-finding requireChild Source: Beniczky ea 2017, Table 16 -HED_0042438 Other-respiration-feature-# 3 Other-respiration-feature takesValue, valueClass=textClass Free text. Other-respiration-feature and (valueClass some textClass) -HED_0042439 ECG-channel-finding 1 Polygraphic-channel-finding suggestedTag=Finding-significance-to-recording Findings in Electrocardiogram recordings. (Source: Beniczky ea 2017, Section 13, Table 16.) Polygraphic-channel-finding and (suggestedTag some Finding-significance-to-recording) -HED_0042440 ECG-QT-period 2 ECG-channel-finding requireChild The time from the start of the Q wave to the end of the T wave (Source: Wikipedia; Beniczky ea 2013, Table 9; Beniczky ea 2017, Table 16.) -HED_0042441 ECG-QT-period-# 3 ECG-QT-period takesValue, valueClass=numericClass, unitClass=timeUnits ECG-QT-period and (valueClass some numericClass) and (unitClass some timeUnits) -HED_0042442 ECG-normal-rhythm 2 ECG-channel-finding suggestedTag=Frequency Normal rhythm. (Source: Beniczky ea 2017, Table 16.) ECG-channel-finding and (suggestedTag some Frequency) -HED_0042443 ECG-normal-rhythm-# 3 ECG-normal-rhythm takesValue, valueClass=textClass Free text. ECG-normal-rhythm and (valueClass some textClass) -HED_0042444 ECG-arrhythmia 2 ECG-channel-finding Free text annotating characteristics of arrythymia. (Source: Beniczky ea 2017, Table 16.) -HED_0042445 ECG-arrhythmia-# 3 ECG-arrhythmia takesValue, valueClass=textClass Free text. ECG-arrhythmia and (valueClass some textClass) -HED_0042446 ECG-asystolia 2 ECG-channel-finding Absence of ventricular contractions in the context of a lethal heart arrhythmia. Duration in seconds of the absence. (Source: Wikipedia; Beniczky ea 2013, Table 9.) -HED_0042447 ECG-asystolia-# 3 ECG-asystolia takesValue, valueClass=numericClass, unitClass=timeUnits ECG-asystolia and (valueClass some numericClass) and (unitClass some timeUnits) -HED_0042448 ECG-bradycardia 2 ECG-channel-finding suggestedTag=Frequency A resting heart rate under 60 beats per minute. Numerical value for frequency in beats/minute. (Source: Wikipedia; Beniczky ea 2017, Table 16; Beniczky ea 2013, Table 9.) ECG-channel-finding and (suggestedTag some Frequency) -HED_0042449 ECG-bradycardia-# 3 ECG-bradycardia takesValue, valueClass=numericClass ECG-bradycardia and (valueClass some numericClass) -HED_0042450 ECG-extrasystole 2 ECG-channel-finding A heart rhythm disorder corresponding to a premature contraction of one of the chambers of the heart. (Source: Wikipedia; Beniczky ea 2017, Table 16.) -HED_0042451 ECG-extrasystole-# 3 ECG-extrasystole takesValue, valueClass=textClass Free text. ECG-extrasystole and (valueClass some textClass) -HED_0042452 ECG-ventricular-premature-depolarization 2 ECG-channel-finding A premature ventricular contraction (PVC) is a common event where the heartbeat is initiated by Purkinje fibers in the ventricles rather than by the sinoatrial node. (Source: Wikipedia; Beniczky ea 2017, Table 16.) -HED_0042453 ECG-ventricular-premature-depolarization-# 3 ECG-ventricular-premature-depolarization takesValue, valueClass=textClass Free text. ECG-ventricular-premature-depolarization and (valueClass some textClass) -HED_0042454 ECG-tachycardia 2 ECG-channel-finding suggestedTag=Frequency Numerical value for frequency in beats/minute. (Source: Beniczky ea 2017, Table 16; Beniczky ea 2013, Table 9.) ECG-channel-finding and (suggestedTag some Frequency) -HED_0042455 ECG-tachycardia-# 3 ECG-tachycardia takesValue, valueClass=numericClass ECG-tachycardia and (valueClass some numericClass) -HED_0042456 Other-ECG-feature 2 ECG-channel-finding requireChild Source: Beniczky ea 2017, Table 16. -HED_0042457 Other-ECG-feature-# 3 Other-ECG-feature takesValue, valueClass=textClass Free text. Other-ECG-feature and (valueClass some textClass) -HED_0042458 EMG-channel-finding 1 Polygraphic-channel-finding suggestedTag=Finding-significance-to-recording, suggestedTag=Symmetrical, suggestedTag=Left, suggestedTag=Right Findings in Electromyography recordings (Source: Beniczky ea 2017, Section 13, Table 16.). Suggested tags can be used to note the side of the muscle (Left or Right). The order of activation may be indicated using Temporal-relation: (Left, (Before,Right)). Polygraphic-channel-finding and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Symmetrical) and (suggestedTag some Left) and (suggestedTag some Right) -HED_0042459 EMG-muscle-name 2 EMG-channel-finding requireChild Source: Beniczky ea 2017, Table 16. -HED_0042460 EMG-muscle-name-# 3 EMG-muscle-name takesValue, valueClass=textClass Free text. EMG-muscle-name and (valueClass some textClass) -HED_0042461 Myoclonus 2 EMG-channel-finding Source: Beniczky ea 2017, Table 16. -HED_0042462 Negative-myoclonus 3 Myoclonus Source: Beniczky ea 2017, Table 16. -HED_0042463 Myoclonus-rhythmic 3 Myoclonus Numerical value for frequency. (Source: Beniczky ea 2017, Table 16.) -HED_0042464 Myoclonus-rhythmic-# 4 Myoclonus-rhythmic takesValue, valueClass=numericClass Myoclonus-rhythmic and (valueClass some numericClass) -HED_0042465 Myoclonus-arrhythmic 3 Myoclonus Source: Beniczky ea 2017, Table 16. -HED_0042466 Myoclonus-synchronous 3 Myoclonus Source: Beniczky ea 2017, Table 16. -HED_0042467 Myoclonus-asynchronous 3 Myoclonus Source: Beniczky ea 2017, Table 16. -HED_0042468 PLMS 2 EMG-channel-finding Periodic limb movements in sleep. (Source: Beniczky ea 2017, Table 16.) -HED_0042469 Spasm 2 EMG-channel-finding Source: Beniczky ea 2017, Table 16. -HED_0042470 Tonic-contraction 2 EMG-channel-finding Source: Beniczky ea 2017, Table 16. -HED_0042471 Other-EMG-features 2 EMG-channel-finding requireChild Source: Beniczky ea 2017, Table 16. -HED_0042472 Other-EMG-features-# 3 Other-EMG-features takesValue, valueClass=textClass Free text. Other-EMG-features and (valueClass some textClass) -HED_0042473 Other-polygraphic-channel-feature 1 Polygraphic-channel-finding requireChild Add the name and type of the polygraphic channel as well as the feature in the description. (Source: Beniczky ea 2017, Section 13.) -HED_0042474 Other-polygraphic-channel-feature-# 2 Other-polygraphic-channel-feature takesValue, valueClass=textClass Free text. Other-polygraphic-channel-feature and (valueClass some textClass) -HED_0042475 Sleep-and-drowsiness 0 HedTag The features of the ongoing activity during sleep are scored here. If abnormal graphoelements appear, disappear or change their morphology during sleep, that is not scored here but at the entry corresponding to that graphoelement (as a modulator). (Source: Beniczky ea 2013. Appendix S1.) HedTag and (inHedSchema some ScoreSchema) -HED_0042476 Sleep-architecture 1 Sleep-and-drowsiness suggestedTag=Property-not-possible-to-determine For longer recordings. Only to be scored if whole-night sleep is part of the recording. It is a global descriptor of the structure and pattern of sleep: estimation of the amount of time spent in REM and NREM sleep, sleep duration, NREM-REM cycle. (Source: Beniczky ea 2013, Appendix S3.) Sleep-and-drowsiness and (suggestedTag some Property-not-possible-to-determine) -HED_0042477 Normal-sleep-architecture 2 Sleep-architecture Recording containing sleep-patterns that are considered normal for the attained sleep stages and for the age. (Source: Benizcky ea 2013, Appendix S3.) -HED_0042478 Abnormal-sleep-architecture 2 Sleep-architecture Absence or consistently marked amplitude asymmetry (>50%) of a normal sleep graphoelement. (Source: Benizcky ea 2013, Appendix S3.) -HED_0042479 Sleep-stage-reached 1 Sleep-and-drowsiness requireChild, suggestedTag=Property-not-possible-to-determine, suggestedTag=Finding-significance-to-recording For normal sleep patterns the sleep stages reached during the recording can be specified. (Source: Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Finding-significance-to-recording) -HED_0042480 Sleep-stage-N1 2 Sleep-stage-reached Sleep stage 1. (Source: Beniczky ea 2017, Section 7.) -HED_0042481 Sleep-stage-N1-# 3 Sleep-stage-N1 takesValue, valueClass=textClass Free text. Sleep-stage-N1 and (valueClass some textClass) -HED_0042482 Sleep-stage-N2 2 Sleep-stage-reached Sleep stage 2. (Source: Beniczky ea 2017, Section 7.) -HED_0042483 Sleep-stage-N2-# 3 Sleep-stage-N2 takesValue, valueClass=textClass Free text. Sleep-stage-N2 and (valueClass some textClass) -HED_0042484 Sleep-stage-N3 2 Sleep-stage-reached Sleep stage 3. (Source: Beniczky ea 2017, Section 7.) -HED_0042485 Sleep-stage-N3-# 3 Sleep-stage-N3 takesValue, valueClass=textClass Free text. Sleep-stage-N3 and (valueClass some textClass) -HED_0042486 Sleep-stage-REM 2 Sleep-stage-reached Rapid eye movement. (Source: Beniczky ea 2017, Section 7.) -HED_0042487 Sleep-stage-REM-# 3 Sleep-stage-REM takesValue, valueClass=textClass Free text. Sleep-stage-REM and (valueClass some textClass) -HED_0042488 Sleep-spindles 1 Sleep-and-drowsiness suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical Burst at 11-15 Hz but mostly at 12-14 Hz generally diffuse but of higher voltage over the central regions of the head, occurring during sleep. Amplitude varies but is mostly below 50 microV in the adult. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) -HED_0042489 Vertex-wave 1 Sleep-and-drowsiness suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical Sharp potential, maximal at the vertex, negative relative to other areas, apparently occurring spontaneously during sleep or in response to a sensory stimulus during sleep or wakefulness. May be single or repetitive. Amplitude varies but rarely exceeds 250 microV. Abbreviation: V wave. Synonym: vertex sharp wave. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) -HED_0042490 K-complex 1 Sleep-and-drowsiness suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical A burst of somewhat variable appearance, consisting most commonly of a high voltage negative slow wave followed by a smaller positive slow wave frequently associated with a sleep spindle. Duration greater than 0.5 s. Amplitude is generally maximal in the frontal vertex. K complexes occur during nonREM sleep, apparently spontaneously, or in response to sudden sensory / auditory stimuli, and are not specific for any individual sensory modality. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) -HED_0042491 Saw-tooth-waves 1 Sleep-and-drowsiness suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical Vertex negative 2-5 Hz waves occurring in series during REM sleep. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) -HED_0042492 POSTS 1 Sleep-and-drowsiness suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical Positive occipital sharp transients of sleep. Sharp transient maximal over the occipital regions, positive relative to other areas, apparently occurring spontaneously during sleep. May be single or repetitive. Amplitude varies but is generally below 50 microV. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) -HED_0042493 Hypnagogic-hypersynchrony 1 Sleep-and-drowsiness suggestedTag=Finding-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical Hypnagogic/hypnopompic hypersynchrony in children. Bursts of bilateral, synchronous delta or theta activity of large amplitude, occasionally with superimposed faster components, occurring during falling asleep or during awakening, in children. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Finding-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) -HED_0042494 Non-reactive-sleep 1 Sleep-and-drowsiness EEG activity consisting of normal sleep graphoelements, but which cannot be interrupted by external stimuli/ the patient cannot be wakened. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) -HED_0042495 Uncertain-significant-pattern 0 HedTag EEG graphoelements or rhythms that resemble abnormal patterns but that are not necessarily associated with a pathology, and the physician does not consider them abnormal in the context of the scored recording (like normal variants and patterns). (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 14.) HedTag and (inHedSchema some ScoreSchema) -HED_0042496 Sharp-transient-pattern 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Sharp transient. (Source: Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042497 Wicket-spikes 1 Uncertain-significant-pattern Spike-like monophasic negative single waves or trains of waves occurring over the temporal regions during drowsiness that have an arcuate or mu-like appearance. These are mainly seen in older individuals and represent a benign variant that is of little clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) -HED_0042498 Small-sharp-spikes 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Benign Epileptiform Transients of Sleep (BETS). Small Sharp Spikes (SSS) of very short duration and low amplitude, often followed by a small theta wave, occurring in the temporal regions during drowsiness and light sleep. They occur on one or both sides (often asynchronously). The main negative and positive components are of about equally spiky character. Rarely seen in children, they are seen most often in adults and the elderly. Two thirds of the patients have a history of epileptic seizures. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042499 Fourteen-six-Hz-positive-burst 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Burst of arch-shaped waves at 13-17 Hz and/or 5-7-Hz but most commonly at 14 and/or 6 Hz seen generally over the posterior temporal and adjacent areas of one or both sides of the head during sleep. The sharp peaks of its component waves are positive with respect to other regions. Amplitude varies but is generally below 75 micro V. Comments: (1) best demonstrated by referential recording using contralateral earlobe or other remote, reference electrodes. (2) This pattern has no established clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042500 Six-Hz-spike-slow-wave 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Spike and slow wave complexes at 4-7 Hz, but mostly at 6 Hz occurring generally in brief bursts bilaterally and synchronously, symmetrically or asymmetrically, and either confined to or of larger amplitude over the posterior or anterior regions of the head. The spike has a strong positive component. Amplitude varies but is generally smaller than that of spike-and slow-wave complexes repeating at slower rates. Comment: this pattern should be distinguished from epileptiform discharges. Synonym: wave and spike phantom. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042501 Rudimentary-spike-wave-complex 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Synonym: pseudo petit mal discharge. Paroxysmal discharge that consists of generalized or nearly generalized high voltage 3 to 4/sec waves with poorly developed spike in the positive trough between the slow waves, occurring in drowsiness only. It is found only in infancy and early childhood when marked hypnagogic rhythmical theta activity is paramount in the drowsy state. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042502 Slow-fused-transient 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern A posterior slow-wave preceded by a sharp-contoured potential that blends together with the ensuing slow wave, in children. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042503 Needle-like-occipital-spikes-blind 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Spike discharges of a particularly fast and needle-like character develop over the occipital region in most congenitally blind children. Completely disappear during childhood or adolescence. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042504 Subclinical-rhythmic-EEG-discharge-adults 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Subclinical Rhythmic EEG Discharge of Adults (SERDA). A rhythmic pattern seen in adults, mainly in the waking state or drowsiness. It consists of a mixture of frequencies, often predominant in the theta range. The onset may be fairly abrupt with widespread sharp rhythmical theta and occasionally with delta activity. As to the spatial distribution, a maximum of this discharge is usually found over the centroparietal region and especially over the vertex. It may resemble a seizure discharge but is not accompanied by any clinical signs or symptoms. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042505 Rhythmic-temporal-theta-burst-drowsiness 1 Uncertain-significant-pattern Rhythmic temporal theta burst of drowsiness (RTTD). Characteristic burst of 4-7 Hz waves frequently notched by faster waves, occurring over the temporal regions of the head during drowsiness. Synonym: psychomotor variant pattern. Comment: this is a pattern of drowsiness that is of no clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) -HED_0042506 Ciganek-rhythm 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Ciganek rhythm (midline central theta) (Source: Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042507 Temporal-slowing-elderly 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Focal theta and/or delta activity over the temporal regions, especially the left, in persons over the age of 60. Amplitudes are low/similar to the background activity. Comment: focal temporal theta was found in 20 percent of people between the ages of 40-59 years, and 40 percent of people between 60 and 79 years. One third of people older than 60 years had focal temporal delta activity. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042508 Breach-rhythm 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Rhythmical activity recorded over cranial bone defects. Usually it is in the 6 to 11/sec range and does not respond to movements. