HED version="2.1.0" library="score" withStandard="8.4.0" unmerged="True"
'''Prologue'''
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.
The HED-SCORE library schema allows the annotation of electrophysiology recordings using terms from an internationally accepted set of defined terms (SCORE) compatible with the HED framework .
The resulting annotations are understandable to clinicians and directly usable in computer analysis.
Future extensions may be implemented in the HED-SCORE library schema.
For more information see https://hed-schema-library.readthedocs.io/en/latest/index.html.
!# 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 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, annotation=dc:source Beniczky ea 2017 Section 7 and Table 2, hedId=HED_0042002} [When sleep/drowsiness features are scored during drowsiness, Drowsy should be listed as a modulator]
** Sleep-deprivation {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042003}
*** # {takesValue, valueClass=textClass, hedId=HED_0042004} [Free text.]
** Sleep-following-sleep-deprivation {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042005}
*** # {takesValue, valueClass=textClass, hedId=HED_0042006} [Free text.]
** Natural-sleep {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042007}
*** # {takesValue, valueClass=textClass, hedId=HED_0042008} [Free text.]
** Induced-sleep {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042009}
*** # {takesValue, valueClass=textClass, hedId=HED_0042010} [Free text.]
** Awakening {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042011}
*** # {takesValue, valueClass=textClass, hedId=HED_0042012} [Free text.]
* Medication-modulator {hedId=HED_0042013}
** Medication-administered-during-recording {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042014}
*** # {takesValue, valueClass=textClass, hedId=HED_0042015} [Free text.]
** Medication-withdrawal-or-reduction-during-recording {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042016}
*** # {takesValue, valueClass=textClass, hedId=HED_0042017} [Free text.]
* Eye-modulator {hedId=HED_0042018}
** Manual-eye-closure {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042019}
*** # {takesValue, valueClass=textClass, hedId=HED_0042020} [Free text.]
** Manual-eye-opening {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042021}
*** # {takesValue, valueClass=textClass, hedId=HED_0042022} [Free text.]
* Stimulation-modulator {hedId=HED_0042023}
** Intermittent-photic-stimulation {suggestedTag=Intermittent-photic-stimulation-effect, annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042024}
*** # {takesValue, valueClass=numericClass, unitClass=frequencyUnits, hedId=HED_0042025}
** Auditory-stimulation {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042026}
*** # {takesValue, valueClass=textClass, hedId=HED_0042027} [Free text.]
** Nociceptive-stimulation {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042028}
*** # {takesValue, valueClass=textClass, hedId=HED_0042029} [Free text.]
* Hyperventilation {annotation=dc:source Beniczky ea 2017 Table 2., 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).]
** 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 {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042039}
** # {takesValue, valueClass=textClass, hedId=HED_0042040} [Free text.]
* Cognitive-task {annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042041}
** # {takesValue, valueClass=textClass, hedId=HED_0042042} [Free text.]
* Other-modulator-or-procedure {requireChild, annotation=dc:source Beniczky ea 2017 Table 2., hedId=HED_0042043} [Free text describing other modulators or procedures.]
** # {takesValue, valueClass=textClass, hedId=HED_0042044} [Free text.]
'''Background-activity''' {annotation=dc:source Beniczky ea 2017 Table 2., 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.]
* Posterior-dominant-rhythm {suggestedTag=Feature-significance-to-recording, suggestedTag=Feature-frequency, suggestedTag=Posterior-dominant-rhythm-property, annotation=dc:source Beniczky ea 2013 Appendix S2, annotation=dc:source suggested tags from Beniczky ea 2017 Table 4., 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.]
* Mu-rhythm {suggestedTag=Feature-frequency, suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, annotation=dc:source Beniczky ea 2013 Appendix S2., 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.]
* Other-organized-rhythm {requireChild, suggestedTag=Rhythmic-property, suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S2., 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.]
** # {takesValue, valueClass=textClass, hedId=HED_0042049} [Free text.]
* Background-activity-special-feature {annotation=dc:source Beniczky ea 2017 Section 6, hedId=HED_0042050} [Special features provide scoring options for the background activity of critically ill patients.]
** Continuous-background-activity {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, annotation=dc:source Beniczky ea 2017 Section 6., hedId=HED_0042051}
** Nearly-continuous-background-activity {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, annotation=dc:source Beniczky ea 2017 Section 6., hedId=HED_0042052}
** Discontinuous-background-activity {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, annotation=dc:source Beniczky ea 2017 Section 6., hedId=HED_0042053}
** Background-burst-suppression {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, annotation=dc:source Beniczky ea 2013 Appendix S2, annotation=dc:source Beniczky ea 2017 Section 6., 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.]
** Background-burst-attenuation {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, annotation=dc:source Beniczky ea 2017 Section 6., hedId=HED_0042055}
** Background-activity-suppression {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, annotation=dc:source Beniczky ea 2013 Appendix S2, annotation=dc:source Beniczky ea 2017 Section 6., hedId=HED_0042056} [Periods showing activity under 10 microV (referential montage) and interrupting the background (ongoing) activity.]
** Electrocerebral-inactivity {annotation=dc:source Beniczky ea 2013 Appendix S2, annotation=dc:source Beniczky ea 2017 Section 6., 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.]
'''Critically-ill-patient-patterns''' {annotation=dc:source Hirsch ea 2013, annotation=dc:source Beniczky ea 2017 Section 9., 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.]
* Critically-ill-patient-periodic-discharges {suggestedTag=RPP-morphology, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Feature-frequency, suggestedTag=RPP-time-related-feature, annotation=dc:source Hirsch ea 2013, annotation=dc:source Suggested tags from Beniczky ea 2017 Table 8., 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.]
* Rhythmic-delta-activity {suggestedTag=RPP-with-superimposed-activity, suggestedTag=RPP-absolute-amplitude, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Feature-frequency, suggestedTag=RPP-time-related-feature, annotation=dc:source Hirsch ea 2013, annotation=dc:source Suggested tags from Beniczky ea 2017 Table 8., 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.]
* 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=Sensor-list, suggestedTag=Multifocal-feature, suggestedTag=Feature-frequency, suggestedTag=RPP-time-related-feature, annotation=dc:source Hirsch ea 2013, annotation=dc:source Suggested tags from Beniczky ea 2017 Table 8., 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).]
'''Episode''' {annotation=dc:source Beniczky ea 2013 Appendix S1., hedId=HED_0042062} [Clinical episode or electrographic seizure.]
* Epileptic-seizure {suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, annotation=dc:source Beniczky ea 2017 Table 9 Supplement 1, annotation=dc:source Selection-tree and list of seizure-types according to the current ILAE seizure classification Fisher ea 2017., hedId=HED_0042063} [The ILAE seizure classification divides seizures into focal, generalized onset, or unknown onset.]
** 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, annotation=dc:source Fisher ea 2017 Table 2 and Key Points, annotation=dc:source Suggested tags from Fisher ea 2017 Figure 2, annotation=dc:source Beniczky ea 2017 Supplement 1, annotation=dc:source ILAE seizure classification code I., 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.]
*** Aware-focal-onset-epileptic-seizure {annotation=dc:source Fisher ea 2017 Table 2 and Key Points, annotation=dc:source Suggested tags from Fisher ea 2017 Figure 2, annotation=dc:source Beniczky ea 2017 Supplement 1, annotation=dc:source ILAE seizure classification code I., hedId=HED_0042065} [Focal onset and maintained awareness (knowledge of self or environment).]
*** Impaired-awareness-focal-onset-epileptic-seizure {annotation=dc:source Fisher ea 2017 Table 2, annotation=dc:source Beniczky ea 2017 Supplement 1, annotation=dc:source ILAE seizure classification code I.B., 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.]
*** Awareness-unknown-focal-onset-epileptic-seizure {annotation=dc:source Fisher ea 2017 Table 2, annotation=dc:source Beniczky ea 2017 Supplement 1, annotation=dc:source ILAE seizure classification code I.C., hedId=HED_0042067} [Focal onset and awareness (knowledge of self or environment) unknown or not specified.]
