EEG Simulator

EEG Lead Practice

Waveform Simulator

Normal Features:

Slowing Patterns:

Epileptiform Patterns:

Pattern Information

Normal EEG Patterns

Rhythm Frequency Location Clinical Significance
Alpha 8-13 Hz Posterior dominant (occipital) Normal awake rhythm with eyes closed; attenuates with eye opening or mental activity
Beta 13-30 Hz Frontal predominant Normal during alertness, cognitive activity; enhanced by benzodiazepines and barbiturates
Theta 4-8 Hz Diffuse, temporal Normal in drowsiness and young adults; excessive in awake adults may indicate abnormality
Delta 0.5-4 Hz Diffuse Normal in deep sleep (N3) and infants; abnormal when awake except in anterior head regions

Common Artifacts

Artifact Appearance Location Identification Tips
Eye Blinks Large amplitude downward deflections Frontal (Fp1/Fp2), attenuating posteriorly Occurs at 0.5-2Hz when awake; synchronous with visible eye movements; maximal at frontal polar leads
Chewing Rhythmic EMG bursts at ~1Hz with high-frequency spikes Temporal leads (T3/T4) Distinguished by muscle artifact clusters, rhythmic appearance at 1Hz; disrupts normal activity
Sweat Slow, undulating baseline shifts (0.1-0.7 Hz) Often frontal/temporal Appears as slow baseline wander; often in anxious patients or warm environments
60Hz Regular, fast oscillations superimposed on EEG Often one electrode or side Perfect 60Hz rhythm; indicates electrical interference or poor electrode contact
ECG Regular QRS complexes seen as sharp upward deflections across channels All channels; strongest in temporal leads (T3/T4) closest to neck/heart Precisely synchronous with heartbeat; most prominent in patients with short/thick necks, low BMI, or when using non-cephalic references (e.g., ear/mastoid)

Abnormal EEG Patterns

Pattern Morphology Clinical Association Key Features
Spikes Brief (<70ms) pointed transients Epilepsy, irritative zone Fast upstroke, pointy peak, slow downstroke; isolated or grouped; usually pathological
Sharp Waves 70-200ms pointed transients Epilepsy, cerebral injury Longer duration than spikes but similar morphology; often with slow wave following
LRDA Lateralized rhythmic delta (1-4Hz) Focal cerebral dysfunction Continuous rhythmic slowing in localized regions; indicates underlying structural or functional pathology
GRDA Generalized rhythmic delta (1-4Hz) Diffuse cerebral dysfunction Continuous rhythmic slowing across all regions; indicates global encephalopathy or metabolic disturbance