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) -HED_0042509 Other-uncertain-significant-pattern 1 Uncertain-significant-pattern requireChild -HED_0042510 Other-uncertain-significant-pattern-# 2 Other-uncertain-significant-pattern takesValue, valueClass=textClass Free text. Other-uncertain-significant-pattern and (valueClass some textClass) + Modulator 0 HedTag External stimuli / interventions or changes in the alertness level (sleep) that modify: the background activity, or how often a graphoelement is occurring, or change other features of the graphoelement (like intra-burst frequency). For each observed feature, there is an option of specifying how they are influenced by the modulators and procedures that were done during the recording. HedTag and (inHedSchema some ScoreSchema) + Sleep-modulator 1 Modulator suggestedTag=Drowsy When sleep/drowsiness features are scored during drowsiness, Drowsy should be listed as a modulator (Source: Beniczky ea 2017, Section 7 and Table 2). Modulator and (suggestedTag some Drowsy) + Sleep-deprivation 2 Sleep-modulator Source: Beniczky ea 2017, Table 2. + Sleep-deprivation-# 3 Sleep-deprivation takesValue, valueClass=textClass Free text. Sleep-deprivation and (valueClass some textClass) + Sleep-following-sleep-deprivation 2 Sleep-modulator Source: Beniczky ea 2017, Table 2. + Sleep-following-sleep-deprivation-# 3 Sleep-following-sleep-deprivation takesValue, valueClass=textClass Free text. Sleep-following-sleep-deprivation and (valueClass some textClass) + Natural-sleep 2 Sleep-modulator Source: Beniczky ea 2017, Table 2. + Natural-sleep-# 3 Natural-sleep takesValue, valueClass=textClass Free text. Natural-sleep and (valueClass some textClass) + Induced-sleep 2 Sleep-modulator Source: Beniczky ea 2017, Table 2. + Induced-sleep-# 3 Induced-sleep takesValue, valueClass=textClass Free text. Induced-sleep and (valueClass some textClass) + Awakening 2 Sleep-modulator Source: Beniczky ea 2017, Table 2. + Awakening-# 3 Awakening takesValue, valueClass=textClass Free text. Awakening and (valueClass some textClass) + Medication-modulator 1 Modulator + Medication-administered-during-recording 2 Medication-modulator Source: Beniczky ea 2017, Table 2. + Medication-administered-during-recording-# 3 Medication-administered-during-recording takesValue, valueClass=textClass Free text. Medication-administered-during-recording and (valueClass some textClass) + Medication-withdrawal-or-reduction-during-recording 2 Medication-modulator Source: Beniczky ea 2017, Table 2. + Medication-withdrawal-or-reduction-during-recording-# 3 Medication-withdrawal-or-reduction-during-recording takesValue, valueClass=textClass Free text. Medication-withdrawal-or-reduction-during-recording and (valueClass some textClass) + Eye-modulator 1 Modulator + Manual-eye-closure 2 Eye-modulator Source: Beniczky ea 2017, Table 2. + Manual-eye-closure-# 3 Manual-eye-closure takesValue, valueClass=textClass Free text. Manual-eye-closure and (valueClass some textClass) + Manual-eye-opening 2 Eye-modulator Source: Beniczky ea 2017, Table 2. + Manual-eye-opening-# 3 Manual-eye-opening takesValue, valueClass=textClass Free text. Manual-eye-opening and (valueClass some textClass) + Stimulation-modulator 1 Modulator + Intermittent-photic-stimulation 2 Stimulation-modulator suggestedTag=Intermittent-photic-stimulation-effect Source: Beniczky ea 2017, Table 2. Stimulation-modulator and (suggestedTag some Intermittent-photic-stimulation-effect) + Intermittent-photic-stimulation-# 3 Intermittent-photic-stimulation takesValue, valueClass=numericClass, unitClass=frequencyUnits Intermittent-photic-stimulation and (valueClass some numericClass) and (unitClass some frequencyUnits) + Auditory-stimulation 2 Stimulation-modulator Source: Beniczky ea 2017, Table 2. + Auditory-stimulation-# 3 Auditory-stimulation takesValue, valueClass=textClass Free text. Auditory-stimulation and (valueClass some textClass) + Nociceptive-stimulation 2 Stimulation-modulator Source: Beniczky ea 2017, Table 2. + Nociceptive-stimulation-# 3 Nociceptive-stimulation takesValue, valueClass=textClass Free text. Nociceptive-stimulation and (valueClass some textClass) + Hyperventilation 1 Modulator When selecting hyperventilation from the list, the user is prompted to score the quality of the hyperventilation (excellent effort, good effort, poor effort, refused the procedure, unable to do the procedure). (Source: Beniczky ea 2017, Section 4, Table 2.) + Hyperventilation-refused-procedure 2 Hyperventilation + Hyperventilation-refused-procedure-# 3 Hyperventilation-refused-procedure takesValue, valueClass=textClass Free text. Hyperventilation-refused-procedure and (valueClass some textClass) + Hyperventilation-poor-effort 2 Hyperventilation + Hyperventilation-poor-effort-# 3 Hyperventilation-poor-effort takesValue, valueClass=textClass Free text. Hyperventilation-poor-effort and (valueClass some textClass) + Hyperventilation-good-effort 2 Hyperventilation + Hyperventilation-good-effort-# 3 Hyperventilation-good-effort takesValue, valueClass=textClass Free text. Hyperventilation-good-effort and (valueClass some textClass) + Hyperventilation-excellent-effort 2 Hyperventilation + Hyperventilation-excellent-effort-# 3 Hyperventilation-excellent-effort takesValue, valueClass=textClass Free text. Hyperventilation-excellent-effort and (valueClass some textClass) + Physical-effort 1 Modulator Source: Beniczky ea 2017, Table 2. + Physical-effort-# 2 Physical-effort takesValue, valueClass=textClass Free text. Physical-effort and (valueClass some textClass) + Cognitive-task 1 Modulator Source: Beniczky ea 2017, Table 2. + Cognitive-task-# 2 Cognitive-task takesValue, valueClass=textClass Free text. Cognitive-task and (valueClass some textClass) + Other-modulator-or-procedure 1 Modulator requireChild Free text describing other modulators or procedures. (Source: Beniczky ea 2017, Table 2.) + Other-modulator-or-procedure-# 2 Other-modulator-or-procedure takesValue, valueClass=textClass Free text. Other-modulator-or-procedure and (valueClass some textClass) + Background-activity 0 HedTag An EEG activity representing the setting in which a given normal or abnormal pattern appears and from which such pattern is distinguished (Source: Beniczky ea 2013, Appendix S1.) HedTag and (inHedSchema some ScoreSchema) + Posterior-dominant-rhythm 1 Background-activity suggestedTag=Feature-significance-to-recording, suggestedTag=Feature-frequency, suggestedTag=Posterior-dominant-rhythm-property Rhythmic activity occurring during wakefulness over the posterior regions of the head, generally with maximum amplitudes over the occipital areas. Amplitude varies. Best seen with eyes closed and during physical relaxation and relative mental inactivity. Blocked or attenuated by attention, especially visual, and mental effort. In adults this is the alpha rhythm, and the frequency is 8 to 13 Hz. However the frequency can be higher or lower than this range (often a supra or sub harmonic of alpha frequency) and is called alpha variant rhythm (fast and slow alpha variant rhythm). In children, the normal range of the frequency of the posterior dominant rhythm is age-dependant. (Source: Beniczky ea 2013, Appendix S2; suggested tags from Beniczky ea 2017, Table 4.) Background-activity and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Feature-frequency) and (suggestedTag some Posterior-dominant-rhythm-property) + Mu-rhythm 1 Background-activity suggestedTag=Feature-frequency, suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors EEG rhythm at 7-11 Hz composed of arch-shaped waves occurring over the central or centro-parietal regions of the scalp during wakefulness. Amplitudes varies but is mostly below 50 microV. Blocked or attenuated most clearly by contralateral movement, thought of movement, readiness to move or tactile stimulation. (Source: Beniczky ea 2013, Appendix S2.) Background-activity and (suggestedTag some Feature-frequency) and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) + Other-organized-rhythm 1 Background-activity requireChild, suggestedTag=Rhythmic-property, suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern EEG activity consisting of waves of approximately constant period that are considered part of the background (ongoing) activity, but do not fulfill the criteria of the posterior dominant rhythm. (Source: Beniczky ea 2013, Appendix S2.) Background-activity and (suggestedTag some Rhythmic-property) and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Other-organized-rhythm-# 2 Other-organized-rhythm takesValue, valueClass=textClass Free text. Other-organized-rhythm and (valueClass some textClass) + Background-activity-special-feature 1 Background-activity Special features provide scoring options for the background activity of critically ill patients. (Source: Beniczky ea 2017, Section 6.) + Continuous-background-activity 2 Background-activity-special-feature suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors Source: Beniczky ea 2017, Section 6. Background-activity-special-feature and (suggestedTag some Rhythmic-property) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) + Nearly-continuous-background-activity 2 Background-activity-special-feature suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors Source: Beniczky ea 2017, Section 6. Background-activity-special-feature and (suggestedTag some Rhythmic-property) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) + Discontinuous-background-activity 2 Background-activity-special-feature suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors Source: Beniczky ea 2017, Section 6. Background-activity-special-feature and (suggestedTag some Rhythmic-property) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) + Background-burst-suppression 2 Background-activity-special-feature suggestedTag=Categorical-location-value, suggestedTag=Sensors EEG pattern consisting of bursts (activity appearing and disappearing abruptly) interrupted by periods of low amplitude (below 20 microV). This pattern occurs simultaneously over all head regions. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.) Background-activity-special-feature and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) + Background-burst-attenuation 2 Background-activity-special-feature suggestedTag=Categorical-location-value, suggestedTag=Sensors Source: Beniczky ea 2017, Section 6. Background-activity-special-feature and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) + Background-activity-suppression 2 Background-activity-special-feature suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode Periods showing activity under 10 microV (referential montage) and interrupting the background (ongoing) activity. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.) Background-activity-special-feature and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) + Electrocerebral-inactivity 2 Background-activity-special-feature Absence of any ongoing cortical electric activities; in all leads EEG is isoelectric or only contains artifacts. Sensitivity has to be increased up to 2 microV/mm; recording time: at least 30 minutes. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Section 6.) + Critically-ill-patient-patterns 0 HedTag Rhythmic or periodic patterns in critically ill patients (RPPs) are scored according to the 2012 version of the American Clinical Neurophysiology Society Standardized Critical Care EEG Terminology (Source: Hirsch ea 2013; Beniczky ea 2017, Section 9). HedTag and (inHedSchema some ScoreSchema) + Critically-ill-patient-periodic-discharges 1 Critically-ill-patient-patterns suggestedTag=RPP-morphology, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Feature-frequency, suggestedTag=RPP-time-related-feature Periodic discharges (PDs): Periodic - repetition of a waveform with relatively uniform morphology and duration with a quantifiable inter-discharge interval between consecutive waveforms and recurrence of the waveform at nearly regular intervals. (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.) Critically-ill-patient-patterns and (suggestedTag some RPP-morphology) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Feature-frequency) and (suggestedTag some RPP-time-related-feature) + Rhythmic-delta-activity 1 Critically-ill-patient-patterns suggestedTag=RPP-with-superimposed-activity, suggestedTag=RPP-absolute-amplitude, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Feature-frequency, suggestedTag=RPP-time-related-feature Rhythmic Delta Activity (RDA): Rhythmic - repetition of a waveform with relatively uniform morphology and duration, and without an interval between consecutive waveforms. RDA - rhythmic activity less than or equal to 4 Hz. The duration of one cycle (i.e., the period) of the rhythmic pattern should vary by less than 50 percent from the duration of the subsequent cycle for the majority (greater than 50 percent) of cycle pairs to qualify as rhythmic. (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.) Critically-ill-patient-patterns and (suggestedTag some RPP-with-superimposed-activity) and (suggestedTag some RPP-absolute-amplitude) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Feature-frequency) and (suggestedTag some RPP-time-related-feature) + Spike-or-sharp-and-wave 1 Critically-ill-patient-patterns suggestedTag=RPP-sharpness, suggestedTag=Number-of-RPP-phases, suggestedTag=Triphasic-morphology, suggestedTag=RPP-absolute-amplitude, suggestedTag=RPP-relative-amplitude, suggestedTag=RPP-polarity, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Multifocal-feature, suggestedTag=Feature-frequency, suggestedTag=RPP-time-related-feature Spike-and-wave or Sharp-and-wave (SW) - polyspike, spike or sharp wave consistently followed by a slow wave in a regularly repeating and alternating pattern (spike-wave-spike-wave-spike-wave), with a consistent relationship between the spike (or polyspike or sharp wave) component and the slow wave; and with no interval between one spike-wave complex and the next (if there is an interval, this would qualify as PDs, where each discharge is a spike-and- wave). (Source: Hirsch ea 2013; Suggested tags from Beniczky ea 2017, Table 8.) Critically-ill-patient-patterns and (suggestedTag some RPP-sharpness) and (suggestedTag some Number-of-RPP-phases) and (suggestedTag some Triphasic-morphology) and (suggestedTag some RPP-absolute-amplitude) and (suggestedTag some RPP-relative-amplitude) and (suggestedTag some RPP-polarity) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Multifocal-feature) and (suggestedTag some Feature-frequency) and (suggestedTag some RPP-time-related-feature) + Episode 0 HedTag Clinical episode or electrographic seizure. (Source: Beniczky ea 2013, Appendix S1.) HedTag and (inHedSchema some ScoreSchema) + Epileptic-seizure 1 Episode suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting The ILAE seizure classification divides seizures into focal, generalized onset, or unknown onset. (Source: Beniczky ea 2017, Table 9, Supplement 1; Selection-tree and list of seizure-types, according to the current ILAE seizure classification, Fisher ea 2017.) Episode and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) + Focal-onset-epileptic-seizure 2 Epileptic-seizure suggestedTag=Automatism-seizure, suggestedTag=Atonic-seizure, suggestedTag=Clonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Hyperkinetic-seizure, suggestedTag=Myoclonic-seizure, suggestedTag=Tonic-seizure, suggestedTag=Autonomic-seizure, suggestedTag=Behavior-arrest-seizure, suggestedTag=Cognitive-seizure, suggestedTag=Emotional-seizure, suggestedTag=Sensory-seizure A focal seizure originates within networks limited to one hemisphere. They may be discretely localized or more widely distributed. Focal seizures may originate in subcortical structures. Focal seizures are optionally subdivided into focal aware and focal impaired awareness seizures. Specific motor and nonmotor classifiers may be added. (Source: Fisher ea 2017, Table 2 and Key Points; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.) Epileptic-seizure and (suggestedTag some Automatism-seizure) and (suggestedTag some Atonic-seizure) and (suggestedTag some Clonic-seizure) and (suggestedTag some Epileptic-spasm) and (suggestedTag some Hyperkinetic-seizure) and (suggestedTag some Myoclonic-seizure) and (suggestedTag some Tonic-seizure) and (suggestedTag some Autonomic-seizure) and (suggestedTag some Behavior-arrest-seizure) and (suggestedTag some Cognitive-seizure) and (suggestedTag some Emotional-seizure) and (suggestedTag some Sensory-seizure) + Aware-focal-onset-epileptic-seizure 3 Focal-onset-epileptic-seizure Focal onset and maintained awareness (knowledge of self or environment). (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.A.) + Impaired-awareness-focal-onset-epileptic-seizure 3 Focal-onset-epileptic-seizure Focal onset and impaired or lost awareness (knowledge of self or environment) is a feature of focal impaired awareness seizures, previously called complex partial seizures. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.B.) + Awareness-unknown-focal-onset-epileptic-seizure 3 Focal-onset-epileptic-seizure Focal onset and awareness (knowledge of self or environment) unknown or not specified. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.C.) + Focal-to-bilateral-tonic-clonic-focal-onset-epileptic-seizure 3 Focal-onset-epileptic-seizure A seizure type with focal onset, with awareness or impaired awareness, either motor or non-motor, progressing to bilateral tonic clonic activity. The prior term was seizure with partial onset with secondary generalization. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code I.D.01.) + Generalized-onset-epileptic-seizure 2 Epileptic-seizure suggestedTag=Tonic-clonic-seizure, suggestedTag=Clonic-seizure, suggestedTag=Tonic-seizure, suggestedTag=Myoclonic-seizure, suggestedTag=Myoclonic-tonic-clonic-seizure, suggestedTag=Myoclonic-atonic-seizure, suggestedTag=Atonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Typical-absence-seizure, suggestedTag=Atypical-absence-seizure, suggestedTag=Myoclonic-absence-seizure, suggestedTag=Eyelid-myoclonia-seizure Generalized seizures originate at some point within, and rapidly engaging, bilaterally distributed networks. Generalized onset seizures can be motor: tonic clonic, clonic, tonic, myoclonic, myoclonic tonic clonic, myoclonic atonic, atonic, and epileptic spasms. Generalized onset seizures can also be nonmotor (absence): typical absence, atypical absence, myoclonic absence, or absence with eyelid myoclonia. (Source: Fisher ea 2017, Table 2 and Key Points; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code II.) Epileptic-seizure and (suggestedTag some Tonic-clonic-seizure) and (suggestedTag some Clonic-seizure) and (suggestedTag some Tonic-seizure) and (suggestedTag some Myoclonic-seizure) and (suggestedTag some Myoclonic-tonic-clonic-seizure) and (suggestedTag some Myoclonic-atonic-seizure) and (suggestedTag some Atonic-seizure) and (suggestedTag some Epileptic-spasm) and (suggestedTag some Typical-absence-seizure) and (suggestedTag some Atypical-absence-seizure) and (suggestedTag some Myoclonic-absence-seizure) and (suggestedTag some Eyelid-myoclonia-seizure) + Unknown-onset-epileptic-seizure 2 Epileptic-seizure suggestedTag=Tonic-clonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Behavior-arrest-seizure A seizure of unknown onset may still evidence certain defining motor (e.g., tonic clonic) or nonmotor (e.g., behavior arrest) characteristics. With further information or future observed seizures, a reclassification of unknown-onset seizures into focal or generalized-onset categories may become possible. Therefore, “unknown-onset” is not a characteristic of the seizure, but a convenient placeholder for our ignorance. (Source: Fisher ea 2017, page 532; Suggested tags from Fisher ea 2017, Figure 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code III.) Epileptic-seizure and (suggestedTag some Tonic-clonic-seizure) and (suggestedTag some Epileptic-spasm) and (suggestedTag some Behavior-arrest-seizure) + Unclassified-epileptic-seizure 3 Unknown-onset-epileptic-seizure Referring to a seizure type that cannot be described by the ILAE 2017 classification either because of inadequate information or unusual clinical features. (Source: Fisher ea 2017, Table 2; Beniczky ea 2017, Supplement 1, ILAE seizure classification code III.C.01) + Electroencephalographic-seizure 1 Episode suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting Refers usually to non convulsive status. Ictal EEG: rhythmic discharge or spike and wave pattern with definite evolution in frequency, location, or morphology lasting at least 10 s; evolution in amplitude alone did not qualify. (Source: Beniczky ea 2013, Appendix S5; Beniczky ea 2017, Table 9.) Episode and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) + Seizure-PNES 1 Episode suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting Psychogenic non-epileptic seizure. Paroxysmal events that mimic (or are confused with) epileptic seizures, but which do not result from epileptic activity; they lack the EEG ictal features during the ictus. (Source: Beniczky ea 2013, Appendix S5; Beniczky ea 2017, Table 9.) Episode and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) + Sleep-related-episode 1 Episode suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting (Source: Beniczky ea 2017, Table 9.) Episode and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) + Sleep-related-arousal 2 Sleep-related-episode Normal arousal. (Source: Beniczky ea 2017, Table 9.) + Benign-sleep-myoclonus 2 Sleep-related-episode A distinctive disorder of sleep characterized by a) neonatal onset, b) rhythmic myoclonic jerks only during sleep and c) abrupt and consistent cessation with arousal, d) absence of concomitant electrographic changes suggestive of seizures, and e) good outcome. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) + Confusional-arousal 2 Sleep-related-episode Episode of non epileptic nature included in NREM parasomnias, characterized by sudden arousal and complex behavior but without full alertness, usually lasting a few minutes and occurring almost in all children at least occasionally. Amnesia of the episode is the rule. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) + Cataplexy 2 Sleep-related-episode suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting A sudden decrement in muscle tone and loss of deep tendon reflexes, leading to muscle weakness, paralysis, or postural collapse. Cataplexy usually is precipitated by an outburst of emotional expression-notably laughter, anger, or startle. It is one of the tetrad of symptoms of narcolepsy. During cataplexy, respiration and voluntary eye movements are not compromised. Consciousness is preserved. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) Sleep-related-episode and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) + Sleep-periodic-limb-movement 2 Sleep-related-episode PLMS. Periodic limb movement in sleep. Episodes are characterized by brief (0.5- to 5.0-second) lower-extremity movements during sleep, which typically occur at 20- to 40-second intervals, most commonly during the first 3 hours of sleep. The affected individual is usually not aware of the movements or of the transient partial arousals. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) + REM-sleep-behavioral-disorder 2 Sleep-related-episode REM sleep behavioral disorder. Episodes characterized by: a) presence of REM sleep without atonia (RSWA) on polysomnography (PSG); b) presence of at least 1 of the following conditions - (1) Sleep-related behaviors, by history, that have been injurious, potentially injurious, or disruptive (example: dream enactment behavior); (2) abnormal REM sleep behavior documented during PSG monitoring; (3) absence of epileptiform activity on electroencephalogram (EEG) during REM sleep (unless RBD can be clearly distinguished from any concurrent REM sleep-related seizure disorder); (4) sleep disorder not better explained by another sleep disorder, a medical or neurologic disorder, a mental disorder, medication use, or a substance use disorder. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) + Sleep-walking 2 Sleep-related-episode Episodes characterized by ambulation during sleep; the patient is difficult to arouse during an episode, and is usually amnesic following the episode. Episodes usually occur in the first third of the night during slow wave sleep. Polysomnographic recordings demonstrate 2 abnormalities during the first sleep cycle: frequent, brief, non-behavioral EEG-defined arousals prior to the somnambulistic episode and abnormally low gamma (0.75-2.0 Hz) EEG power on spectral analysis, correlating with high-voltage (hyper-synchronic gamma) waves lasting 10 to 15 s occurring just prior to the movement. This is followed by stage I NREM sleep, and there is no evidence of complete awakening. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) + Pediatric-episode 1 Episode suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting (Source: Beniczky ea 2017, Table 9.) Episode and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) + Hyperekplexia 2 Pediatric-episode Disorder characterized by exaggerated startle response and hypertonicity that may occur during the first year of life and in severe cases during the neonatal period. Children usually present with marked irritability and recurrent startles in response to handling and sounds. Severely affected infants can have severe jerks and stiffening, sometimes with breath-holding spells. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) + Jactatio-capitis-nocturna 2 Pediatric-episode Relatively common in normal children at the time of going to bed, especially during the first year of life, the rhythmic head movements persist during sleep. Usually, these phenomena disappear before 3 years of age. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) + Pavor-nocturnus 2 Pediatric-episode A nocturnal episode characterized by age of onset of less than five years (mean age 18 months, with peak prevalence at five to seven years), appearance of signs of panic two hours after falling asleep with crying, screams, a fearful expression, inability to recognize other people including parents (for a duration of 5-15 minutes), amnesia upon awakening. Pavor nocturnus occurs in patients almost every night for months or years (but the frequency is highly variable and may be as low as once a month) and is likely to disappear spontaneously at the age of six to eight years. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) + Pediatric-stereotypical-behavior-episode 2 Pediatric-episode Repetitive motor behavior in children, typically rhythmic and persistent; usually not paroxysmal and rarely suggest epilepsy. They include headbanging, head-rolling, jactatio capitis nocturna, body rocking, buccal or lingual movements, hand flapping and related mannerisms, repetitive hand-waving (to self-induce photosensitive seizures).(Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) + Paroxysmal-motor-event 1 Episode suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting Paroxysmal phenomena during neonatal or childhood periods characterized by recurrent motor or behavioral signs or symptoms that must be distinguished from epileptic disorders. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) Episode and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) + Syncope 1 Episode suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting Episode with loss of consciousness and muscle tone that is abrupt in onset, of short duration and followed by rapid recovery; it occurs in response to transient impairment of cerebral perfusion. Typical prodromal symptoms often herald onset of syncope and postictal symptoms are minimal. Syncopal convulsions resulting from cerebral anoxia are common but are not a form of epilepsy, nor are there any accompanying EEG ictal discharges. (Source: Beniczky ea 2017, Table 9; Beniczky ea 2013, Appendix S5.) Episode and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Episode-consciousness-affected) and (suggestedTag some Episode-awareness) and (suggestedTag some Episode-prodrome) and (suggestedTag some Episode-tongue-biting) + Other-episode 1 Episode requireChild + Other-episode-# 2 Other-episode takesValue, valueClass=textClass Free text. Other-episode and (valueClass some textClass) + Feature-property 0 HedTag Descriptive element similar to main HED /Property. Something that pertains to a thing. A characteristic of some entity. A quality or feature regarded as a characteristic or inherent part of someone or something. HED attributes are adjectives or adverbs. HedTag and (inHedSchema some ScoreSchema) + Signal-morphology-property 1 Feature-property Signal morphology attributes relevant to features of background, interictal or ictal activity. (Source: Beniczky ea 2017, Table 5, Table 8, Table 12.) + Rhythmic-property 2 Signal-morphology-property Rhythmic activity can be observed during background, interictal or ictal activity and HED-SCORE therefore describes this as an property/attribute. (Source: Beniczky ea 2017, Table 5, Table 12, Table 14.) + Delta-activity 3 Rhythmic-property suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude Rhythmic activity in the delta frequency range (under 4 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) Rhythmic-property and (suggestedTag some Feature-frequency) and (suggestedTag some Feature-amplitude) + Delta-activity-# 4 Delta-activity takesValue, valueClass=textClass Free text. Delta-activity and (valueClass some textClass) + Theta-activity 3 Rhythmic-property suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude Rhythmic activity in the theta frequency range (4-8 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) Rhythmic-property and (suggestedTag some Feature-frequency) and (suggestedTag some Feature-amplitude) + Theta-activity-# 4 Theta-activity takesValue, valueClass=textClass Free text. Theta-activity and (valueClass some textClass) + Alpha-activity 3 Rhythmic-property suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude Rhythmic activity in the alpha frequency range (8-13 Hz), but not a part of the posterior dominant rhythm. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) Rhythmic-property and (suggestedTag some Feature-frequency) and (suggestedTag some Feature-amplitude) + Alpha-activity-# 4 Alpha-activity takesValue, valueClass=textClass Free text. Alpha-activity and (valueClass some textClass) + Beta-activity 3 Rhythmic-property suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude Rhythmic activity in the beta frequency range (14-40 Hz). (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S2, S6.) Rhythmic-property and (suggestedTag some Feature-frequency) and (suggestedTag some Feature-amplitude) + Beta-activity-# 4 Beta-activity takesValue, valueClass=textClass Free text. Beta-activity and (valueClass some textClass) + Gamma-activity 3 Rhythmic-property suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude Rhythmic activity in the gamma frequency range. (Source: Beniczky ea 2017, Table 5.) Rhythmic-property and (suggestedTag some Feature-frequency) and (suggestedTag some Feature-amplitude) + Gamma-activity-# 4 Gamma-activity takesValue, valueClass=textClass Free text. Gamma-activity and (valueClass some textClass) + Polymorphic-delta-activity 3 Rhythmic-property EEG activity consisting of waves in the delta range (over 250 ms duration for each wave) but of different morphology. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Polymorphic-delta-activity-# 4 Polymorphic-delta-activity takesValue, valueClass=textClass Free text. Polymorphic-delta-activity and (valueClass some textClass) + Frontal-intermittent-rhythmic-delta-activity 3 Rhythmic-property Frontal intermittent rhythmic delta activity (FIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at 1.5-2.5 Hz over the frontal areas of one or both sides of the head. Comment: most commonly associated with unspecified encephalopathy, in adults. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Frontal-intermittent-rhythmic-delta-activity-# 4 Frontal-intermittent-rhythmic-delta-activity takesValue, valueClass=textClass Free text. Frontal-intermittent-rhythmic-delta-activity and (valueClass some textClass) + Occipital-intermittent-rhythmic-delta-activity 3 Rhythmic-property Occipital intermittent rhythmic delta activity (OIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at 2-3 Hz over the occipital or posterior head regions of one or both sides of the head. Frequently blocked or attenuated by opening the eyes. Comment: most commonly associated with unspecified encephalopathy, in children. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Occipital-intermittent-rhythmic-delta-activity-# 4 Occipital-intermittent-rhythmic-delta-activity takesValue, valueClass=textClass Free text. Occipital-intermittent-rhythmic-delta-activity and (valueClass some textClass) + Temporal-intermittent-rhythmic-delta-activity 3 Rhythmic-property Temporal intermittent rhythmic delta activity (TIRDA). Fairly regular or approximately sinusoidal waves, mostly occurring in bursts at over the temporal areas of one side of the head. Comment: most commonly associated with temporal lobe epilepsy. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Temporal-intermittent-rhythmic-delta-activity-# 4 Temporal-intermittent-rhythmic-delta-activity takesValue, valueClass=textClass Free text. Temporal-intermittent-rhythmic-delta-activity and (valueClass some textClass) + Spike 2 Signal-morphology-property A transient, clearly distinguished from background activity, with pointed peak at a conventional paper speed or time scale and duration from 20 to under 70 ms, i.e. 1/50-1/15 s approximately. Main component is generally negative relative to other areas. Amplitude varies. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Spike-# 3 Spike takesValue, valueClass=textClass Free text. Spike and (valueClass some textClass) + Spike-and-slow-wave 2 Signal-morphology-property A pattern consisting of a spike followed by a slow wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Spike-and-slow-wave-# 3 Spike-and-slow-wave takesValue, valueClass=textClass Free text. Spike-and-slow-wave and (valueClass some textClass) + Runs-of-rapid-spikes 2 Signal-morphology-property Bursts of spike discharges at a rate from 10 to 25/sec (in most cases somewhat irregular). The bursts last more than 2 seconds (usually 2 to 10 seconds) and the runs are typically seen in sleep. Synonyms: rhythmic spikes, generalized paroxysmal fast activity, fast paroxysmal rhythms, grand mal discharge, fast beta activity. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Runs-of-rapid-spikes-# 3 Runs-of-rapid-spikes takesValue, valueClass=textClass Free text. Runs-of-rapid-spikes and (valueClass some textClass) + Polyspikes 2 Signal-morphology-property Two or more consecutive spikes. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Polyspikes-# 3 Polyspikes takesValue, valueClass=textClass Free text. Polyspikes and (valueClass some textClass) + Polyspike-and-slow-wave 2 Signal-morphology-property Two or more consecutive spikes associated with one or more slow waves. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Polyspike-and-slow-wave-# 3 Polyspike-and-slow-wave takesValue, valueClass=textClass Free text. Polyspike-and-slow-wave and (valueClass some textClass) + Sharp-wave 2 Signal-morphology-property A transient clearly distinguished from background activity, with pointed peak at a conventional paper speed or time scale, and duration of 70-200 ms, i.e. over 1/4-1/5 s approximately. Main component is generally negative relative to other areas. Amplitude varies. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Sharp-wave-# 3 Sharp-wave takesValue, valueClass=textClass Free text. Sharp-wave and (valueClass some textClass) + Sharp-and-slow-wave 2 Signal-morphology-property A sequence of a sharp wave and a slow wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Sharp-and-slow-wave-# 3 Sharp-and-slow-wave takesValue, valueClass=textClass Free text. Sharp-and-slow-wave and (valueClass some textClass) + Slow-sharp-wave 2 Signal-morphology-property A transient that bears all the characteristics of a sharp-wave, but exceeds 200 ms. Synonym: blunted sharp wave. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Slow-sharp-wave-# 3 Slow-sharp-wave takesValue, valueClass=textClass Free text. Slow-sharp-wave and (valueClass some textClass) + High-frequency-oscillation 2 Signal-morphology-property High Frequency Oscillation (HFO). Oscillations with a frequency higher than 80 Hz. (Source: Wikipedia; Beniczky ea 2017, Table 5.) + High-frequency-oscillation-# 3 High-frequency-oscillation takesValue, valueClass=textClass Free text. High-frequency-oscillation and (valueClass some textClass) + Hypsarrhythmia-classic 2 Signal-morphology-property Pattern consisting of diffuse chaotic high voltage (more than 300 μV) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Hypsarrhythmia-classic-# 3 Hypsarrhythmia-classic takesValue, valueClass=textClass Free text. Hypsarrhythmia-classic and (valueClass some textClass) + Hypsarrhythmia-modified 2 Signal-morphology-property Pattern consisting of diffuse chaotic high voltage (more than 300 μV) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres. (Source: Beniczky ea 2017, Table 5; Beniczky ea 2013, Appendix S4.) + Hypsarrhythmia-modified-# 3 Hypsarrhythmia-modified takesValue, valueClass=textClass Free text. Hypsarrhythmia-modified and (valueClass some textClass) + Fast-spike-activity 2 Signal-morphology-property A burst consisting of a sequence of spikes. Duration greater than 1 s. Frequency at least in the alpha range. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) + Fast-spike-activity-# 3 Fast-spike-activity takesValue, valueClass=textClass Free text. Fast-spike-activity and (valueClass some textClass) + Low-voltage-fast-activity 2 Signal-morphology-property Refers to the fast, and often recruiting activity which can be recorded at the onset of an ictal discharge, particularly in invasive EEG recording of a seizure. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) + Low-voltage-fast-activity-# 3 Low-voltage-fast-activity takesValue, valueClass=textClass Free text. Low-voltage-fast-activity and (valueClass some textClass) + Polysharp-waves 2 Signal-morphology-property A sequence of two or more sharp-waves. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) + Polysharp-waves-# 3 Polysharp-waves takesValue, valueClass=textClass Free text. Polysharp-waves and (valueClass some textClass) + Slow-wave-large-amplitude 2 Signal-morphology-property Slow wave of large amplitude. (Source: Beniczky ea 2017, Table 12.) + Slow-wave-large-amplitude-# 3 Slow-wave-large-amplitude takesValue, valueClass=textClass Free text. Slow-wave-large-amplitude and (valueClass some textClass) + Irregular-delta-or-theta-activity 2 Signal-morphology-property EEG activity consisting of repetitive waves of inconsistent wave-duration but in delta and/or theta range (greater than 125 ms). (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) + Irregular-delta-or-theta-activity-# 3 Irregular-delta-or-theta-activity takesValue, valueClass=textClass Free text. Irregular-delta-or-theta-activity and (valueClass some textClass) + Electrodecremental-change 2 Signal-morphology-property Sudden desynchronization of electrical activity. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) + Electrodecremental-change-# 3 Electrodecremental-change takesValue, valueClass=textClass Free text. Electrodecremental-change and (valueClass some textClass) + DC-shift 2 Signal-morphology-property Shift of negative polarity of the direct current recordings, during seizures. (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) + DC-shift-# 3 DC-shift takesValue, valueClass=textClass Free text. DC-shift and (valueClass some textClass) + Disappearance-of-ongoing-activity 2 Signal-morphology-property Disappearance of the EEG activity that preceded the ictal event but still remnants of background activity (thus not enough to name it electrodecremental change). (Source: Beniczky ea 2017, Table 12; Beniczky ea 2013, Appendix S5.) + Disappearance-of-ongoing-activity-# 3 Disappearance-of-ongoing-activity takesValue, valueClass=textClass Free text. Disappearance-of-ongoing-activity and (valueClass some textClass) + RPP-morphology 2 Signal-morphology-property suggestedTag=Feature-amplitude Modifier terms for Rhythmic or Periodic Patterns in critically ill patients (RPPs). (Source: Beniczky ea 2017, Table 8.) Signal-morphology-property and (suggestedTag some Feature-amplitude) + RPP-with-superimposed-activity 3 RPP-morphology suggestedTag=Property-not-possible-to-determine Superimposed activity (for PDs and RDA). (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Property-not-possible-to-determine) + Superimposed-fast-activity 4 RPP-with-superimposed-activity suggestedTag=Feature-frequency Superimposed fast activity. (Source: Beniczky ea 2017, Table 8.) RPP-with-superimposed-activity and (suggestedTag some Feature-frequency) + Superimposed-fast-activity-# 5 Superimposed-fast-activity takesValue, valueClass=textClass Free text. Superimposed-fast-activity and (valueClass some textClass) + Superimposed-rhythmic-activity 4 RPP-with-superimposed-activity suggestedTag=Feature-frequency Superimposed rhythmic activity (for PDs only). (Source: Beniczky ea 2017, Table 8.) RPP-with-superimposed-activity and (suggestedTag some Feature-frequency) + Superimposed-rhythmic-activity-# 5 Superimposed-rhythmic-activity takesValue, valueClass=textClass Free text. Superimposed-rhythmic-activity and (valueClass some textClass) + Superimposed-sharp-waves-or-spikes 4 RPP-with-superimposed-activity Superimposed sharp waves or spikes (for RDA only). (Source: Beniczky ea 2017, Table 8.) + Superimposed-sharp-waves-or-spikes-# 5 Superimposed-sharp-waves-or-spikes takesValue, valueClass=textClass Free text. Superimposed-sharp-waves-or-spikes and (valueClass some textClass) + RPP-sharpness 3 RPP-morphology suggestedTag=Property-not-possible-to-determine Sharpness (for PDs and SW). (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Property-not-possible-to-determine) + RPP-spiky 4 RPP-sharpness Spiky (<70 ms, measured at the baseline). (Source: Beniczky ea 2017, Table 8.) + RPP-sharp 4 RPP-sharpness Sharp (70–200 ms). (Source: Beniczky ea 2017, Table 8.) + RPP-sharply-contoured 4 RPP-sharpness Sharply contoured. (Source: Beniczky ea 2017, Table 8.) + RPP-blunt 4 RPP-sharpness Blunt. (Source: Beniczky ea 2017, Table 8.) + Number-of-RPP-phases 3 RPP-morphology suggestedTag=Property-not-possible-to-determine, suggestedTag=Greater-than Number of phases (for PDs and SW): 1, 2 or 3. (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Greater-than) + Number-of-RPP-phases-# 4 Number-of-RPP-phases takesValue, valueClass=numericClass Number-of-RPP-phases and (valueClass some numericClass) + Triphasic-morphology 3 RPP-morphology Waves with three distinct phases (for PDs and SW). (Source: Beniczky ea 2017, Table 8.) + RPP-absolute-amplitude 3 RPP-morphology suggestedTag=Property-not-possible-to-determine, suggestedTag=Low, suggestedTag=Medium, suggestedTag=High Absolute amplitude (for PDs, RDA, SW). Can use suggested tags for amplitude range. Very low, (Feature-amplitude, (Less-than, (Feature-amplitude/20 uv))): less than 20 microV, Low: 20 to 49 microV, Medium: 50 to 199 microV, High: Greater than 200 microV. (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Low) and (suggestedTag some Medium) and (suggestedTag some High) + RPP-absolute-amplitude-# 4 RPP-absolute-amplitude takesValue, valueClass=numericClass, unitClass=electricPotentialUnits RPP-absolute-amplitude and (valueClass some numericClass) and (unitClass some electricPotentialUnits) + RPP-relative-amplitude 3 RPP-morphology suggestedTag=Property-not-possible-to-determine, suggestedTag=Less-than-or-equal-to, suggestedTag=Greater-than Relative amplitude (for PDs), should indicate if it's less than or equal to 2 or greater than 2. (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Less-than-or-equal-to) and (suggestedTag some Greater-than) + RPP-polarity 3 RPP-morphology suggestedTag=Positive, suggestedTag=Negative, suggestedTag=Property-not-possible-to-determine Polarity (for PDs and SW). (Source: Beniczky ea 2017, Table 8.) RPP-morphology and (suggestedTag some Positive) and (suggestedTag some Negative) and (suggestedTag some Property-not-possible-to-determine) + RPP-tangential-polarity 4 RPP-polarity Tangential/horizontal dipole. (Source: Beniczky ea 2017, Table 8.) + RPP-tangential-polarity-# 5 RPP-tangential-polarity takesValue, valueClass=textClass Free text. RPP-tangential-polarity and (valueClass some textClass) + Source-analysis-property 1 Feature-property In case source imaging is done, the results are scored at sublobar level: frontal (perisylvian-superior surface; lateral; mesial; polar; orbitofrontal), temporal (polar; basal, lateral-anterior; lateral-posterior; perisylvian-inferior surface), central (lateral convexity; mesial; central sulcus – anterior surface, central sulcus – posterior surface; opercular), parietal (lateral-convexity; mesial; opercular), occipital (lateral; mesial, basal) and insula. (Source: Beniczky ea 2017, Section 8.) + Source-analysis-property-# 2 Source-analysis-property takesValue, valueClass=textClass Free text. Source-analysis-property and (valueClass some textClass) + Location-property 1 Feature-property suggestedTag=Left, suggestedTag=Right, suggestedTag=Body-part Location can be scored for features. Semiologic feature can also be characterized by the somatotopic modifier (i.e. the part of the body where it occurs). In this respect, laterality (left, right, symmetric, asymmetric, left greater than right, right greater than left), body part (eyelid, face, arm, leg, trunk, visceral, left/right) and centricity (axial (trunk), proximal limb, distal limb). (Source: Beniczky ea 2017, Sections 8 and 10) Feature-property and (suggestedTag some Left) and (suggestedTag some Right) and (suggestedTag some Body-part) + Sensors 2 Location-property requireChild Lists all corresponding sensors (electrodes/channels in montage). The sensor-group is selected from a list defined in the site-settings for each EEG-lab. + Sensors-# 3 Sensors takesValue, valueClass=textClass Free text. Sensors and (valueClass some textClass) + Feature-propagation 2 Location-property suggestedTag=Body-part, suggestedTag=Sensors When propagation within the graphoelement is observed, first the location of the onset region is scored. Then, the location of the propagation can be noted. Location-property and (suggestedTag some Body-part) and (suggestedTag some Sensors) + Feature-propagation-# 3 Feature-propagation takesValue, valueClass=textClass Free text. Feature-propagation and (valueClass some textClass) + Multifocal-feature 2 Location-property suggestedTag=Property-not-possible-to-determine When the same interictal graphoelement is observed bilaterally and at least in three independent locations, can score them using one entry, and choosing multifocal as a descriptor of the locations of the given interictal graphoelements, optionally emphasizing the involved, and the most active sites. Location-property and (suggestedTag some Property-not-possible-to-determine) + Multifocal-feature-# 3 Multifocal-feature takesValue, valueClass=textClass Free text. Multifocal-feature and (valueClass some textClass) + Modulators-property 1 Feature-property For each described graphoelement, the influence of the modulators can be scored. Only modulators present in the recording are scored. (Source: Beniczky ea 2017, Section 10.) + Modulators-reactivity 2 Modulators-property suggestedTag=Modulator, suggestedTag=Feature-stopped-by, suggestedTag=Increasing, suggestedTag=Decreasing Susceptibility of individual rhythms or the EEG as a whole to change following sensory stimulation or other physiologic actions (Source: Beniczky ea 2013, Appendix S2). The type of stimulus can be a modulator or can be specified in free-text. Modulators-property and (suggestedTag some Modulator) and (suggestedTag some Feature-stopped-by) and (suggestedTag some Increasing) and (suggestedTag some Decreasing) + Modulators-reactivity-# 3 Modulators-reactivity takesValue, valueClass=textClass Free text. Modulators-reactivity and (valueClass some textClass) + Facilitating-factor 2 Modulators-property suggestedTag=Catamenial, suggestedTag=Fever, suggestedTag=Intoxicated, suggestedTag=Awake, suggestedTag=Asleep, suggestedTag=Sleep-deprivation The facilitating factors (if known) can be selected: alcohol (Suggested tag: Intoxicated), awakening, catamenial, fever, sleep, sleep-deprivation, other (free text). Facilitating factors are defined as transient and sporadic endogenous or exogenous elements capable of augmenting seizure incidence (increasing the likelihood of seizure occurrence). (Source: Beniczky ea 2013.) Modulators-property and (suggestedTag some Catamenial) and (suggestedTag some Fever) and (suggestedTag some Intoxicated) and (suggestedTag some Awake) and (suggestedTag some Asleep) and (suggestedTag some Sleep-deprivation) + Other-facilitating-factor 3 Facilitating-factor + Other-facilitating-factor-# 4 Other-facilitating-factor takesValue, valueClass=textClass Free text. Other-facilitating-factor and (valueClass some textClass) + Provocative-factor 2 Modulators-property suggestedTag=Hyperventilation Provocative factors are defined as transient and sporadic endogenous or exogenous elements capable of evoking/triggering seizures immediately following the exposure to it. (Source: Beniczky ea 2013.) Modulators-property and (suggestedTag some Hyperventilation) + Reflex-provoked 3 Provocative-factor + Reflex-provoked-# 4 Reflex-provoked takesValue, valueClass=textClass Free text. Reflex-provoked and (valueClass some textClass) + Other-provocative-factor 3 Provocative-factor + Other-provocative-factor-# 4 Other-provocative-factor takesValue, valueClass=textClass Free text. Other-provocative-factor and (valueClass some textClass) + Intermittent-photic-stimulation-effect 2 Modulators-property suggestedTag=Normal The effect of Intermittent Photic Stimulation (IPS) is scored according to the terminology proposed by Kasteleijn-Nolst Trenité ea (2001). (Source: Beniczky ea 2017.) Modulators-property and (suggestedTag some Normal) + Posterior-stimulus-dependent-response 3 Intermittent-photic-stimulation-effect suggestedTag=Feature-frequency Anomalous steady-state VEPs, of unusually sharp waveform or high amplitude. Some types have clinical correlates, for instance, occipital spikes after suppression of generalized PPR by medication and high-amplitude VEPs in neuronal ceroid lipofuscinosis. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Feature-frequency) + Posterior-stimulus-independent-response-limited 3 Intermittent-photic-stimulation-effect suggestedTag=Feature-frequency Limited to the stimulus train: Activity confined to or maximal at the back of the head and not at the flash frequency or at a harmonic thereof. The term includes delta and theta activity and frank epileptiform patterns. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Feature-frequency) + Posterior-stimulus-independent-response-self-sustained 3 Intermittent-photic-stimulation-effect suggestedTag=Feature-frequency Self-sustaining: Self-sustaining posterior stimulus-independent responses that outlast the stimulus train. These often last many seconds and may evolve to an overt seizure. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Feature-frequency) + Generalized-photoparoxysmal-response-limited 3 Intermittent-photic-stimulation-effect suggestedTag=Feature-frequency Limited to the stimulus train: Comprises multiple spikes or spike-and-wave activity, which are apparently generalized, but may be of greater amplitude at the front or back of the head. It is termed a photoconvulsive response (PCR) by Bickford et al., and corresponds to type 4 response of Waltz et al. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Feature-frequency) + Generalized-photoparoxysmal-response-self-sustained 3 Intermittent-photic-stimulation-effect suggestedTag=Feature-frequency Self-sustaining: Generalized PPR continuing after stimulation. This may not be demonstrated unless the stimulus train is terminated as soon as a generalized PPR is identified. It was termed prolonged photoconvulsive response by Reilly and Peters, and has a strong association with epilepsy and visually induced seizures in patients referred for clinical EEG examination. Its prevalence in asymptomatic general populations is unknown, but was found in five of 13,658 apparently healthy aircrew by Gregory et al. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Feature-frequency) + Activation-of-pre-existing-epileptogenic-area 3 Intermittent-photic-stimulation-effect suggestedTag=Feature-frequency Rarely, photic stimulation may activate an epileptogenic cortex, which is also spontaneously active; IPS could then also elicit a seizure by stimulating this, usually posterior located, area. It is questionable whether this should be considered a photoparoxysmal response (PPR), and it does not figure in established classifications. (Source: Trenité ea 2001; Beniczky ea 2017, Table 7.) Intermittent-photic-stimulation-effect and (suggestedTag some Feature-frequency) + Time-related-property 1 Feature-property Estimates of how often a graphoelement is seen in the recording. (Source: Beniczky ea 2017, Table 6, Table 8.) + Appearance-mode 2 Time-related-property suggestedTag=Property-not-possible-to-determine, suggestedTag=Random, suggestedTag=Repetitive, suggestedTag=Varying Describes how the non-ictal EEG pattern/graphoelement is distributed through the recording. Occurrence of the non-ictal EEG pattern / graphoelement can be Random, Repetitive or Varying. Random: occurring without any rhythmicity / periodicity, Repetitive: occurring at an approximately regular rate / interval (generally of 1 to several seconds). Variable: occurring sometimes rhythmic or periodic, other times random, throughout the recording. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) Time-related-property and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Random) and (suggestedTag some Repetitive) and (suggestedTag some Varying) + Appearance-mode-# 3 Appearance-mode takesValue, valueClass=textClass Free text. Appearance-mode and (valueClass some textClass) + Discharge-pattern 2 Time-related-property Describes the organization of the EEG signal within the discharge (distinguish between single and repetitive discharges). (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) + Single-discharge 3 Discharge-pattern suggestedTag=Feature-incidence Applies to the intra-burst pattern: a graphoelement that is not repetitive; before and after the graphoelement one can distinguish the background activity. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) Discharge-pattern and (suggestedTag some Feature-incidence) + Rhythmic-trains-or-bursts 3 Discharge-pattern suggestedTag=Feature-prevalence, suggestedTag=Feature-frequency Applies to the intra-burst pattern: a non-ictal graphoelement that repeats itself without returning to the background activity between them. The graphoelements within this repetition occur at approximately constant period. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) Discharge-pattern and (suggestedTag some Feature-prevalence) and (suggestedTag some Feature-frequency) + Arrhythmic-trains-or-bursts 3 Discharge-pattern suggestedTag=Feature-prevalence Applies to the intra-burst pattern: a non-ictal graphoelement that repeats itself without returning to the background activity between them. The graphoelements within this repetition occur at inconstant period. (Source: Beniczky ea 2017, Table 6; Beniczky ea 2013, Appendix 4.) Discharge-pattern and (suggestedTag some Feature-prevalence) + Fragmented-discharge 3 Discharge-pattern Source: Beniczky ea 2017, Table 6. + RPP-time-related-feature 2 Time-related-property Time related feature for Rhythmic or Periodic Patterns in critically ill patients (RPPs). (Source: Beniczky ea 2017, Table 8.) + RPP-duration 3 RPP-time-related-feature Duration (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.) + Very-brief-RPP-duration 4 RPP-duration Less than 10 sec. (Source: Beniczky ea 2017, Table 8.) + Brief-RPP-duration 4 RPP-duration 10 to 59 sec. (Source: Beniczky ea 2017, Table 8.) + Intermediate-RPP-duration 4 RPP-duration 1 to 4.9 min. (Source: Beniczky ea 2017, Table 8.) + Long-RPP-duration 4 RPP-duration 5 to 59 min. (Source: Beniczky ea 2017, Table 8.) + Very-long-RPP-duration 4 RPP-duration Greater than 1 hour. (Source: Beniczky ea 2017, Table 8.) + RPP-onset 3 RPP-time-related-feature Onset (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.) + Sudden-RPP-onset 4 RPP-onset Sudden (progressing from absent to well developed within 3 s.). (Source: Beniczky ea 2017, Table 8.) + Gradual-RPP-onset 4 RPP-onset Gradual onset. (Source: Beniczky ea 2017, Table 8.) + RPP-dynamics 3 RPP-time-related-feature Dynamics (for PDs, RDA and SW). The suggestedTag Property-not-possible-to-determine may be used if it is not possible to determine. (Source: Beniczky ea 2017, Table 8.) + Evolving-RPP-dynamics 4 RPP-dynamics Source: Beniczky ea 2017, Table 8. + Evolving-RPP-dynamics-# 5 Evolving-RPP-dynamics takesValue, valueClass=textClass Free text. Evolving-RPP-dynamics and (valueClass some textClass) + Fluctuating-RPP-dynamics 4 RPP-dynamics Source: Beniczky ea 2017, Table 8. + Fluctuating-RPP-dynamics-# 5 Fluctuating-RPP-dynamics takesValue, valueClass=textClass Free text. Fluctuating-RPP-dynamics and (valueClass some textClass) + Static-RPP-dynamics 4 RPP-dynamics Source: Beniczky ea 2017, Table 8. + Static-RPP-dynamics-# 5 Static-RPP-dynamics takesValue, valueClass=textClass Free text. Static-RPP-dynamics and (valueClass some textClass) + Feature-incidence 2 Time-related-property Estimate of how often features are seen in the recording. This is scored differently, depending on the type of feature. For single discharges, this is scored as incidence (how often it occurs/time-epoch). (Source: Beniczky ea 2017, Section 8, Table 6.) + One-time-incidence 3 Feature-incidence Source: Beniczky ea 2017, Table 6. + Rare-feature-incidence 3 Feature-incidence Less than 1/h. (Source: Beniczky ea 2017, Table 6.) + Uncommon-feature-incidence 3 Feature-incidence 1/5 min to 1/h. (Source: Beniczky ea 2017, Table 6.) + Occasional-feature-incidence 3 Feature-incidence 1/min to 1/5min. (Source: Beniczky ea 2017, Table 6.) + Frequent-feature-incidence 3 Feature-incidence 1/10 s to 1/min. (Source: Beniczky ea 2017, Table 6.) + Abundant-feature-incidence 3 Feature-incidence Greater than 1/10 s. (Source: Beniczky ea 2017, Table 6.) + Feature-prevalence 2 Time-related-property Estimate of how often features are seen in the recording. This is scored differently, depending on the type of feature. For trains or bursts this is scored as prevalence (the percentage of the recording covered by the train/burst). (Source: Beniczky ea 2017, Section 8, Table 6, Table 8.) + Rare-prevalence 3 Feature-prevalence Less than 1 percent. (Source: Beniczky ea 2017, Table 6, Table 8). + Occasional-prevalence 3 Feature-prevalence 1 to 9 percent. (Source: Beniczky ea 2017, Table 6, Table 8) + Frequent-prevalence 3 Feature-prevalence 10 to 49 percent. (Source: Beniczky ea 2017, Table 6, Table 8) + Abundant-prevalence 3 Feature-prevalence 50 to 89 percent. (Source: Beniczky ea 2017, Table 6, Table 8) + Continuous-prevalence 3 Feature-prevalence Greater than 90 percent. (Source: Beniczky ea 2017, Table 6, Table 8) + Posterior-dominant-rhythm-property 1 Feature-property suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude Posterior dominant rhythm is the most often scored EEG feature in clinical practice. Therefore, there are specific terms that can be chosen for characterizing the PDR. Note that frequency and amplitude can be further described to be symmetrical or asymmetrical. (Source: Beniczky ea 2017, Section 6, Table 4.) Feature-property and (suggestedTag some Feature-frequency) and (suggestedTag some Feature-amplitude) + Posterior-dominant-rhythm-amplitude-range 2 Posterior-dominant-rhythm-property suggestedTag=Low, suggestedTag=Medium, suggestedTag=High Low: less than 20 microV, Medium: 20 to 70 microVSource, High: more than 70 microV. (Source: Beniczky ea 2017, Table 4.) Posterior-dominant-rhythm-property and (suggestedTag some Low) and (suggestedTag some Medium) and (suggestedTag some High) + Posterior-dominant-rhythm-eye-opening-reactivity 2 Posterior-dominant-rhythm-property suggestedTag=Property-not-possible-to-determine, suggestedTag=Left, suggestedTag=Right Change (disappearance or measurable decrease in amplitude) of a posterior dominant rhythm following eye-opening. Eye closure has the opposite effect. (Source: Beniczky ea 2013, Appendix S2; Beniczky ea 2017, Table 4.) Posterior-dominant-rhythm-property and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Left) and (suggestedTag some Right) + Posterior-dominant-rhythm-organization 2 Posterior-dominant-rhythm-property suggestedTag=Normal Posterior dominant rhythm organization. When normal could be labeled with suggested tag. (Source: Beniczky ea 2017, Table 4.) Posterior-dominant-rhythm-property and (suggestedTag some Normal) + Posterior-dominant-rhythm-organization-poorly-organized 3 Posterior-dominant-rhythm-organization Poorly organized. (Source: Beniczky ea 2017, Table 4.) + Posterior-dominant-rhythm-organization-disorganized 3 Posterior-dominant-rhythm-organization Disorganized. (Source: Beniczky ea 2017, Table 4.) + Posterior-dominant-rhythm-organization-markedly-disorganized 3 Posterior-dominant-rhythm-organization Markedly disorganized. (Source: Beniczky ea 2017, Table 4.) + Posterior-dominant-rhythm-caveat 2 Posterior-dominant-rhythm-property suggestedTag=None, suggestedTag=Eyes-open, suggestedTag=Sleep-deprivation, suggestedTag=Drowsy, suggestedTag=Hyperventilation Caveats for PDR annotation, use suggestedTags to indicate whether there were: no caveats, only open eyes during the recording, sleep-deprived, drowsy or only following hyperventilation. (Source: Beniczky ea 2017, Table 4.) Posterior-dominant-rhythm-property and (suggestedTag some None) and (suggestedTag some Eyes-open) and (suggestedTag some Sleep-deprivation) and (suggestedTag some Drowsy) and (suggestedTag some Hyperventilation) + Absence-of-posterior-dominant-rhythm 2 Posterior-dominant-rhythm-property suggestedTag=Data-artifact, suggestedTag=Asleep Reason for absence of PDR. (Source: Beniczky ea 2017, Table 4.) Posterior-dominant-rhythm-property and (suggestedTag some Data-artifact) and (suggestedTag some Asleep) + Absence-of-posterior-dominant-rhythm-extreme-low-voltage 3 Absence-of-posterior-dominant-rhythm Source: Beniczky ea 2017, Table 4. + Absence-of-posterior-dominant-rhythm-eye-closure-could-not-be-achieved 3 Absence-of-posterior-dominant-rhythm Source: Beniczky ea 2017, Table 4. + Absence-of-posterior-dominant-rhythm-lack-of-compliance 3 Absence-of-posterior-dominant-rhythm Source: Beniczky ea 2017, Table 4. + Absence-of-posterior-dominant-rhythm-other-causes 3 Absence-of-posterior-dominant-rhythm requireChild Source: Beniczky ea 2017, Table 4. + Absence-of-posterior-dominant-rhythm-other-causes-# 4 Absence-of-posterior-dominant-rhythm-other-causes takesValue, valueClass=textClass Free text. Absence-of-posterior-dominant-rhythm-other-causes and (valueClass some textClass) + Episode-property 1 Feature-property Episode property pertains to the set of characteristics that collectively depict different aspects of an episode, encompassing its manifestations and phases. + Seizure-classification 2 Episode-property Seizure classification refers to the grouping of seizures based on their clinical features, EEG patterns, and other characteristics. Epileptic seizures are named using the current ILAE seizure classification (Fisher et al., 2017, Beniczky et al., 2017). + Myoclonic-seizure 3 Seizure-classification suggestedTag=Duration Sudden, brief (lower than 100 msec) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). Myoclonus is less regularly repetitive and less sustained than is clonus. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.) Seizure-classification and (suggestedTag some Duration) + Negative-myoclonic-seizure 3 Seizure-classification suggestedTag=Duration Source: Beniczky ea 2017, Supplement 1; Duration tag from Beniczky ea Table 13. Seizure-classification and (suggestedTag some Duration) + Motor-seizure 3 Seizure-classification suggestedTag=Duration Involves musculature in any form. The motor event could consist of an increase (positive) or decrease (negative) in muscle contraction to produce a movement. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.) Seizure-classification and (suggestedTag some Duration) + Clonic-seizure 4 Motor-seizure Jerking, either symmetric or asymmetric, that is regularly repetitive and involves the same muscle groups. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Tonic-seizure 4 Motor-seizure A sustained increase in muscle contraction lasting a few seconds to minutes. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Atonic-seizure 4 Motor-seizure Sudden loss or diminution of muscle tone without apparent preceding myoclonic or tonic event lasting about 1 to 2 s, involving head, trunk, jaw, or limb musculature. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Myoclonic-atonic-seizure 4 Motor-seizure A generalized seizure type with a myoclonic jerk leading to an atonic motor component. This type was previously called myoclonic astatic. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Myoclonic-tonic-clonic-seizure 4 Motor-seizure One or a few jerks of limbs bilaterally, followed by a tonic clonic seizure. The initial jerks can be considered to be either a brief period of clonus or myoclonus. Seizures with this characteristic are common in juvenile myoclonic epilepsy. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Tonic-clonic-seizure 4 Motor-seizure A sequence consisting of a tonic followed by a clonic phase. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Automatism-seizure 4 Motor-seizure A more or less coordinated motor activity usually occurring when cognition is impaired and for which the subject is usually (but not always) amnesic afterward. This often resembles a voluntary movement and may consist of an inappropriate continuation of preictal motor activity. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Hyperkinetic-seizure 4 Motor-seizure (Source: Fisher ea 2017, Table 2.) + Epileptic-spasm 4 Motor-seizure A sudden flexion, extension, or mixed extension flexion of predominantly proximal and truncal muscles that is usually more sustained than a myoclonic movement but not as sustained as a tonic seizure. Limited forms may occur: Grimacing, head nodding, or subtle eye movements. Epileptic spasms frequently occur in clusters. Infantile spasms are the best known form, but spasms can occur at all ages. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Nonmotor-seizure 3 Seizure-classification suggestedTag=Duration Focal or generalized seizure types in which motor activity is not prominent. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.) Seizure-classification and (suggestedTag some Duration) + Behavior-arrest-seizure 4 Nonmotor-seizure Arrest (pause) of activities, freezing, immobilization, as in behavior arrest seizure. A focal behavior arrest seizure shows arrest of behavior as the prominent feature of the entire seizure. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017.) + Sensory-seizure 4 Nonmotor-seizure A perceptual experience not caused by appropriate stimuli in the external world. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Emotional-seizure 4 Nonmotor-seizure Seizures presenting with an emotion or the appearance of having an emotion as an early prominent feature, such as fear, spontaneous joy or euphoria, laughing (gelastic), or crying (dacrystic). Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Cognitive-seizure 4 Nonmotor-seizure Pertaining to thinking and higher cortical functions, such as language, spatial perception, memory, and praxis. The previous term for similar usage as a seizure type was psychic. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Autonomic-seizure 4 Nonmotor-seizure A distinct alteration of autonomic nervous system function involving cardiovascular, pupillary, gastrointestinal, sudomotor, vasomotor, and thermoregulatory functions. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Absence-seizure 3 Seizure-classification suggestedTag=Duration Absence seizures present with a sudden cessation of activity and awareness. Absence seizures tend to occur in younger age groups, have more sudden start and termination, and they usually display less complex automatisms than do focal seizures with impaired awareness, but the distinctions are not absolute. EEG information may be required for accurate classification. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2; Duration tag from Beniczky ea Table 13.) Seizure-classification and (suggestedTag some Duration) + Typical-absence-seizure 4 Absence-seizure A sudden onset, interruption of ongoing activities, a blank stare, possibly a brief upward deviation of the eyes. Usually the patient will be unresponsive when spoken to. Duration is a few seconds to half a minute with very rapid recovery. Although not always available, an EEG would show generalized epileptiform discharges during the event. An absence seizure is by definition a seizure of generalized onset. The word is not synonymous with a blank stare, which also can be encountered with focal onset seizures. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Atypical-absence-seizure 4 Absence-seizure An absence seizure with changes in tone that are more pronounced than in typical absence or the onset and/or cessation is not abrupt, often associated with slow, irregular, generalized spike-wave activity. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Myoclonic-absence-seizure 4 Absence-seizure A myoclonic absence seizure refers to an absence seizure with rhythmic three-per-second myoclonic movements, causing ratcheting abduction of the upper limbs leading to progressive arm elevation, and associated with three-per-second generalized spike-wave discharges. Duration is typically 10 to 60 s. Impairment of consciousness may not be obvious. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, page 536.) + Eyelid-myoclonia-seizure 4 Absence-seizure Jerking of the eyelids at frequencies of at least 3 per second, commonly with upward eye deviation, usually lasting <10 s, often precipitated by eye closure. There may or may not be associated brief loss of awareness. Definition from ILAE 2017 Classification of Seizure Types Expanded Version. (Source: Fisher ea 2017, Table 2.) + Seizure-semiology 2 Episode-property suggestedTag=None, suggestedTag=Duration Seizure semiology refers to the clinical signs and sympoms that are observed during a seizure. Semiology is described according to the ILAE Glossary of Descriptive Terminology for Ictal Semiology (Blume et al., 2001). Besides the name, the semiologic feature can also be characterized by the somatotopic modifier, laterality, body part and centricity. Uses Location-property tags. (Source: Beniczky ea 2017, Section 10; Duration tag from Beniczky ea Table 13.) Episode-property and (suggestedTag some None) and (suggestedTag some Duration) + Semiology-motor-behavioral-arrest 3 Seizure-semiology suggestedTag=Categorical-location-value, suggestedTag=Body-part Interruption of ongoing motor activity or of ongoing behaviors with fixed gaze, without movement of the head or trunk (oro-alimentary and hand automatisms may continue). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Seizure-semiology and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-dyscognitive 3 Seizure-semiology The term describes events in which (1) disturbance of cognition is the predominant or most apparent feature, and (2a) two or more of the following components are involved, or (2b) involvement of such components remains undetermined. Otherwise, use the more specific term (e.g., mnemonic experiential seizure or hallucinatory experiential seizure). Components of cognition: ++ perception: symbolic conception of sensory information ++ attention: appropriate selection of a principal perception or task ++ emotion: appropriate affective significance of a perception ++ memory: ability to store and retrieve percepts or concepts ++ executive function: anticipation, selection, monitoring of consequences, and initiation of motor activity including praxis, speech. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-elementary-motor 3 Seizure-semiology A single type of contraction of a muscle or group of muscles that is usually stereotyped and not decomposable into phases. However, see tonic-clonic, an elementary motor sequence. (Source: Blume ea 2001, 1.1; Beniczky ea 2017, Table 10.) + Semiology-myoclonic-jerk 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Characterized by myoclonus. MYOCLONUS : sudden, brief (lower than 100 ms) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-negative-myoclonus 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Characterized by negative myoclonus. NEGATIVE MYOCLONUS: interruption of tonic muscular activity for lower than 500 ms without evidence of preceding myoclonia. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-clonic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Myoclonus that is regularly repetitive, involves the same muscle groups, at a frequency of about 2 to 3 c/s, and is prolonged. Synonym: rhythmic myoclonus. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-jacksonian-march 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Term indicating spread of clonic movements through contiguous body parts unilaterally. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-epileptic-spasm 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part A sudden flexion, extension, or mixed extension flexion of predominantly proximal and truncal muscles that is usually more sustained than a myoclonic movement but not so sustained as a tonic seizure (i.e., about 1 s). Limited forms may occur: grimacing, head nodding. Frequent occurrence in clusters. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-tonic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part A sustained increase in muscle contraction lasting a few seconds to minutes. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-dystonic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Sustained contractions of both agonist and antagonist muscles producing athetoid or twisting movements, which, when prolonged, may produce abnormal postures. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-postural 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Adoption of a posture that may be bilaterally symmetric or asymmetric (as in a fencing posture). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-versive 4 Semiology-elementary-motor suggestedTag=Body-part A sustained, forced conjugate ocular, cephalic, and/or truncal rotation or lateral deviation from the midline. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Body-part) + Semiology-tonic-clonic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part A sequence consisting of a tonic followed by a clonic phase. Variants such as clonic-tonic-clonic may be seen. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-tonic-clonic-without-figure-of-four 5 Semiology-tonic-clonic Without figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-tonic-clonic-with-figure-of-four-extension-left-elbow 5 Semiology-tonic-clonic With figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-tonic-clonic-with-figure-of-four-extension-right-elbow 5 Semiology-tonic-clonic With figure of four: Asymmetry of limb posture during the tonic phase of a GTC: one arm is rigidly extended at the elbow (often with the fist clenched tightly and flexed at the wrist), whereas the opposite arm is flexed at the elbow. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-astatic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Loss of erect posture that results from an atonic, myoclonic, or tonic mechanism. Synonym: drop attack. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-atonic 4 Semiology-elementary-motor suggestedTag=Categorical-location-value, suggestedTag=Body-part Sudden loss or diminution of muscle tone without apparent preceding myoclonic or tonic event lasting greater or equal to 1 to 2 s, involving head, trunk, jaw, or limb musculature. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-elementary-motor and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-eye-blinking 4 Semiology-elementary-motor suggestedTag=Categorical-location-value Source: Beniczky ea 2017, Table 10. Semiology-elementary-motor and (suggestedTag some Categorical-location-value) + Semiology-subtle-motor-phenomena 4 Semiology-elementary-motor requireChild, suggestedTag=Categorical-location-value Source: Beniczky ea 2017, Table 10. Semiology-elementary-motor and (suggestedTag some Categorical-location-value) + Semiology-subtle-motor-phenomena-# 5 Semiology-subtle-motor-phenomena takesValue, valueClass=textClass Free text. Semiology-subtle-motor-phenomena and (valueClass some textClass) + Semiology-other-elementary-motor 4 Semiology-elementary-motor requireChild + Semiology-other-elementary-motor-# 5 Semiology-other-elementary-motor takesValue, valueClass=textClass Free text. Semiology-other-elementary-motor and (valueClass some textClass) + Semiology-automatisms 3 Seizure-semiology A more or less coordinated, repetitive, motor activity usually occurring when cognition is impaired and for which the subject is usually amnesic afterward. This often resembles a voluntary movement and may consist of an inappropriate continuation of ongoing preictal motor activity. (Source: Beniczky ea 2017, Table 10; Fisher ea 2017, Table 2.) + Semiology-mimetic 4 Semiology-automatisms Facial expression suggesting an emotional state, often fear. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-oroalimentary 4 Semiology-automatisms Lip smacking, lip pursing, chewing, licking, tooth grinding, or swallowing. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-dacrystic 4 Semiology-automatisms Bursts of crying. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-manual 4 Semiology-automatisms suggestedTag=Categorical-location-value 1. Indicates principally distal components, bilateral or unilateral. 2. Fumbling, tapping, manipulating movements. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-automatisms and (suggestedTag some Categorical-location-value) + Semiology-gestural 4 Semiology-automatisms suggestedTag=Categorical-location-value Semipurposive, asynchronous hand movements. Often unilateral. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-automatisms and (suggestedTag some Categorical-location-value) + Semiology-hypermotor 4 Semiology-automatisms suggestedTag=Categorical-location-value, suggestedTag=Body-part 1. Involves predominantly proximal limb or axial muscles producing irregular sequential ballistic movements, such as pedaling, pelvic thrusting, thrashing, rocking movements. 2. Increase in rate of ongoing movements or inappropriately rapid performance of a movement. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-automatisms and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-hypokinetic 4 Semiology-automatisms suggestedTag=Categorical-location-value, suggestedTag=Body-part A decrease in amplitude and/or rate or arrest of ongoing motor activity. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-automatisms and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-gelastic 4 Semiology-automatisms Bursts of laughter or giggling, usually without an appropriate affective tone. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-other-automatisms 4 Semiology-automatisms requireChild Source: Beniczky ea 2017, Table 10. + Semiology-other-automatisms-# 5 Semiology-other-automatisms takesValue, valueClass=textClass Free text. Semiology-other-automatisms and (valueClass some textClass) + Semiology-sensory 3 Seizure-semiology A perceptual experience not caused by appropriate stimuli in the external world. Modifies seizure or aura. (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 2.2.) + Semiology-headache 4 Semiology-sensory suggestedTag=Categorical-location-value Headache occurring in close temporal proximity to the seizure or as the sole seizure manifestation. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-sensory and (suggestedTag some Categorical-location-value) + Semiology-visual 4 Semiology-sensory suggestedTag=Categorical-location-value Flashing or flickering lights, spots, simple patterns, scotomata, or amaurosis. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-sensory and (suggestedTag some Categorical-location-value) + Semiology-auditory 4 Semiology-sensory suggestedTag=Categorical-location-value Buzzing, drumming sounds or single tones. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-sensory and (suggestedTag some Categorical-location-value) + Semiology-olfactory 4 Semiology-sensory Source: Beniczky ea 2017, Table 10. + Semiology-gustatory 4 Semiology-sensory Taste sensations including acidic, bitter, salty, sweet, or metallic. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-epigastric 4 Semiology-sensory Abdominal discomfort including nausea, emptiness, tightness, churning, butterflies, malaise, pain, and hunger; sensation may rise to chest or throat. Some phenomena may reflect ictal autonomic dysfunction. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-somatosensory 4 Semiology-sensory suggestedTag=Categorical-location-value, suggestedTag=Body-part Tingling, numbness, electric-shock sensation, sense of movement or desire to move. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-sensory and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Semiology-autonomic-sensation 4 Semiology-sensory Viscerosensitive. A sensation consistent with involvement of the autonomic nervous system, including cardiovascular, gastrointestinal, sudomotor, vasomotor, and thermoregulatory functions. (Thus autonomic aura; cf. autonomic events 3.0/Semiology-autonomic). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5; Blume ea 2001, 2.2.1.8.) + Semiology-sensory-other 4 Semiology-sensory requireChild Source: Beniczky ea 2017, Table 10. + Semiology-sensory-other-# 5 Semiology-sensory-other takesValue, valueClass=textClass Free text. Semiology-sensory-other and (valueClass some textClass) + Semiology-experiential 3 Seizure-semiology Affective, mnemonic, or composite perceptual phenomena including illusory or composite hallucinatory events; these may appear alone or in combination. Included are feelings of depersonalization. These phenomena have subjective qualities similar to those experienced in life but are recognized by the subject as occurring outside of actual context. (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 2.2.2.) + Semiology-affective-emotional 4 Semiology-experiential Components include fear, depression, joy, and (rarely) anger. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-hallucinatory 4 Semiology-experiential Composite perceptions without corresponding external stimuli involving visual, auditory, somatosensory, olfactory, and/or gustatory phenomena. Example: hearing and seeing people talking. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-illusory 4 Semiology-experiential An alteration of actual percepts involving the visual, auditory, somatosensory, olfactory, or gustatory systems. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-mnemonic 4 Semiology-experiential suggestedTag=Familiar, suggestedTag=Unfamiliar Components that reflect ictal dysmnesia such as feelings of familiarity (deja-vu) and unfamiliarity (jamais-vu). Use suggested tags to indicate Familiar (deja-vu) or Unfamiliar (jamais-vu). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-experiential and (suggestedTag some Familiar) and (suggestedTag some Unfamiliar) + Semiology-experiential-other 4 Semiology-experiential requireChild Source: Beniczky ea 2017, Table 10. + Semiology-experiential-other-# 5 Semiology-experiential-other takesValue, valueClass=textClass Free text. Semiology-experiential-other and (valueClass some textClass) + Semiology-language 3 Seizure-semiology Source: Beniczky ea 2017, Table 10. + Semiology-vocalization 4 Semiology-language Single or repetitive utterances consisting of sounds such as grunts or shrieks. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-verbalization 4 Semiology-language Single or repetitive utterances consisting of words, phrases, or brief sentences. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-dysphasia 4 Semiology-language Partially impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, paraphasic errors, or a combination of these. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-aphasia 4 Semiology-language Fully impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, paraphasic errors, or a combination of these. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-language-other 4 Semiology-language requireChild Source: Beniczky ea 2017, Table 10. + Semiology-language-other-# 5 Semiology-language-other takesValue, valueClass=textClass Free text. Semiology-language-other and (valueClass some textClass) + Semiology-autonomic 3 Seizure-semiology An objectively documented and distinct alteration of autonomic nervous system function involving cardiovascular, pupillary, gastrointestinal, sudomotor, vasomotor, and thermoregularity functions (cf. Semiology-autonomic-sensation). (Source: Beniczky ea 2017, Table 10; Blume ea 2001, 3.2.) + Semiology-pupillary 4 Semiology-autonomic suggestedTag=Categorical-location-value Mydriasis, miosis (either bilateral or unilateral). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-autonomic and (suggestedTag some Categorical-location-value) + Semiology-hypersalivation 4 Semiology-autonomic Increase in production of saliva leading to uncontrollable drooling. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-respiratory-apnoeic 4 Semiology-autonomic Subjective shortness of breath, hyperventilation, stridor, coughing, choking, apnea, oxygen desaturation, neurogenic pulmonary edema. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-cardiovascular 4 Semiology-autonomic Modifications of heart rate (tachycardia, bradycardia), cardiac arrhythmias (such as sinus arrhythmia, sinus arrest, supraventricular tachycardia, atrial premature depolarizations, ventricular premature depolarizations, atrio-ventricular block, bundle branch block, atrioventricular nodal escape rhythm, asystole). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-gastrointestinal 4 Semiology-autonomic Nausea, eructation, vomiting, retching, abdominal sensations, abdominal pain, flatulence, spitting, diarrhea. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-urinary-incontinence 4 Semiology-autonomic Urinary urge (intense urinary urge at the beginning of seizures), urinary incontinence, ictal urination (rare symptom of partial seizures without loss of consciousness). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-genital 4 Semiology-autonomic Sexual auras (erotic thoughts and feelings, sexual arousal and orgasm). Genital auras (unpleasant, sometimes painful, frightening or emotionally neutral somatosensory sensations in the genitals that can be accompanied by ictal orgasm). Sexual automatisms (hypermotor movements consisting of writhing, thrusting, rhythmic movements of the pelvis, arms and legs, sometimes associated with picking and rhythmic manipulation of the groin or genitalia, exhibitionism and masturbation). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-vasomotor 4 Semiology-autonomic Flushing or pallor (may be accompanied by feelings of warmth, cold and pain). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-sudomotor 4 Semiology-autonomic suggestedTag=Categorical-location-value Sweating and piloerection (may be accompanied by feelings of warmth, cold and pain). (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) Semiology-autonomic and (suggestedTag some Categorical-location-value) + Semiology-thermoregulatory 4 Semiology-autonomic Hyperthermia, fever. (Source: Beniczky ea 2017, Table 10; Beniczky ea 2013, Appendix S5.) + Semiology-autonomic-other 4 Semiology-autonomic requireChild + Semiology-autonomic-other-# 5 Semiology-autonomic-other takesValue, valueClass=textClass Free text. Semiology-autonomic-other and (valueClass some textClass) + Semiology-manifestation-other 3 Seizure-semiology requireChild + Semiology-manifestation-other-# 4 Semiology-manifestation-other takesValue, valueClass=textClass Free text. Semiology-manifestation-other and (valueClass some textClass) + Postictal-semiology 2 Episode-property suggestedTag=None, suggestedTag=Duration A transient clinical abnormality of central nervous system function that appears or becomes accentuated when clinical signs of the ictus have ended. (Source: Blume ea 2001; Beniczky ea 2017, Table 11; Duration tag from Beniczky ea Table 13.) Episode-property and (suggestedTag some None) and (suggestedTag some Duration) + Postictal-unconscious 3 Postictal-semiology Unawareness and unresponsiveness. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-quick-recovery-of-consciousness 3 Postictal-semiology Quick recovery of awareness and responsiveness. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-aphasia-or-dysphasia 3 Postictal-semiology Impaired communication involving language without dysfunction of relevant primary motor or sensory pathways, manifested as impaired comprehension, anomia, parahasic errors or a combination of these. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-behavioral-change 3 Postictal-semiology Occurring immediately after a seizure. Including psychosis, hypomanina, obsessive-compulsive behavior. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-hemianopia 3 Postictal-semiology Postictal visual loss in a a hemi field. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-impaired-cognition 3 Postictal-semiology Decreased Cognitive performance involving one or more of perception, attention, emotion, memory, execution, praxis, speech. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-dysphoria 3 Postictal-semiology Depression, irritability, euphoric mood, fear, anxiety. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-headache 3 Postictal-semiology Headache with features of tension-type or migraine headache that develops within 3 h following the seizure and resolves within 72 h after seizure. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-nose-wiping 3 Postictal-semiology suggestedTag=Categorical-location-value Noes-wiping usually within 60 sec of seizure offset, usually with the hand ipsilateral to the seizure onset. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) Postictal-semiology and (suggestedTag some Categorical-location-value) + Postictal-anterograde-amnesia 3 Postictal-semiology Impaired ability to remember new material. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-retrograde-amnesia 3 Postictal-semiology Impaired ability to recall previously remember material. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-paresis 3 Postictal-semiology suggestedTag=Categorical-location-value, suggestedTag=Body-part Todds palsy. Any unilateral postictal dysfunction relating to motor, language, sensory and/or integrative functions. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) Postictal-semiology and (suggestedTag some Categorical-location-value) and (suggestedTag some Body-part) + Postictal-sleep 3 Postictal-semiology Invincible need to sleep after a seizure. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-unilateral-myoclonic-jerks 3 Postictal-semiology Unilateral myoclonic jerks. Myoclonus: sudden, brief (<100 ms) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-other-unilateral-motor-phenomena 3 Postictal-semiology requireChild Unilateral motor phenomena, other then specified above, occurring in the postictal phase. (Source: Beniczky ea 2017, Table 11; Beniczky ea 2013, Appendix S5.) + Postictal-other-unilateral-motor-phenomena-# 4 Postictal-other-unilateral-motor-phenomena takesValue, valueClass=textClass Free text. Postictal-other-unilateral-motor-phenomena and (valueClass some textClass) + Episode-time-context-property 2 Episode-property Additional clinically relevant features related to episodes can be scored under timing and context. If needed, episode duration can be tagged with suggested tag. (Source: Beniczky ea 2017, Section 10.) + Episode-consciousness-affected 3 Episode-time-context-property suggestedTag=False, suggestedTag=Some, suggestedTag=True, suggestedTag=Property-not-possible-to-determine Source: Beniczky ea 2017, Table 13. Episode-time-context-property and (suggestedTag some False) and (suggestedTag some Some) and (suggestedTag some True) and (suggestedTag some Property-not-possible-to-determine) + Episode-awareness 3 Episode-time-context-property suggestedTag=True, suggestedTag=False False: the patient is not aware of the episode. True: the patient is aware of the episode. (Source: Beniczky ea 2017, Table 13.) Episode-time-context-property and (suggestedTag some True) and (suggestedTag some False) + Episode-event-count 3 Episode-time-context-property requireChild, suggestedTag=Property-not-possible-to-determine Number of stereotypical episodes during the recording. (Source: Beniczky ea 2017, Table 13.) Episode-time-context-property and (suggestedTag some Property-not-possible-to-determine) + Episode-event-count-# 4 Episode-event-count takesValue, valueClass=numericClass Episode-event-count and (valueClass some numericClass) + Status-epilepticus 3 Episode-time-context-property Episode with duration >30 min but not precisely determined (status epilepticus). (Source: Beniczky ea 2017, Table 13.) + Episode-prodrome 3 Episode-time-context-property suggestedTag=True, suggestedTag=False Prodrome is a preictal phenomenon, and it is defined as a subjective or objective clinical alteration (e.g., ill-localized sensation or agitation) that heralds the onset of an epileptic seizure but does not form part of it (Blume ea 2001). Therefore, prodrome should be distinguished from aura (which is an ictal phenomenon). If prodrome present/true + free text. (Source: Blume ea 2001; Beniczky ea 2017, Table 13.) Episode-time-context-property and (suggestedTag some True) and (suggestedTag some False) + Episode-prodrome-# 4 Episode-prodrome takesValue, valueClass=textClass Free text. Episode-prodrome and (valueClass some textClass) + Initial-ictal-phase 3 Episode-time-context-property suggestedTag=Asleep, suggestedTag=Awake Episode-time-context-property and (suggestedTag some Asleep) and (suggestedTag some Awake) + Subsequent-ictal-phase 3 Episode-time-context-property + Post-ictal-phase 3 Episode-time-context-property + Episode-tongue-biting 3 Episode-time-context-property suggestedTag=True, suggestedTag=False Beniczky ea 2017, Table 13. Episode-time-context-property and (suggestedTag some True) and (suggestedTag some False) + Other-feature-property 1 Feature-property requireChild + Artifact-significance-to-recording 2 Other-feature-property It is important to score the significance of the described artifacts: recording is not interpretable, recording of reduced diagnostic value, does not interfere with the interpretation of the recording. (Source: Beniczky ea 2017, Section 12) + Recording-not-interpretable-due-to-artifact 3 Artifact-significance-to-recording + Recording-not-interpretable-due-to-artifact-# 4 Recording-not-interpretable-due-to-artifact takesValue, valueClass=textClass Free text. Recording-not-interpretable-due-to-artifact and (valueClass some textClass) + Recording-of-reduced-diagnostic-value-due-to-artifact 3 Artifact-significance-to-recording + Recording-of-reduced-diagnostic-value-due-to-artifact-# 4 Recording-of-reduced-diagnostic-value-due-to-artifact takesValue, valueClass=textClass Free text. Recording-of-reduced-diagnostic-value-due-to-artifact and (valueClass some textClass) + Artifact-does-not-interfere-recording 3 Artifact-significance-to-recording + Artifact-does-not-interfere-recording-# 4 Artifact-does-not-interfere-recording takesValue, valueClass=textClass Free text. Artifact-does-not-interfere-recording and (valueClass some textClass) + Feature-significance-to-recording 2 Other-feature-property suggestedTag=Normal, suggestedTag=Abnormal, suggestedTag=Property-not-possible-to-determine Significance of feature. When normal/abnormal could be labeled with with suggested tags. Other-feature-property and (suggestedTag some Normal) and (suggestedTag some Abnormal) and (suggestedTag some Property-not-possible-to-determine) + Feature-significance-to-recording-# 3 Feature-significance-to-recording takesValue, valueClass=textClass Free text. Feature-significance-to-recording and (valueClass some textClass) + Feature-frequency 2 Other-feature-property requireChild, suggestedTag=Symmetrical, suggestedTag=Asymmetrical Value in Hz (number) typed in. Other-feature-property and (suggestedTag some Symmetrical) and (suggestedTag some Asymmetrical) + Feature-frequency-# 3 Feature-frequency takesValue, valueClass=numericClass, unitClass=frequencyUnits Feature-frequency and (valueClass some numericClass) and (unitClass some frequencyUnits) + Feature-amplitude 2 Other-feature-property requireChild, suggestedTag=Symmetrical, suggestedTag=Asymmetrical Value in microvolts (number) typed in, e.g. (Feature-amplitude/number uv) Other-feature-property and (suggestedTag some Symmetrical) and (suggestedTag some Asymmetrical) + Feature-amplitude-# 3 Feature-amplitude takesValue, valueClass=numericClass, unitClass=electricPotentialUnits Feature-amplitude and (valueClass some numericClass) and (unitClass some electricPotentialUnits) + Feature-stopped-by 2 Other-feature-property requireChild + Feature-stopped-by-# 3 Feature-stopped-by takesValue, valueClass=textClass Free text. Feature-stopped-by and (valueClass some textClass) + Property-not-possible-to-determine 2 Other-feature-property Not possible to determine. + Property-not-possible-to-determine-# 3 Property-not-possible-to-determine takesValue, valueClass=textClass Free text. Property-not-possible-to-determine and (valueClass some textClass) + Interictal-activity 0 HedTag EEG pattern / transient that is distinguished from the background activity, considered abnormal, but is not recorded during ictal period (seizure) or postictal period; the presence of interictal activity does not necessarily imply that the patient has epilepsy. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 5.) HedTag and (inHedSchema some ScoreSchema) + Epileptiform-interictal-activity 1 Interictal-activity suggestedTag=Spike, suggestedTag=Spike-and-slow-wave, suggestedTag=Runs-of-rapid-spikes, suggestedTag=Polyspikes, suggestedTag=Polyspike-and-slow-wave, suggestedTag=Sharp-wave, suggestedTag=Sharp-and-slow-wave, suggestedTag=Slow-sharp-wave, suggestedTag=High-frequency-oscillation, suggestedTag=Hypsarrhythmia-classic, suggestedTag=Hypsarrhythmia-modified, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Feature-propagation, suggestedTag=Multifocal-feature, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, suggestedTag=Feature-incidence Transients distinguishable from background activity, with characteristic spiky morphology, typically, but neither exclusively, nor invariably found in interictal EEGs of people with epilepsy. (Source: Beniczky ea 2013, Appendix S4; Morphologies from Beniczky ea 2017, Table 5; Suggested tags from Beniczky ea 2017, Section 8.) Interictal-activity and (suggestedTag some Spike) and (suggestedTag some Spike-and-slow-wave) and (suggestedTag some Runs-of-rapid-spikes) and (suggestedTag some Polyspikes) and (suggestedTag some Polyspike-and-slow-wave) and (suggestedTag some Sharp-wave) and (suggestedTag some Sharp-and-slow-wave) and (suggestedTag some Slow-sharp-wave) and (suggestedTag some High-frequency-oscillation) and (suggestedTag some Hypsarrhythmia-classic) and (suggestedTag some Hypsarrhythmia-modified) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Feature-propagation) and (suggestedTag some Multifocal-feature) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) and (suggestedTag some Feature-incidence) + Abnormal-interictal-rhythmic-activity 1 Interictal-activity suggestedTag=Rhythmic-property, suggestedTag=Polymorphic-delta-activity, suggestedTag=Frontal-intermittent-rhythmic-delta-activity, suggestedTag=Occipital-intermittent-rhythmic-delta-activity, suggestedTag=Temporal-intermittent-rhythmic-delta-activity, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, suggestedTag=Feature-incidence Activity of frequency lower than alpha, that clearly exceeds the amount considered physiologically normal for patient age and state of alertness. (Source: Beniczky ea 2013, Appendix S4; Morphologies from Beniczky ea 2017, Table 5; Suggested tags from Beniczky ea 2017, Section 8.) Interictal-activity and (suggestedTag some Rhythmic-property) and (suggestedTag some Polymorphic-delta-activity) and (suggestedTag some Frontal-intermittent-rhythmic-delta-activity) and (suggestedTag some Occipital-intermittent-rhythmic-delta-activity) and (suggestedTag some Temporal-intermittent-rhythmic-delta-activity) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) and (suggestedTag some Feature-incidence) + Interictal-special-patterns 1 Interictal-activity (Source: Beniczky ea 2017, Table 5.) + Interictal-periodic-discharges 2 Interictal-special-patterns suggestedTag=RPP-morphology, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=RPP-time-related-feature Periodic discharge not further specified (PDs). (Source: Beniczky ea 2017, Table 5.) Interictal-special-patterns and (suggestedTag some RPP-morphology) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some RPP-time-related-feature) + Generalized-periodic-discharges 3 Interictal-periodic-discharges GPDs. The term generalized refers to any bilateral, bisynchronous and symmetric pattern, even if it has a restricted field (e.g. bifrontal). (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) + Lateralized-periodic-discharges 3 Interictal-periodic-discharges LPDs. Lateralized includes unilateral and bilateral synchronous but asymmetric; includes focal, regional and hemispheric patterns. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) + Bilateral-independent-periodic-discharges 3 Interictal-periodic-discharges BIPDs. Bilateral Independent refers to the presence of 2 independent (asynchronous) lateralized patterns, one in each hemisphere. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) + Multifocal-periodic-discharges 3 Interictal-periodic-discharges MfPDs. Multifocal refers to the presence of at least three independent lateralized patterns with at least one in each hemisphere. (Source: Beniczky ea 2017, Table 5; Hirsch ea 2013.) + Extreme-delta-brush 2 Interictal-special-patterns suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern (Source: Beniczky ea 2017, Table 5.) Interictal-special-patterns and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Physiologic-pattern 0 HedTag EEG graphoelements or rhythms that are considered normal. They only should be scored if the physician considers that they have a specific clinical significance for the recording. (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 14.) HedTag and (inHedSchema some ScoreSchema) + Rhythmic-activity-pattern 1 Physiologic-pattern suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Rhythmic activity. (Source: Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Rhythmic-property) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Slow-alpha-variant-rhythm 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Characteristic rhythms mostly at 4-5 Hz, recorded most prominently over the posterior regions of the head. The signals generally alternate or are intermixed with the alpha rhythm to which they are often harmonically related. Amplitude varies but is frequently close to 50 micro V. Blocked or attenuated by attention, especially visual, and mental effort. Comment: slow alpha variant rhythms should be distinguished from posterior slow waves characteristic of children and adolescents and occasionally seen in young adults. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Fast-alpha-variant-rhythm 1 Physiologic-pattern suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Characteristic rhythm at 14-20 Hz, detected most prominently over the posterior regions of the head. May alternate or be intermixed with alpha rhythm. Blocked or attenuated by attention, especially visual, and mental effort. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Lambda-wave 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Diphasic sharp transient occurring over occipital regions of the head of waking subjects during visual exploration. The main component is positive relative to other areas. Time-locked to saccadic eye movement. Amplitude varies but is generally below 50 microV. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Posterior-slow-waves-youth 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Waves in the delta and theta range, of variable form, lasting 0.35 to 0.5 s or longer without any consistent periodicity, found in the range of 6-12 years (occasionally seen in young adults). Alpha waves are almost always intermingled or superimposed. Reactive similar to alpha activity. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Diffuse-slowing-hyperventilation 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Bilateral, diffuse slowing of brain signals during hyperventilation. Recorded in 70 percent of normal children (3-5 years) and less then 10 percent of adults. Slowing usually appears in the posterior regions and spreads forward in younger age groups, whereas slowing tends to appear in the frontal regions and spreads backward in the older age group. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Photic-driving 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Physiologic response consisting of rhythmic activity elicited over the posterior regions of the head by repetitive photic stimulation at frequencies of about 5-30 Hz. Comments: term should be limited to activity time-locked to the stimulus and of frequency identical or harmonically related to the stimulus frequency. Photic driving should be distinguished from the visual evoked potentials elicited by isolated flashes of light or flashes repeated at very low frequency. (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Photomyogenic-response 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern A response to intermittent photic stimulation characterized by the appearance in the record of brief, repetitive muscular artifacts (spikes) over the anterior regions of the head. These often increase gradually in amplitude as stimuli are continued and cease promptly when the stimulus is withdrawn. Comment: this response is frequently associated with flutter of the eyelids and vertical oscillations of the eyeballs and sometimes with discrete jerking mostly involving the musculature of the face and head. (Preferred to synonym: photo-myoclonic response). (Source: Beniczky ea 2013; Appendix S6, Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Arousal-pattern 1 Physiologic-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Arousal pattern in children. Prolonged, marked high voltage 4-6/s activity in all leads with some intermixed slower frequencies. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Frontal-arousal-rhythm 1 Physiologic-pattern suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Prolonged (up to 20s) rhythmical sharp or spiky activity over the frontal areas (maximum over the frontal midline) seen at arousal from sleep in children with minimal cerebral dysfunction. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Physiologic-pattern and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Other-physiologic-pattern 1 Physiologic-pattern requireChild + Other-physiologic-pattern-# 2 Other-physiologic-pattern takesValue, valueClass=textClass Free text. Other-physiologic-pattern and (valueClass some textClass) + Polygraphic-channel-feature 0 HedTag Changes observed in polygraphic channels can be scored: EOG, Respiration, ECG, EMG, other polygraphic channel (+ free text), and their significance logged (normal, abnormal, no definite abnormality). (Source: Beniczky ea 2017, Section 13.) HedTag and (inHedSchema some ScoreSchema) + EOG-channel-feature 1 Polygraphic-channel-feature suggestedTag=Feature-significance-to-recording Electrooculogram (EOG) channel features. (Source: Beniczky ea 2017, Section 13.) Polygraphic-channel-feature and (suggestedTag some Feature-significance-to-recording) + EOG-channel-feature-# 2 EOG-channel-feature takesValue, valueClass=textClass Free text. EOG-channel-feature and (valueClass some textClass) + Respiration-channel-feature 1 Polygraphic-channel-feature suggestedTag=Feature-significance-to-recording Findings in respiration sensors. (Source: Beniczky ea 2017, Section 13, Table 16.) Polygraphic-channel-feature and (suggestedTag some Feature-significance-to-recording) + Oxygen-saturation 2 Respiration-channel-feature requireChild Percentage. (Source: Beniczky ea 2013, Table 9; Beniczky ea 2017, Table 16.) + Oxygen-saturation-# 3 Oxygen-saturation takesValue, valueClass=numericClass Oxygen-saturation and (valueClass some numericClass) + Apnea 2 Respiration-channel-feature Temporary cessation of breathing (Source: Wikipedia). Duration (range in seconds). (Source: Beniczky ea 2013, Table 9.) + Apnea-# 3 Apnea takesValue, valueClass=numericClass Apnea and (valueClass some numericClass) + Hypopnea 2 Respiration-channel-feature Overly shallow breathing or an abnormally low respiratory rate. Duration (range in seconds). (Source: Wikipedia; Beniczky ea 2013, Table 9.) + Hypopnea-# 3 Hypopnea takesValue, valueClass=numericClass Hypopnea and (valueClass some numericClass) + Apnea-hypopnea-index 2 Respiration-channel-feature suggestedTag=Frequency Events/hour as calculated by dividing the number of apnoea and hypopnoea events by the number of hours of sleep. (Source: Wikipedia; Beniczky ea 2013, Table 9.) Respiration-channel-feature and (suggestedTag some Frequency) + Apnea-hypopnea-index-# 3 Apnea-hypopnea-index takesValue, valueClass=numericClass Apnea-hypopnea-index and (valueClass some numericClass) + Periodic-respiration 2 Respiration-channel-feature Source: Beniczky ea 2017, Table 16 + Periodic-respiration-# 3 Periodic-respiration takesValue, valueClass=textClass Free text.