*** Focal-to-bilateral-tonic-clonic-focal-onset-epileptic-seizure {annotation=dc:source Fisher ea 2017 Table 2, annotation=dc:source Beniczky ea 2017 Supplement 1, annotation=dc:source ILAE seizure classification code I.D.01., 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.]
** 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, annotation=dc:source Fisher ea 2017 Table 2 and Key Points, annotation=dc:source Suggested tags from Fisher ea 2017 Figure 2, annotation=dc:source Beniczky ea 2017 Supplement 1, annotation=dc:source ILAE seizure classification code II., 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.]
** Unknown-onset-epileptic-seizure {suggestedTag=Tonic-clonic-seizure, suggestedTag=Epileptic-spasm, suggestedTag=Behavior-arrest-seizure, annotation=dc:source Fisher ea 2017 page 532, annotation=dc:source Suggested tags from Fisher ea 2017 Figure 2, annotation=dc:source Beniczky ea 2017 Supplement 1, annotation=dc:source ILAE seizure classification code III., 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.]
*** Unclassified-epileptic-seizure {annotation=dc:source Fisher ea 2017 Table 2, annotation=dc:source Beniczky ea 2017 Supplement 1, annotation=dc:source ILAE seizure classification code III.C.01., 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.]
* Electroencephalographic-seizure {suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, annotation=dc:source Beniczky ea 2013 Appendix S5, annotation=dc:source Beniczky ea 2017 Table 9., 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.]
* Seizure-PNES {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, annotation=dc:source Beniczky ea 2013 Appendix S5, annotation=dc:source Beniczky ea 2017 Table 9., 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 features during the ictus.]
* Sleep-related-episode {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, annotation=dc:source Beniczky ea 2017 Table 9., hedId=HED_0042074}
** Sleep-related-arousal {annotation=dc:source Beniczky ea 2017 Table 9., hedId=HED_0042075} [Normal arousal.]
** Benign-sleep-myoclonus {annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5., 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.]
** Confusional-arousal {annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5., 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.]
** Cataplexy {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5., 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.]
** Sleep-periodic-limb-movement {annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
** REM-sleep-behavioral-disorder {annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5., 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.]
** Sleep-walking {annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
* Pediatric-episode {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, annotation=dc:source Beniczky ea 2017 Table 9., hedId=HED_0042082}
** Hyperekplexia {annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
** 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.]
** Pavor-nocturnus {annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
** Pediatric-stereotypical-behavior-episode {annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5, 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).]
* Paroxysmal-motor-event {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
* Syncope {suggestedTag=Feature-significance-to-recording, suggestedTag=Episode-consciousness-affected, suggestedTag=Episode-awareness, suggestedTag=Episode-prodrome, suggestedTag=Episode-tongue-biting, annotation=dc:source Beniczky ea 2017 Table 9, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
* Other-episode {requireChild, hedId=HED_0042089}
** # {takesValue, valueClass=textClass, hedId=HED_0042090} [Free text.]
'''Feature-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 {annotation=dc: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.]
** Rhythmic-property {annotation=dc:source Beniczky ea 2017 Table 5 Table 12 Table 14, hedId=HED_0042093} [Rhythmic activity can be observed during background, interictal or ictal activity and HED-SCORE therefore describes this as an property/attribute.]
*** Delta-activity {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude, annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S2 Appendix S6, hedId=HED_0042094} [Rhythmic activity in the delta frequency range (under 4 Hz).]
**** # {takesValue, valueClass=textClass, hedId=HED_0042095} [Free text.]
*** Theta-activity {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude, annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S2 Appendix S6, hedId=HED_0042096} [Rhythmic activity in the theta frequency range (4-8 Hz).]
**** # {takesValue, valueClass=textClass, hedId=HED_0042097} [Free text.]
*** Alpha-activity {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude, annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S2 Appendix S6, hedId=HED_0042098} [Rhythmic activity in the alpha frequency range (8-13 Hz), but not a part of the posterior dominant rhythm.]
**** # {takesValue, valueClass=textClass, hedId=HED_0042099} [Free text.]
*** Beta-activity {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude, annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S2 Appendix S6, hedId=HED_0042100} [Rhythmic activity in the beta frequency range (14-40 Hz).]
**** # {takesValue, valueClass=textClass, hedId=HED_0042101} [Free text.]
*** Gamma-activity {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude, annotation=dc:source Beniczky ea 2017 Table 5, hedId=HED_0042102} [Rhythmic activity in the gamma frequency range.]
**** # {takesValue, valueClass=textClass, annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, 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.]
**** # {takesValue, valueClass=textClass, hedId=HED_0042105} [Free text.]
*** Frontal-intermittent-rhythmic-delta-activity {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, 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.]
**** # {takesValue, valueClass=textClass, hedId=HED_0042107} [Free text.]
*** Occipital-intermittent-rhythmic-delta-activity {annotation=dc:sourceBeniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, 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.]
**** # {takesValue, valueClass=textClass, hedId=HED_0042109} [Free text.]
*** Temporal-intermittent-rhythmic-delta-activity {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, 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.]
**** # {takesValue, valueClass=textClass, annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, 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.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042113} [Free text.]
** Spike-and-slow-wave {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, hedId=HED_0042114} [A pattern consisting of a spike followed by a slow wave.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042115} [Free text.]
** Runs-of-rapid-spikes {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, 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.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042117} [Free text.]
** Polyspikes {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, hedId=HED_0042118} [Two or more consecutive spikes.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042119} [Free text.]
** Polyspike-and-slow-wave {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, hedId=HED_0042120} [Two or more consecutive spikes associated with one or more slow waves.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042121} [Free text.]
** Sharp-wave {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, 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.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042123} [Free text.]
** Sharp-and-slow-wave {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, hedId=HED_0042124} [A sequence of a sharp wave and a slow wave.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042125} [Free text.]
** Slow-sharp-wave {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, hedId=HED_0042126} [A transient that bears all the characteristics of a sharp-wave, but exceeds 200 ms. Synonym: blunted sharp wave.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042127} [Free text.]
** High-frequency-oscillation {annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2017 Table 5, hedId=HED_0042128} [High Frequency Oscillation (HFO). Oscillations with a frequency higher than 80 Hz.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042129} [Free text.]
** Hypsarrhythmia-classic {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, hedId=HED_0042130} [Pattern consisting of diffuse chaotic high voltage (more than 300 ??V) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042131} [Free text.]
** Hypsarrhythmia-modified {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Beniczky ea 2013 Appendix S4, hedId=HED_0042132} [Pattern consisting of diffuse chaotic high voltage (more than 300 ??V) irregular slow waves interspersed with multiregional spikes and sharp waves over both hemispheres.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042133} [Free text.]
** Fast-spike-activity {annotation=dc:source Beniczky ea 2017 Table 12, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042134} [A burst consisting of a sequence of spikes. Duration greater than 1 s. Frequency at least in the alpha range.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042135} [Free text.]
** Low-voltage-fast-activity {annotation=dc:source Beniczky ea 2017 Table 12, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042137} [Free text.]
** Polysharp-waves {annotation=dc:source Beniczky ea 2017 Table 12, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042138} [A sequence of two or more sharp-waves.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042139} [Free text.]
** Slow-wave-large-amplitude {annotation=dc:source Beniczky ea 2017 Table 12, hedId=HED_0042140} [Slow wave of large amplitude.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042141} [Free text.]
** Irregular-delta-or-theta-activity {annotation=dc:source Beniczky ea 2017 Table 12, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042142} [EEG activity consisting of repetitive waves of inconsistent wave-duration but in delta and/or theta range (greater than 125 ms).]
*** # {takesValue, valueClass=textClass, hedId=HED_0042143} [Free text.]
** Electrodecremental-change {annotation=dc:source Beniczky ea 2017 Table 12, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042144} [Sudden desynchronization of electrical activity.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042145} [Free text.]
** DC-shift {annotation=dc:source Beniczky ea 2017 Table 12, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042146} [Shift of negative polarity of the direct current recordings, during seizures.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042147} [Free text.]
** Disappearance-of-ongoing-activity {annotation=dc:source Beniczky ea 2017 Table 12, annotation=dc:source Beniczky ea 2013 Appendix S5, 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).]
*** # {takesValue, valueClass=textClass, hedId=HED_0042149} [Free text.]
** RPP-morphology {suggestedTag=Feature-amplitude, annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042150} [Modifier terms for Rhythmic or Periodic Patterns in critically ill patients (RPPs).]
*** RPP-with-superimposed-activity {suggestedTag=Property-not-possible-to-determine, annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042151} [Superimposed activity (for PDs and RDA).]
**** Superimposed-fast-activity {suggestedTag=Feature-frequency, annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042152} [Superimposed fast activity.]
***** # {takesValue, valueClass=textClass, hedId=HED_0042153} [Free text.]
**** Superimposed-rhythmic-activity {suggestedTag=Feature-frequency, annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042154} [Superimposed rhythmic activity (for PDs only).]
***** # {takesValue, valueClass=textClass, hedId=HED_0042155} [Free text.]
**** Superimposed-sharp-waves-or-spikes {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042156} [Superimposed sharp waves or spikes (for RDA only).]
***** # {takesValue, valueClass=textClass, hedId=HED_0042157} [Free text.]
*** RPP-sharpness {suggestedTag=Property-not-possible-to-determine, annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042158} [Sharpness (for PDs and SW).]
**** RPP-spiky {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042159} [Spiky (<70 ms, measured at the baseline). )]
**** RPP-sharp {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042160} [Sharp (70-200 ms).]
**** RPP-sharply-contoured {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042161} [Sharply contoured.]
**** RPP-blunt {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042162} [Blunt.]
*** Number-of-RPP-phases {suggestedTag=Property-not-possible-to-determine, suggestedTag=Greater-than, annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042163} [Number of phases (for PDs and SW): 1, 2 or 3.]
**** # {takesValue, valueClass=numericClass, hedId=HED_0042164}
*** Triphasic-morphology {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042165} [Waves with three distinct phases (for PDs and SW).]
*** RPP-absolute-amplitude {suggestedTag=Property-not-possible-to-determine, suggestedTag=Low, suggestedTag=Medium, suggestedTag=High, annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042166} [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.]
**** # {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, annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042168} [Relative amplitude (for PDs), should indicate if it's less than or equal to 2 or greater than 2.]
*** RPP-polarity {suggestedTag=Positive, suggestedTag=Negative, suggestedTag=Property-not-possible-to-determine, annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042169} [Polarity (for PDs and SW).]
**** RPP-tangential-polarity {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042170} [Tangential/horizontal dipole.]
***** # {takesValue, valueClass=textClass, hedId=HED_0042171} [Free text.]
* Sensor-list {requireChild, hedId=HED_0042172} [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_0042173} [Free text.]
* Source-analysis-property {annotation=dc:source Beniczky ea 2017 Section 8, hedId=HED_0042174} [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.]
** # {takesValue, valueClass=textClass, hedId=HED_0042175} [Free text.]
* Location-property {suggestedTag=Left, suggestedTag=Right, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Section 8 and Section 10, hedId=HED_0042176} [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).]
** Feature-propagation {suggestedTag=Body-part, suggestedTag=Sensor-list, 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-feature {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 {annotation=dc:source Beniczky ea 2017 Section 10, hedId=HED_0042181} [For each described graphoelement, the influence of the modulators can be scored. Only modulators present in the recording are scored.]
** Modulators-reactivity {suggestedTag=Modulator, suggestedTag=Feature-stopped-by, suggestedTag=Increasing, suggestedTag=Decreasing, annotation=dc:source Beniczky ea 2013 Appendix S2, hedId=HED_0042182} [Susceptibility of individual rhythms or the EEG as a whole to change following sensory stimulation or other physiologic actions. 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, annotation=dc:source Beniczky ea 2013, 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).]
*** Other-facilitating-factor {hedId=HED_0042185}
**** # {takesValue, valueClass=textClass, hedId=HED_0042186} [Free text.]
** Provocative-factor {suggestedTag=Hyperventilation, annotation=dc:source Beniczky ea 2013, 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.]
*** 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, annotation=dc:source Beniczky ea 2017, hedId=HED_0042192} [The effect of Intermittent Photic Stimulation (IPS) is scored according to the terminology proposed by Kasteleijn-Nolst Trenite ea (2001).]
*** Posterior-stimulus-dependent-response {suggestedTag=Feature-frequency, annotation=dc:source Trenite ea 2001, annotation=dc:source Beniczky ea 2017 Table 7, 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.]
*** Posterior-stimulus-independent-response-limited {suggestedTag=Feature-frequency, annotation=dc:source Trenite ea 2001, annotation=dc:source Beniczky ea 2017 Table 7, 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.]
*** Posterior-stimulus-independent-response-self-sustained {suggestedTag=Feature-frequency, annotation=dc:source Trenite ea 2001, annotation=dc:source Beniczky ea 2017 Table 7, 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.]
*** Generalized-photoparoxysmal-response-limited {suggestedTag=Feature-frequency, annotation=dc:source Trenite ea 2001, annotation=dc:source Beniczky ea 2017 Table 7, 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.]
*** Generalized-photoparoxysmal-response-self-sustained {suggestedTag=Feature-frequency, annotation=dc:source Trenite ea 2001, annotation=dc:source Beniczky ea 2017 Table 7, 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.]
*** Activation-of-pre-existing-epileptogenic-area {suggestedTag=Feature-frequency, annotation=dc:source Trenite ea 2001, annotation=dc:source Beniczky ea 2017 Table 7, 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.]
* Time-related-property {annotation=dc:source Beniczky ea 2017 Table 6 Table 8, hedId=HED_0042199} [Estimates of how often a graphoelement is seen in the recording.]
** Appearance-mode {suggestedTag=Property-not-possible-to-determine, suggestedTag=Random, suggestedTag=Repetitive, suggestedTag=Varying, annotation=dc:source Beniczky ea 2017 Table 6, annotation=dc:source Beniczky ea 2013 Appendix 4., 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.)]
*** # {takesValue, valueClass=textClass, hedId=HED_0042201} [Free text.]
** Discharge-pattern {annotation=dc:source Beniczky ea 2017 Table 6, annotation=dc:source Beniczky ea 2013 Appendix 4, hedId=HED_0042202} [Describes the organization of the EEG signal within the discharge (distinguish between single and repetitive discharges).]
*** Single-discharge {suggestedTag=Feature-incidence, annotation=dc:source Beniczky ea 2017 Table 6, annotation=dc:source Beniczky ea 2013 Appendix 4, 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.]
*** Rhythmic-trains-or-bursts {suggestedTag=Feature-prevalence, suggestedTag=Feature-frequency, annotation=dc:source Beniczky ea 2017 Table 6, annotation=dc:source Beniczky ea 2013 Appendix 4, 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.]
*** Arrhythmic-trains-or-bursts {suggestedTag=Feature-prevalence, annotation=dc:source Beniczky ea 2017 Table 6, annotation=dc:source Beniczky ea 2013 Appendix 4, 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.]
*** Fragmented-discharge {annotation=dc:source Beniczky ea 2017 Table 6, hedId=HED_0042206}
** RPP-time-related-feature {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042207} [Time related feature for Rhythmic or Periodic Patterns in critically ill patients (RPPs).]
*** RPP-duration {annotation=dc:source Beniczky ea 2017 Table 8, 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.]
**** Very-brief-RPP-duration {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042209} [Less than 10 sec.]
**** Brief-RPP-duration {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042210} [10 to 59 sec.]
**** Intermediate-RPP-duration {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042211} [1 to 4.9 min.]
**** Long-RPP-duration {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042212} [5 to 59 min.]
**** Very-long-RPP-duration {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042213} [Greater than 1 hour.]
*** RPP-onset {annotation=dc:source Beniczky ea 2017 Table 8, 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.]
**** Sudden-RPP-onset {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042215} [Sudden (progressing from absent to well developed within 3 s.]