(Source: Beniczky ea 2017, Table 16.) Periodic-respiration and (valueClass some textClass) + Tachypnea 2 Respiration-channel-feature suggestedTag=Frequency Numerical value for cycles / minute. (Source: Beniczky ea 2017, Table 16.) Respiration-channel-feature and (suggestedTag some Frequency) + Tachypnea-# 3 Tachypnea takesValue, valueClass=numericClass Tachypnea and (valueClass some numericClass) + Other-respiration-feature 2 Respiration-channel-feature requireChild Source: Beniczky ea 2017, Table 16 + Other-respiration-feature-# 3 Other-respiration-feature takesValue, valueClass=textClass Free text. Other-respiration-feature and (valueClass some textClass) + ECG-channel-feature 1 Polygraphic-channel-feature suggestedTag=Feature-significance-to-recording Findings in Electrocardiogram recordings. (Source: Beniczky ea 2017, Section 13, Table 16.) Polygraphic-channel-feature and (suggestedTag some Feature-significance-to-recording) + ECG-QT-period 2 ECG-channel-feature requireChild The time from the start of the Q wave to the end of the T wave (Source: Wikipedia; Beniczky ea 2013, Table 9; Beniczky ea 2017, Table 16.) + ECG-QT-period-# 3 ECG-QT-period takesValue, valueClass=numericClass, unitClass=timeUnits ECG-QT-period and (valueClass some numericClass) and (unitClass some timeUnits) + ECG-normal-rhythm 2 ECG-channel-feature suggestedTag=Frequency Normal rhythm. (Source: Beniczky ea 2017, Table 16.) ECG-channel-feature and (suggestedTag some Frequency) + ECG-normal-rhythm-# 3 ECG-normal-rhythm takesValue, valueClass=textClass Free text. ECG-normal-rhythm and (valueClass some textClass) + ECG-arrhythmia 2 ECG-channel-feature Free text annotating characteristics of arrythymia. (Source: Beniczky ea 2017, Table 16.) + ECG-arrhythmia-# 3 ECG-arrhythmia takesValue, valueClass=textClass Free text. ECG-arrhythmia and (valueClass some textClass) + ECG-asystolia 2 ECG-channel-feature Absence of ventricular contractions in the context of a lethal heart arrhythmia. Duration in seconds of the absence. (Source: Wikipedia; Beniczky ea 2013, Table 9.) + ECG-asystolia-# 3 ECG-asystolia takesValue, valueClass=numericClass, unitClass=timeUnits ECG-asystolia and (valueClass some numericClass) and (unitClass some timeUnits) + ECG-bradycardia 2 ECG-channel-feature suggestedTag=Frequency A resting heart rate under 60 beats per minute. Numerical value for frequency in beats/minute. (Source: Wikipedia; Beniczky ea 2017, Table 16; Beniczky ea 2013, Table 9.) ECG-channel-feature and (suggestedTag some Frequency) + ECG-bradycardia-# 3 ECG-bradycardia takesValue, valueClass=numericClass ECG-bradycardia and (valueClass some numericClass) + ECG-extrasystole 2 ECG-channel-feature A heart rhythm disorder corresponding to a premature contraction of one of the chambers of the heart. (Source: Wikipedia; Beniczky ea 2017, Table 16.) + ECG-extrasystole-# 3 ECG-extrasystole takesValue, valueClass=textClass Free text. ECG-extrasystole and (valueClass some textClass) + ECG-ventricular-premature-depolarization 2 ECG-channel-feature A premature ventricular contraction (PVC) is a common event where the heartbeat is initiated by Purkinje fibers in the ventricles rather than by the sinoatrial node. (Source: Wikipedia; Beniczky ea 2017, Table 16.) + ECG-ventricular-premature-depolarization-# 3 ECG-ventricular-premature-depolarization takesValue, valueClass=textClass Free text. ECG-ventricular-premature-depolarization and (valueClass some textClass) + ECG-tachycardia 2 ECG-channel-feature suggestedTag=Frequency Numerical value for frequency in beats/minute. (Source: Beniczky ea 2017, Table 16; Beniczky ea 2013, Table 9.) ECG-channel-feature and (suggestedTag some Frequency) + ECG-tachycardia-# 3 ECG-tachycardia takesValue, valueClass=numericClass ECG-tachycardia and (valueClass some numericClass) + Other-ECG-feature 2 ECG-channel-feature requireChild Source: Beniczky ea 2017, Table 16. + Other-ECG-feature-# 3 Other-ECG-feature takesValue, valueClass=textClass Free text. Other-ECG-feature and (valueClass some textClass) + EMG-channel-feature 1 Polygraphic-channel-feature suggestedTag=Feature-significance-to-recording, suggestedTag=Symmetrical, suggestedTag=Left, suggestedTag=Right Findings in Electromyography recordings (Source: Beniczky ea 2017, Section 13, Table 16.). Suggested tags can be used to note the side of the muscle (Left or Right). The order of activation may be indicated using Temporal-relation: (Left, (Before,Right)). Polygraphic-channel-feature and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Symmetrical) and (suggestedTag some Left) and (suggestedTag some Right) + EMG-muscle-name 2 EMG-channel-feature requireChild Source: Beniczky ea 2017, Table 16. + EMG-muscle-name-# 3 EMG-muscle-name takesValue, valueClass=textClass Free text. EMG-muscle-name and (valueClass some textClass) + Myoclonus 2 EMG-channel-feature Source: Beniczky ea 2017, Table 16. + Negative-myoclonus 3 Myoclonus Source: Beniczky ea 2017, Table 16. + Myoclonus-rhythmic 3 Myoclonus Numerical value for frequency. (Source: Beniczky ea 2017, Table 16.) + Myoclonus-rhythmic-# 4 Myoclonus-rhythmic takesValue, valueClass=numericClass Myoclonus-rhythmic and (valueClass some numericClass) + Myoclonus-arrhythmic 3 Myoclonus Source: Beniczky ea 2017, Table 16. + Myoclonus-synchronous 3 Myoclonus Source: Beniczky ea 2017, Table 16. + Myoclonus-asynchronous 3 Myoclonus Source: Beniczky ea 2017, Table 16. + PLMS 2 EMG-channel-feature Periodic limb movements in sleep. (Source: Beniczky ea 2017, Table 16.) + Spasm 2 EMG-channel-feature Source: Beniczky ea 2017, Table 16. + Tonic-contraction 2 EMG-channel-feature Source: Beniczky ea 2017, Table 16. + Other-EMG-features 2 EMG-channel-feature requireChild Source: Beniczky ea 2017, Table 16. + Other-EMG-features-# 3 Other-EMG-features takesValue, valueClass=textClass Free text. Other-EMG-features and (valueClass some textClass) + Other-polygraphic-channel-feature 1 Polygraphic-channel-feature requireChild Add the name and type of the polygraphic channel as well as the feature in the description. (Source: Beniczky ea 2017, Section 13.) + Other-polygraphic-channel-feature-# 2 Other-polygraphic-channel-feature takesValue, valueClass=textClass Free text. Other-polygraphic-channel-feature and (valueClass some textClass) + Sleep-and-drowsiness 0 HedTag The features of the ongoing activity during sleep are scored here. If abnormal graphoelements appear, disappear or change their morphology during sleep, that is not scored here but at the entry corresponding to that graphoelement (as a modulator). (Source: Beniczky ea 2013. Appendix S1.) HedTag and (inHedSchema some ScoreSchema) + Sleep-architecture 1 Sleep-and-drowsiness suggestedTag=Property-not-possible-to-determine For longer recordings. Only to be scored if whole-night sleep is part of the recording. It is a global descriptor of the structure and pattern of sleep: estimation of the amount of time spent in REM and NREM sleep, sleep duration, NREM-REM cycle. (Source: Beniczky ea 2013, Appendix S3.) Sleep-and-drowsiness and (suggestedTag some Property-not-possible-to-determine) + Normal-sleep-architecture 2 Sleep-architecture Recording containing sleep-patterns that are considered normal for the attained sleep stages and for the age. (Source: Benizcky ea 2013, Appendix S3.) + Abnormal-sleep-architecture 2 Sleep-architecture Absence or consistently marked amplitude asymmetry (>50%) of a normal sleep graphoelement. (Source: Benizcky ea 2013, Appendix S3.) + Sleep-stage-reached 1 Sleep-and-drowsiness requireChild, suggestedTag=Property-not-possible-to-determine, suggestedTag=Feature-significance-to-recording For normal sleep patterns the sleep stages reached during the recording can be specified. (Source: Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Property-not-possible-to-determine) and (suggestedTag some Feature-significance-to-recording) + Sleep-stage-N1 2 Sleep-stage-reached Sleep stage 1. (Source: Beniczky ea 2017, Section 7.) + Sleep-stage-N1-# 3 Sleep-stage-N1 takesValue, valueClass=textClass Free text. Sleep-stage-N1 and (valueClass some textClass) + Sleep-stage-N2 2 Sleep-stage-reached Sleep stage 2. (Source: Beniczky ea 2017, Section 7.) + Sleep-stage-N2-# 3 Sleep-stage-N2 takesValue, valueClass=textClass Free text. Sleep-stage-N2 and (valueClass some textClass) + Sleep-stage-N3 2 Sleep-stage-reached Sleep stage 3. (Source: Beniczky ea 2017, Section 7.) + Sleep-stage-N3-# 3 Sleep-stage-N3 takesValue, valueClass=textClass Free text. Sleep-stage-N3 and (valueClass some textClass) + Sleep-stage-REM 2 Sleep-stage-reached Rapid eye movement. (Source: Beniczky ea 2017, Section 7.) + Sleep-stage-REM-# 3 Sleep-stage-REM takesValue, valueClass=textClass Free text. Sleep-stage-REM and (valueClass some textClass) + Sleep-spindles 1 Sleep-and-drowsiness suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical Burst at 11-15 Hz but mostly at 12-14 Hz generally diffuse but of higher voltage over the central regions of the head, occurring during sleep. Amplitude varies but is mostly below 50 microV in the adult. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) + Vertex-wave 1 Sleep-and-drowsiness suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical Sharp potential, maximal at the vertex, negative relative to other areas, apparently occurring spontaneously during sleep or in response to a sensory stimulus during sleep or wakefulness. May be single or repetitive. Amplitude varies but rarely exceeds 250 microV. Abbreviation: V wave. Synonym: vertex sharp wave. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) + K-complex 1 Sleep-and-drowsiness suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical A burst of somewhat variable appearance, consisting most commonly of a high voltage negative slow wave followed by a smaller positive slow wave frequently associated with a sleep spindle. Duration greater than 0.5 s. Amplitude is generally maximal in the frontal vertex. K complexes occur during nonREM sleep, apparently spontaneously, or in response to sudden sensory / auditory stimuli, and are not specific for any individual sensory modality. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) + Saw-tooth-waves 1 Sleep-and-drowsiness suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical Vertex negative 2-5 Hz waves occurring in series during REM sleep. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) + POSTS 1 Sleep-and-drowsiness suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical Positive occipital sharp transients of sleep. Sharp transient maximal over the occipital regions, positive relative to other areas, apparently occurring spontaneously during sleep. May be single or repetitive. Amplitude varies but is generally below 50 microV. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) + Hypnagogic-hypersynchrony 1 Sleep-and-drowsiness suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Asymmetrical, suggestedTag=Symmetrical Hypnagogic/hypnopompic hypersynchrony in children. Bursts of bilateral, synchronous delta or theta activity of large amplitude, occasionally with superimposed faster components, occurring during falling asleep or during awakening, in children. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) Sleep-and-drowsiness and (suggestedTag some Feature-significance-to-recording) and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Asymmetrical) and (suggestedTag some Symmetrical) + Non-reactive-sleep 1 Sleep-and-drowsiness EEG activity consisting of normal sleep graphoelements, but which cannot be interrupted by external stimuli/ the patient cannot be wakened. (Source: Beniczky ea 2013, Appendix S3; Beniczky ea 2017, Section 7.) + Uncertain-significant-pattern 0 HedTag EEG graphoelements or rhythms that resemble abnormal patterns but that are not necessarily associated with a pathology, and the physician does not consider them abnormal in the context of the scored recording (like normal variants and patterns). (Source: Beniczky ea 2013, Appendix S1; Beniczky ea 2017, Table 14.) HedTag and (inHedSchema some ScoreSchema) + Sharp-transient-pattern 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Sharp transient. (Source: Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Wicket-spikes 1 Uncertain-significant-pattern Spike-like monophasic negative single waves or trains of waves occurring over the temporal regions during drowsiness that have an arcuate or mu-like appearance. These are mainly seen in older individuals and represent a benign variant that is of little clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) + Small-sharp-spikes 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Benign Epileptiform Transients of Sleep (BETS). Small Sharp Spikes (SSS) of very short duration and low amplitude, often followed by a small theta wave, occurring in the temporal regions during drowsiness and light sleep. They occur on one or both sides (often asynchronously). The main negative and positive components are of about equally spiky character. Rarely seen in children, they are seen most often in adults and the elderly. Two thirds of the patients have a history of epileptic seizures. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Fourteen-six-Hz-positive-burst 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Burst of arch-shaped waves at 13-17 Hz and/or 5-7-Hz but most commonly at 14 and/or 6 Hz seen generally over the posterior temporal and adjacent areas of one or both sides of the head during sleep. The sharp peaks of its component waves are positive with respect to other regions. Amplitude varies but is generally below 75 micro V. Comments: (1) best demonstrated by referential recording using contralateral earlobe or other remote, reference electrodes. (2) This pattern has no established clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Six-Hz-spike-slow-wave 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Spike and slow wave complexes at 4-7 Hz, but mostly at 6 Hz occurring generally in brief bursts bilaterally and synchronously, symmetrically or asymmetrically, and either confined to or of larger amplitude over the posterior or anterior regions of the head. The spike has a strong positive component. Amplitude varies but is generally smaller than that of spike-and slow-wave complexes repeating at slower rates. Comment: this pattern should be distinguished from epileptiform discharges. Synonym: wave and spike phantom. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Rudimentary-spike-wave-complex 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Synonym: pseudo petit mal discharge. Paroxysmal discharge that consists of generalized or nearly generalized high voltage 3 to 4/sec waves with poorly developed spike in the positive trough between the slow waves, occurring in drowsiness only. It is found only in infancy and early childhood when marked hypnagogic rhythmical theta activity is paramount in the drowsy state. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Slow-fused-transient 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern A posterior slow-wave preceded by a sharp-contoured potential that blends together with the ensuing slow wave, in children. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Needle-like-occipital-spikes-blind 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Spike discharges of a particularly fast and needle-like character develop over the occipital region in most congenitally blind children. Completely disappear during childhood or adolescence. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Subclinical-rhythmic-EEG-discharge-adults 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Subclinical Rhythmic EEG Discharge of Adults (SERDA). A rhythmic pattern seen in adults, mainly in the waking state or drowsiness. It consists of a mixture of frequencies, often predominant in the theta range. The onset may be fairly abrupt with widespread sharp rhythmical theta and occasionally with delta activity. As to the spatial distribution, a maximum of this discharge is usually found over the centroparietal region and especially over the vertex. It may resemble a seizure discharge but is not accompanied by any clinical signs or symptoms. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Rhythmic-temporal-theta-burst-drowsiness 1 Uncertain-significant-pattern Rhythmic temporal theta burst of drowsiness (RTTD). Characteristic burst of 4-7 Hz waves frequently notched by faster waves, occurring over the temporal regions of the head during drowsiness. Synonym: psychomotor variant pattern. Comment: this is a pattern of drowsiness that is of no clinical significance. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) + Ciganek-rhythm 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Ciganek rhythm (midline central theta) (Source: Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Temporal-slowing-elderly 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Focal theta and/or delta activity over the temporal regions, especially the left, in persons over the age of 60. Amplitudes are low/similar to the background activity. Comment: focal temporal theta was found in 20 percent of people between the ages of 40-59 years, and 40 percent of people between 60 and 79 years. One third of people older than 60 years had focal temporal delta activity. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Breach-rhythm 1 Uncertain-significant-pattern suggestedTag=Categorical-location-value, suggestedTag=Sensors, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern Rhythmical activity recorded over cranial bone defects. Usually it is in the 6 to 11/sec range and does not respond to movements. (Source: Beniczky ea 2013, Appendix S6; Beniczky ea 2017, Table 14.) Uncertain-significant-pattern and (suggestedTag some Categorical-location-value) and (suggestedTag some Sensors) and (suggestedTag some Appearance-mode) and (suggestedTag some Discharge-pattern) + Other-uncertain-significant-pattern 1 Uncertain-significant-pattern requireChild + Other-uncertain-significant-pattern-# 2 Other-uncertain-significant-pattern takesValue, valueClass=textClass Free text. Other-uncertain-significant-pattern and (valueClass some textClass)