**** Gradual-RPP-onset {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042216} [Gradual onset.]
*** RPP-dynamics {annotation=dc:source Beniczky ea 2017 Table 8, 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.]
**** Evolving-RPP-dynamics {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042218}
***** # {takesValue, valueClass=textClass, hedId=HED_0042219} [Free text.]
**** Fluctuating-RPP-dynamics {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042220}
***** # {takesValue, valueClass=textClass, hedId=HED_0042221} [Free text.]
**** Static-RPP-dynamics {annotation=dc:source Beniczky ea 2017 Table 8, hedId=HED_0042222}
***** # {takesValue, valueClass=textClass, annotation=dc:source Beniczky ea 2017 Section 8 and Table 6, hedId=HED_0042223} [Free text.]
** Feature-incidence {hedId=HED_0042224} [For single discharges, estimates of how often features are seen in the recording are scored as incidence (how often it occurs/time-epoch).]
*** One-time-incidence {annotation=dc:source Beniczky ea 2017 Table 6, hedId=HED_0042225}
*** Rare-feature-incidence {annotation=dc:source Beniczky ea 2017 Table 6, hedId=HED_0042226} [Less than 1/h.]
*** Uncommon-feature-incidence {annotation=dc:source Beniczky ea 2017 Table 6, hedId=HED_0042227} [1/5 min to 1/h.]
*** Occasional-feature-incidence {annotation=dc:source Beniczky ea 2017 Table 6, hedId=HED_0042228} [1/min to 1/5min.]
*** Frequent-feature-incidence {annotation=dc:source Beniczky ea 2017 Table 6, hedId=HED_0042229} [1/10 s to 1/min.]
*** Abundant-feature-incidence {annotation=dc:source Beniczky ea 2017 Table 6, hedId=HED_0042230} [Greater than 1/10 s. (Source: Beniczky ea 2017, Table 6.)]
** Feature-prevalence {annotation=dc:source Beniczky ea 2017 Section 8 Table 6 Table 8, hedId=HED_0042231} [For trains or bursts, estimates of how often features are seen in the recording are scored as prevalence (the percentage of the recording covered by the train/burst).]
*** Rare-prevalence {annotation=dc:source Beniczky ea 2017 Table 6 and Table 8, hedId=HED_0042232} [Less than 1 percent.]
*** Occasional-prevalence {annotation=dc:source Beniczky ea 2017 Table 6 and Table 8, hedId=HED_0042233} [1 to 9 percent.]
*** Frequent-prevalence {annotation=dc:source Beniczky ea 2017 Table 6 and Table, hedId=HED_0042234} [10 to 49 percent.]
*** Abundant-prevalence {annotation=dc:source Beniczky ea 2017 Table 6 and Table 8, hedId=HED_0042235} [50 to 89 percent.]
*** Continuous-prevalence {annotation=dc:source Beniczky ea 2017 Table 6 and Table 8, hedId=HED_0042236} [Greater than 90 percent.]
* Posterior-dominant-rhythm-property {suggestedTag=Feature-frequency, suggestedTag=Feature-amplitude, annotation=dc:source Beniczky ea 2017 Section 6 and Table 4, 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 asymmetrical.]
** Posterior-dominant-rhythm-amplitude-range {suggestedTag=Low, suggestedTag=Medium, suggestedTag=High, annotation=dc:source Beniczky ea 2017 Table 4, hedId=HED_0042238} [Low: less than 20 microV, Medium: 20 to 70 microVSource, High: more than 70 microV.]
** Posterior-dominant-rhythm-eye-opening-reactivity {suggestedTag=Property-not-possible-to-determine, suggestedTag=Left, suggestedTag=Right, annotation=dc:source Beniczky ea 2013 Appendix S2, annotation=dc:source Beniczky ea 2017 Table 4, hedId=HED_0042239} [Change (disappearance or measurable decrease in amplitude) of a posterior dominant rhythm following eye-opening. Eye closure has the opposite effect.]
** Posterior-dominant-rhythm-organization {suggestedTag=Normal, annotation=dc:source Beniczky ea 2017 Table 4, hedId=HED_0042240} [Posterior dominant rhythm organization. When normal could be labeled with suggested tag.]
*** Posterior-dominant-rhythm-organization-poorly-organized {annotation=dc:source Beniczky ea 2017 Table 4, hedId=HED_0042241} [Poorly organized.]
*** Posterior-dominant-rhythm-organization-disorganized {annotation=dc:source Beniczky ea 2017 Table 4, hedId=HED_0042242} [Disorganized.]
*** Posterior-dominant-rhythm-organization-markedly-disorganized {annotation=dc:source Beniczky ea 2017 Table 4, hedId=HED_0042243} [Markedly disorganized.]
** Posterior-dominant-rhythm-caveat {suggestedTag=None, suggestedTag=Eyes-open, suggestedTag=Sleep-deprivation, suggestedTag=Drowsy, suggestedTag=Hyperventilation, annotation=dc:source Beniczky ea 2017 Table 4, 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.]
** Absence-of-posterior-dominant-rhythm {suggestedTag=Data-artifact, suggestedTag=Asleep, annotation=dc:source Beniczky ea 2017 Table 4, hedId=HED_0042245} [Reason for absence of PDR.]
*** Absence-of-posterior-dominant-rhythm-extreme-low-voltage {annotation=dc:source Beniczky ea 2017 Table 4, hedId=HED_0042246}
*** Absence-of-posterior-dominant-rhythm-eye-closure-could-not-be-achieved {annotation=dc:source Beniczky ea 2017 Table 4, hedId=HED_0042247}
*** Absence-of-posterior-dominant-rhythm-lack-of-compliance {annotation=dc:source Beniczky ea 2017 Table 4, hedId=HED_0042248}
*** Absence-of-posterior-dominant-rhythm-other-causes {requireChild, hedId=HED_0042249} [annotation=dc: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 {annotation=dc:source Fisher ea 2017, annotation=dc:source Beniczky ea 2017, 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.]
*** Myoclonic-seizure {suggestedTag=Duration, annotation=dc:source Fisher ea 2017 Table 2, annotation=dc:source Duration tag from Beniczky ea Table 13, 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.]
*** Negative-myoclonic-seizure {suggestedTag=Duration, hedId=HED_0042254} [annotation=dc:source Beniczky ea 2017 Supplement 1, annotation=dc:source Duration tag from Beniczky ea Table 13]
*** Motor-seizure {suggestedTag=Duration, annotation=dc:source Fisher ea 2017 Table 2, annotation=dc:source Duration tag from Beniczky ea Table 13, 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.]
**** Clonic-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Tonic-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Atonic-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Myoclonic-atonic-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Myoclonic-tonic-clonic-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Tonic-clonic-seizure {annotation=dc:source Fisher ea 2017 Table 2, hedId=HED_0042261} [A sequence consisting of a tonic followed by a clonic phase. Definition from ILAE 2017 Classification of Seizure Types Expanded Version.]
**** Automatism-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Hyperkinetic-seizure {annotation=dc:source Fisher ea 2017 Table 2, hedId=HED_0042263}
**** Epileptic-spasm {annotation=dc:source Fisher ea 2017 Table 2, 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.]
*** Nonmotor-seizure {suggestedTag=Duration, annotation=dc:source Fisher ea 2017 Table 2, annotation=dc:source Duration tag from Beniczky ea Table 13, 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.]
**** Behavior-arrest-seizure {annotation=dc:source Fisher ea 2017, 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.]
**** Sensory-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Emotional-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Cognitive-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Autonomic-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
*** Absence-seizure {suggestedTag=Duration, annotation=dc:source Fisher ea 2017 Table 2, annotation=dc:source Duration tag from Beniczky ea Table 13, 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.]
**** Typical-absence-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Atypical-absence-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Myoclonic-absence-seizure {annotation=dc:source Fisher ea 2017 page 536, 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.]
**** Eyelid-myoclonia-seizure {annotation=dc:source Fisher ea 2017 Table 2, 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.]
** Seizure-semiology {suggestedTag=None, suggestedTag=Duration, annotation=dc:source Beniczky ea 2017 Section 10, annotation=dc:source Duration tag from Beniczky ea Table 13, 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 ea 2001). Besides the name, the semiologic feature can also be characterized by the somatotopic modifier, laterality, body part and centricity. Uses Location-property tags.]
*** Semiology-motor-behavioral-arrest {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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).]
*** Semiology-dyscognitive {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
*** Semiology-elementary-motor {annotation=dc:source Blume ea 2001 1.1, annotation=dc:source Beniczky ea 2017 Table 10, 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.]
**** Semiology-myoclonic-jerk {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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).]
**** Semiology-negative-myoclonus {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042281} [Characterized by negative myoclonus. NEGATIVE MYOCLONUS: interruption of tonic muscular activity for lower than 500 ms without evidence of preceding myoclonia.]
**** Semiology-clonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
**** Semiology-jacksonian-march {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042283} [Term indicating spread of clonic movements through contiguous body parts unilaterally.]
**** Semiology-epileptic-spasm {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
**** Semiology-tonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042285} [A sustained increase in muscle contraction lasting a few seconds to minutes.]
**** Semiology-dystonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042286} [Sustained contractions of both agonist and antagonist muscles producing athetoid or twisting movements, which, when prolonged, may produce abnormal postures.]
**** Semiology-postural {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042287} [Adoption of a posture that may be bilaterally symmetric or asymmetric (as in a fencing posture).]
**** Semiology-versive {suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042288} [A sustained, forced conjugate ocular, cephalic, and/or truncal rotation or lateral deviation from the midline.]
**** Semiology-tonic-clonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042289} [A sequence consisting of a tonic followed by a clonic phase. Variants such as clonic-tonic-clonic may be seen.]
***** Semiology-tonic-clonic-without-figure-of-four {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
***** Semiology-tonic-clonic-with-figure-of-four-extension-left-elbow {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
***** Semiology-tonic-clonic-with-figure-of-four-extension-right-elbow {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
**** Semiology-astatic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042293} [Loss of erect posture that results from an atonic, myoclonic, or tonic mechanism. Synonym: drop attack.]
**** Semiology-atonic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
**** Semiology-eye-blinking {suggestedTag=Categorical-location-value, annotation=dc:source Beniczky ea 2017 Table 10., hedId=HED_0042295}
**** Semiology-subtle-motor-phenomena {requireChild, suggestedTag=Categorical-location-value, annotation=dc:source Beniczky ea 2017 Table 10, hedId=HED_0042296}
***** # {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 {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Fisher ea 2017 Table 2, 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.]
**** Semiology-mimetic {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042301} [Facial expression suggesting an emotional state, often fear.]
**** Semiology-oroalimentary {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042302} [Lip smacking, lip pursing, chewing, licking, tooth grinding, or swallowing.]
**** Semiology-dacrystic {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042303} [Bursts of crying.]
**** Semiology-manual {suggestedTag=Categorical-location-value, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042304} [1. Indicates principally distal components, bilateral or unilateral. 2. Fumbling, tapping, manipulating movements.]
**** Semiology-gestural {suggestedTag=Categorical-location-value, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042305} [Semipurposive, asynchronous hand movements. Often unilateral.]
**** Semiology-hypermotor {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
**** Semiology-hypokinetic {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042307} [A decrease in amplitude and/or rate or arrest of ongoing motor activity.]
**** Semiology-gelastic {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042308} [Bursts of laughter or giggling, usually without an appropriate affective tone.]
**** Semiology-other-automatisms {requireChild, annotation=dc:source Beniczky ea 2017 Table 10, hedId=HED_0042309}
***** # {takesValue, valueClass=textClass, hedId=HED_0042310} [Free text.]
*** Semiology-sensory {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Blume ea 2001 2.2, hedId=HED_0042311} [A perceptual experience not caused by appropriate stimuli in the external world. Modifies seizure or aura.]
**** Semiology-headache {suggestedTag=Categorical-location-value, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042312} [Headache occurring in close temporal proximity to the seizure or as the sole seizure manifestation.]
**** Semiology-visual {suggestedTag=Categorical-location-value, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042313} [Flashing or flickering lights, spots, simple patterns, scotomata, or amaurosis.]
**** Semiology-auditory {suggestedTag=Categorical-location-value, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042314} [Buzzing, drumming sounds or single tones.]
**** Semiology-olfactory {annotation=dc:source Beniczky ea 2017 Table 10, hedId=HED_0042315}
**** Semiology-gustatory {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042316} [Taste sensations including acidic, bitter, salty, sweet, or metallic.]
**** Semiology-epigastric {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
**** Semiology-somatosensory {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042318} [Tingling, numbness, electric-shock sensation, sense of movement or desire to move.]
**** Semiology-autonomic-sensation {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, annotation=dc:source Blume ea 2001 2.2.1.8, 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).]
**** Semiology-sensory-other {requireChild, annotation=dc:source Beniczky ea 2017 Table 10, hedId=HED_0042320}
***** # {takesValue, valueClass=textClass, hedId=HED_0042321} [Free text.]
*** Semiology-experiential {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Blume ea 2001 2.2.2, 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.]
**** Semiology-affective-emotional {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042323} [Components include fear, depression, joy, and (rarely) anger.]
**** Semiology-hallucinatory {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042324} [Composite perceptions without corresponding external stimuli involving visual, auditory, somatosensory, olfactory, and/or gustatory phenomena. Example: hearing and seeing people talking.]
**** Semiology-illusory {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042325} [An alteration of actual percepts involving the visual, auditory, somatosensory, olfactory, or gustatory systems.]
**** Semiology-mnemonic {suggestedTag=Familiar, suggestedTag=Unfamiliar, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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).]
**** Semiology-experiential-other {requireChild, annotation=dc:source Beniczky ea 2017 Table 10, hedId=HED_0042327}
***** # {takesValue, valueClass=textClass, hedId=HED_0042328} [Free text.]
*** Semiology-language {annotation=dc:source Beniczky ea 2017 Table 10, hedId=HED_0042329}
**** Semiology-vocalization {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042330} [Single or repetitive utterances consisting of sounds such as grunts or shrieks.]
**** Semiology-verbalization {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042331} [Single or repetitive utterances consisting of words, phrases, or brief sentences.]
**** Semiology-dysphasia {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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. (]
**** Semiology-aphasia {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
**** Semiology-language-other {requireChild, annotation=dc:source Beniczky ea 2017 Table 10, hedId=HED_0042334}
***** # {takesValue, valueClass=textClass, hedId=HED_0042335} [Free text.]
*** Semiology-autonomic {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Blume ea 2001 3.2, 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).]
**** Semiology-pupillary {suggestedTag=Categorical-location-value, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042337} [Mydriasis, miosis (either bilateral or unilateral).]
**** Semiology-hypersalivation {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042338} [Increase in production of saliva leading to uncontrollable drooling.]
**** Semiology-respiratory-apnoeic {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042339} [Subjective shortness of breath, hyperventilation, stridor, coughing, choking, apnea, oxygen desaturation, neurogenic pulmonary edema.]
**** Semiology-cardiovascular {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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).]
**** Semiology-gastrointestinal {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042341} [Nausea, eructation, vomiting, retching, abdominal sensations, abdominal pain, flatulence, spitting, diarrhea.]
**** Semiology-urinary-incontinence {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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).]
**** Semiology-genital {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, 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).]
**** Semiology-vasomotor {annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042344} [Flushing or pallor (may be accompanied by feelings of warmth, cold and pain).]
**** Semiology-sudomotor {suggestedTag=Categorical-location-value, annotation=dc:source Beniczky ea 2017 Table 10, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042345} [Sweating and piloerection (may be accompanied by feelings of warmth, cold and pain).]
**** 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, annotation=dc:source Blume ea 2001, annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Duration tag from Beniczky ea Table 13, 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.]
*** Postictal-unconscious {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042352} [Unawareness and unresponsiveness.]
*** Postictal-quick-recovery-of-consciousness {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042353} [Quick recovery of awareness and responsiveness. )]
*** Postictal-aphasia-or-dysphasia {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
*** Postictal-behavioral-change {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042355} [Occurring immediately after a seizure. Including psychosis, hypomanina, obsessive-compulsive behavior.]
*** Postictal-hemianopia {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042356} [Postictal visual loss in a a hemi field.]
*** Postictal-impaired-cognition {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042357} [Decreased Cognitive performance involving one or more of perception, attention, emotion, memory, execution, praxis, speech.]
*** Postictal-dysphoria {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042358} [Depression, irritability, euphoric mood, fear, anxiety.]
*** Postictal-headache {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, 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.]
*** Postictal-nose-wiping {suggestedTag=Categorical-location-value, annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042360} [Noes-wiping usually within 60 sec of seizure offset, usually with the hand ipsilateral to the seizure onset.]
*** Postictal-anterograde-amnesia {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042361} [Impaired ability to remember new material.]
*** Postictal-retrograde-amnesia {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042362} [Impaired ability to recall previously remember material.]
*** Postictal-paresis {suggestedTag=Categorical-location-value, suggestedTag=Body-part, annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042363} [Todds palsy. Any unilateral postictal dysfunction relating to motor, language, sensory and/or integrative functions.]
*** Postictal-sleep {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042364} [Invincible need to sleep after a seizure.]
*** Postictal-unilateral-myoclonic-jerks {annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, 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).]
*** Postictal-other-unilateral-motor-phenomena {requireChild, annotation=dc:source Beniczky ea 2017 Table 11, annotation=dc:source Beniczky ea 2013 Appendix S5, hedId=HED_0042366} [Unilateral motor phenomena, other then specified above, occurring in the postictal phase.]
**** # {takesValue, valueClass=textClass, hedId=HED_0042367} [Free text.]
** Episode-time-context-property {annotation=dc:source Beniczky ea 2017 Section 10, 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.]
*** Episode-consciousness-affected {suggestedTag=False, suggestedTag=Some, suggestedTag=True, suggestedTag=Property-not-possible-to-determine, annotation=dc:source Beniczky ea 2017 Table 13, hedId=HED_0042369}
*** Episode-awareness {suggestedTag=True, suggestedTag=False, annotation=dc:source Beniczky ea 2017 Table 13, hedId=HED_0042370} [False: the patient is not aware of the episode. True: the patient is aware of the episode.]
*** Episode-event-count {requireChild, suggestedTag=Property-not-possible-to-determine, annotation=dc:source Beniczky ea 2017 Table 13, hedId=HED_0042371} [Number of stereotypical episodes during the recording.]
**** # {takesValue, valueClass=numericClass, hedId=HED_0042372}
*** Status-epilepticus {annotation=dc:source Beniczky ea 2017 Table 13, hedId=HED_0042373} [Episode with duration >30 min but not precisely determined (status epilepticus).]
*** Episode-prodrome {suggestedTag=True, suggestedTag=False, annotation=dc:source Blume ea 2001, annotation=dc:source Beniczky ea 2017 Table 13, 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.]
**** # {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, annotation=dc:source Beniczky ea 2017 Table 13, hedId=HED_0042379}
* Other-feature-property {requireChild, hedId=HED_0042380}
** Artifact-significance-to-recording {annotation=dc:source Beniczky ea 2017 Section 12, 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.]
*** 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.]
** Feature-significance-to-recording {suggestedTag=Normal, suggestedTag=Abnormal, suggestedTag=Property-not-possible-to-determine, hedId=HED_0042388} [Significance of feature. When normal/abnormal could be labeled with with suggested tags.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042389} [Free text.]
** Feature-frequency {requireChild, suggestedTag=Symmetrical, suggestedTag=Asymmetrical, hedId=HED_0042390} [Value in Hz (number) typed in.]
*** # {takesValue, valueClass=numericClass, unitClass=frequencyUnits, hedId=HED_0042391}
** Feature-amplitude {requireChild, suggestedTag=Symmetrical, suggestedTag=Asymmetrical, hedId=HED_0042392} [Value in microvolts (number) typed in, e.g. (Feature-amplitude/number uv)]
*** # {takesValue, valueClass=numericClass, unitClass=electricPotentialUnits, hedId=HED_0042393}
** Feature-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.]
'''Interictal-activity''' {annotation=dc:source Beniczky ea 2013 Appendix S1, annotation=dc:source Beniczky ea 2017 Table 5, 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 interictal activity does not necessarily imply that the patient has epilepsy.]
* 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=Sensor-list, suggestedTag=Feature-propagation, suggestedTag=Multifocal-feature, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, suggestedTag=Feature-incidence, annotation=dc:source Beniczky ea 2013 Appendix S4, annotation=dc:source Morphologies from Beniczky ea 2017 Table 5. annotation, 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.]
* 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=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, suggestedTag=Feature-incidence, annotation=dc:source Beniczky ea 2013 Appendix S4, annotation=dc:source Morphologies from Beniczky ea 2017 Table 5, annotation=dc:source Suggested tags from Beniczky ea 2017 Section 8, hedId=HED_0042400} [Activity of frequency lower than alpha, that clearly exceeds the amount considered physiologically normal for patient age and state of alertness.]
* Interictal-special-patterns {annotation=dc:source Beniczky ea 2017 Table 5, hedId=HED_0042401}
** Interictal-periodic-discharges {suggestedTag=RPP-morphology, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=RPP-time-related-feature, annotation=dc:source Beniczky ea 2017 Table 5, hedId=HED_0042402} [Periodic discharge not further specified (PDs).]
*** Generalized-periodic-discharges {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Hirsch ea 2013, 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).]
*** Lateralized-periodic-discharges {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Hirsch ea 2013, hedId=HED_0042404} [LPDs. Lateralized includes unilateral and bilateral synchronous but asymmetric; includes focal, regional and hemispheric patterns.]
*** Bilateral-independent-periodic-discharges {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Hirsch ea 2013, hedId=HED_0042405} [BIPDs. Bilateral Independent refers to the presence of 2 independent (asynchronous) lateralized patterns, one in each hemisphere.]
*** Multifocal-periodic-discharges {annotation=dc:source Beniczky ea 2017 Table 5, annotation=dc:source Hirsch ea 2013, hedId=HED_0042406} [MfPDs. Multifocal refers to the presence of at least three independent lateralized patterns with at least one in each hemisphere.]
** Extreme-delta-brush {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2017 Table 5, hedId=HED_0042407}
'''Physiologic-pattern''' {annotation=dc:source Beniczky ea 2013 Appendix S1, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Rhythmic-activity-pattern {suggestedTag=Rhythmic-property, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2017 Table 14, hedId=HED_0042409} [Rhythmic activity.]
* Slow-alpha-variant-rhythm {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Fast-alpha-variant-rhythm {suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Lambda-wave {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Posterior-slow-waves-youth {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Diffuse-slowing-hyperventilation {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Photic-driving {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Photomyogenic-response {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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).]
* Arousal-pattern {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, hedId=HED_0042417} [Arousal pattern in children. Prolonged, marked high voltage 4-6/s activity in all leads with some intermixed slower frequencies.]
* Frontal-arousal-rhythm {suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Other-physiologic-pattern {requireChild, hedId=HED_0042419}
** # {takesValue, valueClass=textClass, hedId=HED_0042420} [Free text.]
'''Polygraphic-channel-feature''' {annotation=dc:source Beniczky ea 2017 Section 13, 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).]
* EOG-channel-feature {suggestedTag=Feature-significance-to-recording, annotation=dc:source Beniczky ea 2017 Section 13, hedId=HED_0042422} [Electrooculogram (EOG) channel features.]
** # {takesValue, valueClass=textClass, hedId=HED_0042423} [Free text.]
* Respiration-channel-feature {suggestedTag=Feature-significance-to-recording, annotation=dc:source Beniczky ea 2017 Section 13 Table 16, hedId=HED_0042424} [Findings in respiration sensors.]
** Oxygen-saturation {requireChild, annotation=dc:source Beniczky ea 2013 Table 9, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042425} [Percentage.]
*** # {takesValue, valueClass=numericClass, hedId=HED_0042426}
** Apnea {annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2013 Table 9, hedId=HED_0042427} [Temporary cessation of breathing. Duration range in seconds.]
*** # {takesValue, valueClass=numericClass, hedId=HED_0042428}
** Hypopnea {annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2013 Table 9, hedId=HED_0042429} [Overly shallow breathing or an abnormally low respiratory rate. Duration (range in seconds).]
*** # {takesValue, valueClass=numericClass, hedId=HED_0042430}
** Apnea-hypopnea-index {suggestedTag=Frequency, annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2013 Table 9, hedId=HED_0042431} [Events/hour as calculated by dividing the number of apnoea and hypopnoea events by the number of hours of sleep.]
*** # {takesValue, valueClass=numericClass, hedId=HED_0042432}
** Periodic-respiration {annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042433} [Three or more episodes of central apnea lasting at least 4 seconds, separated by no more than 30 seconds of normal breathing.]
*** # {takesValue, valueClass=textClass, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042434} [Free text.]
** Tachypnea {suggestedTag=Frequency, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042435} [Numerical value for cycles / minute.]
*** # {takesValue, valueClass=numericClass, hedId=HED_0042436}
** Other-respiration-feature {requireChild, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042437}
*** # {takesValue, valueClass=textClass, hedId=HED_0042438} [Free text.]
* ECG-channel-feature {suggestedTag=Feature-significance-to-recording, annotation=dc:source Beniczky ea 2017 Section 13 Table 16, hedId=HED_0042439} [Findings in Electrocardiogram recordings.]
** ECG-QT-period {requireChild, annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2013 Table 9, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042440} [The time from the start of the Q wave to the end of the T wave]
*** # {takesValue, valueClass=numericClass, unitClass=timeUnits, hedId=HED_0042441}
** ECG-normal-rhythm {suggestedTag=Frequency, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042442} [Normal rhythm.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042443} [Free text.]
** ECG-arrhythmia {annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042444} [Free text annotating characteristics of arrythymia.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042445} [Free text.]
** ECG-asystolia {annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2013 Table 9, hedId=HED_0042446} [Absence of ventricular contractions in the context of a lethal heart arrhythmia. Duration in seconds of the absence.]
*** # {takesValue, valueClass=numericClass, unitClass=timeUnits, hedId=HED_0042447}
** ECG-bradycardia {suggestedTag=Frequency, annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2017 Table 16, annotation=dc:source Beniczky ea 2013 Table 9, hedId=HED_0042448} [A resting heart rate under 60 beats per minute. Numerical value for frequency in beats/minute.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042449} [Free text.]
** ECG-extrasystole {annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042450} [A heart rhythm disorder corresponding to a premature contraction of one of the chambers of the heart.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042451} [Free text.]
** ECG-ventricular-premature-depolarization {annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2017 Table 16, 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.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042453} [Free text.]
** ECG-tachycardia {suggestedTag=Frequency, annotation=dc:source Wikipedia, annotation=dc:source Beniczky ea 2017 Table 16, annotation=dc:source Beniczky ea 2013 Table 9, hedId=HED_0042454} [A resting heart rate over 100 beats per minute. Numerical value for frequency in beats/minute.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042455}
** Other-ECG-feature {requireChild, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042456}
*** # {takesValue, valueClass=textClass, hedId=HED_0042457} [Free text.]
* EMG-channel-feature {suggestedTag=Feature-significance-to-recording, suggestedTag=Symmetrical, suggestedTag=Left, suggestedTag=Right, annotation=dc:source Beniczky ea 2017 Section 13 Table 16, hedId=HED_0042458} [Findings in Electromyography recordings. 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, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042459}
*** # {takesValue, valueClass=textClass, hedId=HED_0042460} [Free text.]
** Myoclonus {annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042461}
*** Negative-myoclonus {annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042462}
*** Myoclonus-rhythmic {annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042463} [Numerical value for frequency.]
**** # {takesValue, valueClass=numericClass, unitClass=frequencyUnits, hedId=HED_0042464}
*** Myoclonus-arrhythmic {annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042465}
*** Myoclonus-synchronous {annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042466}
*** Myoclonus-asynchronous {annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042467}
** PLMS {annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042468} [Periodic limb movements in sleep.]
** Spasm {annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042469}
** Tonic-contraction {annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042470}
** Other-EMG-features {requireChild, annotation=dc:source Beniczky ea 2017 Table 16, hedId=HED_0042471}
*** # {takesValue, valueClass=textClass, hedId=HED_0042472} [Free text.]
* Other-polygraphic-channel-feature {requireChild, annotation=dc:source Beniczky ea 2017 Section 13, hedId=HED_0042473} [Add the name and type of the polygraphic channel as well as the feature in the description.]
** # {takesValue, valueClass=textClass, hedId=HED_0042474} [Free text.]
'''Sleep-and-drowsiness''' {annotation=dc:source Beniczky ea 2013 Appendix S1, 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).]
* Sleep-architecture {suggestedTag=Property-not-possible-to-determine, annotation=dc:source Beniczky ea 2013 Appendix S3, 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.]
** Normal-sleep-architecture {annotation=dc:source Benizcky ea 2013 Appendix S3, hedId=HED_0042477} [Recording containing sleep-patterns that are considered normal for the attained sleep stages and for the age.]
** Abnormal-sleep-architecture {annotation=dc:source Benizcky ea 2013 Appendix S3, hedId=HED_0042478} [Absence or consistently marked amplitude asymmetry (>50%) of a normal sleep graphoelement.]
* Sleep-stage-reached {requireChild, suggestedTag=Property-not-possible-to-determine, suggestedTag=Feature-significance-to-recording, annotation=dc:source Beniczky ea 2017 Section 7, hedId=HED_0042479} [For normal sleep patterns the sleep stages reached during the recording can be specified.]
** Sleep-stage-N1 {annotation=dc:source Beniczky ea 2017 Section 7, hedId=HED_0042480} [Sleep stage 1.]
*** # {takesValue, valueClass=textClass, annotation=dc:source Beniczky ea 2017 Section 7, hedId=HED_0042481} [Free text.]
** Sleep-stage-N2 {annotation=dc:source Beniczky ea 2017 Section 7, hedId=HED_0042482} [Sleep stage 2.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042483} [Free text.]
** Sleep-stage-N3 {annotation=dc:source Beniczky ea 2017 Section 7, hedId=HED_0042484} [Sleep stage 3.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042485} [Free text.]
** Sleep-stage-REM {annotation=dc:source Beniczky ea 2017 Section 7, hedId=HED_0042486} [Rapid eye movement.]
*** # {takesValue, valueClass=textClass, hedId=HED_0042487} [Free text.]
* Sleep-spindles {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, annotation=dc:source Beniczky ea 2013 Appendix S3, annotation=dc:source Beniczky ea 2017 Section 7, 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.]
* Vertex-wave {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, annotation=dc:source Beniczky ea 2013 Appendix S3, annotation=dc:source Beniczky ea 2017 Section 7, 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.]
* K-complex {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, annotation=dc:source Beniczky ea 2013 Appendix S3, annotation=dc:source Beniczky ea 2017 Section 7, 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.]
* Saw-tooth-waves {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, annotation=dc:source Beniczky ea 2013 Appendix S3, annotation=dc:source Beniczky ea 2017 Section 7, hedId=HED_0042491} [Vertex negative 2-5 Hz waves occurring in series during REM sleep.]
* POSTS {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, annotation=dc:source Beniczky ea 2013 Appendix S3, annotation=dc:source Beniczky ea 2017 Section 7, 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.]
* Hypnagogic-hypersynchrony {suggestedTag=Feature-significance-to-recording, suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Asymmetrical, suggestedTag=Symmetrical, annotation=dc:source Beniczky ea 2013 Appendix S3, annotation=dc:source Beniczky ea 2017 Section 7, 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.]
* Non-reactive-sleep {annotation=dc:source Beniczky ea 2013 Appendix S3, annotation=dc:source Beniczky ea 2017 Section 7, hedId=HED_0042494} [EEG activity consisting of normal sleep graphoelements, but which cannot be interrupted by external stimuli/ the patient cannot be wakened.]
'''Uncertain-significant-pattern''' {annotation=dc:source Beniczky ea 2013 Appendix S1, annotation=dc:source Beniczky ea 2017 Table 14, 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).]
* Sharp-transient-pattern {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2017 Table 14, hedId=HED_0042496} [Sharp transient.]
* Wicket-spikes {annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Small-sharp-spikes {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Fourteen-six-Hz-positive-burst {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Six-Hz-spike-slow-wave {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Rudimentary-spike-wave-complex {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Slow-fused-transient {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, hedId=HED_0042502} [A posterior slow-wave preceded by a sharp-contoured potential that blends together with the ensuing slow wave, in children.]
* Needle-like-occipital-spikes-blind {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Subclinical-rhythmic-EEG-discharge-adults {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Rhythmic-temporal-theta-burst-drowsiness {annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Ciganek-rhythm {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2017 Table 14, hedId=HED_0042506} [Ciganek rhythm (midline central theta)]
* Temporal-slowing-elderly {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, suggestedTag=Appearance-mode, suggestedTag=Discharge-pattern, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, 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.]
* Breach-rhythm {suggestedTag=Categorical-location-value, suggestedTag=Sensor-list, 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.]
* Other-uncertain-significant-pattern {requireChild, annotation=dc:source Beniczky ea 2013 Appendix S6, annotation=dc:source Beniczky ea 2017 Table 14, hedId=HED_0042509}
** # {takesValue, valueClass=textClass, hedId=HED_0042510} [Free text.]
!# end schema
'''Unit classes'''
'''Unit modifiers'''
'''Value classes'''
'''Schema attributes'''
'''Properties'''
'''Epilogue'''
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.
The 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.
The 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.
A second revised and extended version of SCORE achieved international consensus.
TPA KR DH SM July 2024
'''Sources'''
* source=Beniczky ea 2013,link=https://doi.org/10.1111/epi.12270,description=Standardized computer based organized reporting of EEG: SCORE. Epilepsia 54(6) pp.1112-1124.
* source=Beniczky ea 2017,link=https://doi.org/10.1016/j.clinph.2017.07.418,description=Standardized computer based organized reporting of EEG: SCORE second version. Clinical Neurophysiology 128(11) pp.2334-2346.
* source=Blume ea 2001,link=https://doi.org/10.1046/j.1528-1157.2001.22001.X,description=Glossary of descriptive terminology for ictal semiology: report of the ILAE task force on classification and terminology. Epilepsia 42(9) pp.1212-1218.
* source=Fisher ea 2017,link=https://doi.org/10.1111/epi.1367,description=Instruction manual for the ILAE 2017 operational classification of seizure types. Epilepsia 58(4) pp.531-542.
* source=Hirsch ea 2013,link=https://doi.org/10.1097/WNP.0b013e3182784729,description=American Clinical Neurophysiology Society's Standardized Critical Care EEG Terminology: 2012 version. Journal of clinical neurophysiology 30(1) pp.1-27.
* source=Trenite ea 2001,link=https://doi.org/10.1046/j.1528-1157.2001.30600.X,description=Visual sensitivity and epilepsy: a proposed terminology and classification for clinical and EEG phenomenology. Epilepsia 42(5) pp.692-701.
* source=Wikipedia,link=https://en.wikipedia.org,description=General definitions of concepts.
'''Prefixes'''
* prefix=dc:,namespace=http://purl.org/dc/elements/1.1/#,description=The Dublin Core elements
* prefix=foaf:,namespace=http://xmlns.com/foaf/0.1/#,description=Friend-of-a-Friend http://xmlns.com/foaf/spec/
* prefix=iao:,namespace=http://purl.obolibrary.org/obo/iao.owl,description=Information Artifact Ontology (IAO)
* prefix=ncit:,namespace=http://purl.obolibrary.org/obo/ncit.owl,description=NCI Thesaurus OBO Edition
* prefix=obogo:,namespace=http://www.geneontology.org/formats/oboInOwl,description=The OBO Format Namespace
* prefix=owl:,namespace=http://www.w3.org/2002/07/owl,description=The OWL namespace [OWL2-OVERVIEW]
* prefix=prov:,namespace=http://www.w3.org/ns/prov,description=The PROV namespace [PROV-DM]
* prefix=rdf:,namespace=http://www.w3.org/1999/02/22-rdf-syntax-ns,description=The RDF namespace [RDF-CONCEPTS]
* prefix=rdfs:,namespace=http://www.w3.org/2000/01/rdf-schema,description=The RDF Schema namespace [RDFS]
* prefix=skos:,namespace=http://www.w3.org/2004/02/skos/core,description=SKOS (Simple Knowledge Organization System) Vocabulary
* prefix=terms:,namespace=http://purl.org/dc/terms/#,description=The Dublin Core terms
* prefix=xml:,namespace=http://www.w3.org/XML/1998/namespace,description=XLM Namespace [XML]
* prefix=xsd:,namespace=http://www.w3.org/2001/XMLSchema,description=XML Schema Namespace [XMLSCHEMA11-2]
'''External annotations'''
* prefix=dc:,id=contributor,iri=http://purl.org/dc/elements/1.1/contributor,description=An entity responsible for making contributions to the resource.
* prefix=dc:,id=creator,iri=http://purl.org/dc/elements/1.1/creator,description=An entity primarily responsible for making the resource.
* prefix=dc:,id=date,iri=http://purl.org/dc/elements/1.1/date,description=A point or period of time associated with an event in the lifecycle of the resource.
* prefix=dc:,id=description,iri=http://purl.org/dc/elements/1.1/description,description=An account of the resource.
* prefix=dc:,id=format,iri=http://purl.org/dc/elements/1.1/format,description=The file format
* prefix=dc:,id=identifier,iri=http://purl.org/dc/elements/1.1/identifier,description=An unambiguous reference to the resource within a given context.
* prefix=dc:,id=language,iri=http://purl.org/dc/elements/1.1/language,description=A language of the resource.
* prefix=dc:,id=publisher,iri=http://purl.org/dc/elements/1.1/publisher,description=An entity responsible for making the resource available.
* prefix=dc:,id=relation,iri=http://purl.org/dc/elements/1.1/relation,description=A related resource.
* prefix=dc:,id=source,iri=http://purl.org/dc/elements/1.1/source,description=A related resource from which the described resource is derived.
* prefix=dc:,id=subject,iri=http://purl.org/dc/elements/1.1/subject,description=The topic of the resource.
* prefix=dc:,id=title,iri=http://purl.org/dc/elements/1.1/title,description=A name given to the resource.
* prefix=dc:,id=type,iri=http://purl.org/dc/elements/1.1/type,description=The nature or genre of the resource.
* prefix=foaf:,id=homepage,iri=http://xmlns.com/foaf/0.1/homepage,description=A homepage for some thing.
* prefix=obogo:,id=has_dbxref,iri=http://www.geneontology.org/formats/oboInOwl#hasDbXref,description=Property indicating that an ontology term has a cross-reference to a database.
* prefix=terms:,id=license,iri=http://purl.org/dc/terms/license,description=A legal document giving official permission to do something with the resource.
!# end hed