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Epilepsy and paroxysmal conditions

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Breach-rhythm

https://doi.org/10.17749/2077-8333/epi.par.con.2021.055

Abstract

Electroencephalography (EEG) is one of the main non-invasive methods for examining brain activity. Cranial defects caused by trauma or surgery can lead to artifacts on the EEG such as breach-rhythm. In this article we provide a literature-based definition, pathophysiological features of the breach-rhythm, differential diagnosis between breachrhythm and epileptiform activity, as well as our own clinical case of a patient with epilepsy and breach-rhythm.

About the Authors

M. B. Mironov
Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Russian Federation

Mikhail B. Mironov – MD, PhD, Leading Researcher, Department of Epilepsy and Paroxysmal Diseases

RSCI SPIN-code: 1144-7120

1 bld. 10 Ostrovityanov Str., Moscow 117997



S. D. Burd
Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia; Pirogov Russian National Research Medical University
Russian Federation

Sergey G. Burd – Dr. Med. Sc., Professor, Chair of Neurology, Neurosurgery and Medical Genetics, Faculty of Therapy, Pirogov Russian National Research Medical University

RSCI SPINcode: 1484-0178

1 bld. 10 Ostrovityanov Str., Moscow 117997



N. V. Kukina
Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Russian Federation

Nina V. Kukina – Junior Researcher, Department of Epilepsy and Paroxysmal Diseases

1 bld. 10 Ostrovityanov Str., Moscow 117997



Yu. V. Rubleva
Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Russian Federation

Yulia V. Rubleva – MD, PhD, Senior Researcher, Department of Epilepsy and Paroxysmal Diseases

1 bld. 10 Ostrovityanov Str., Moscow 117997



O. O. Kordonskaya
Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Russian Federation

Olga O. Kordonskaya – MD, PhD, Neurosurgeon

1 bld. 10 Ostrovityanov Str., Moscow 117997



I. V. Senko
Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Russian Federation

Ilya V. Senko – MD, PhD, Neurosurgeon, Head of the Department of Neurosurgery

1 bld. 10 Ostrovityanov Str., Moscow 117997



A. V. Yurchenko
Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Russian Federation

Anna V. Yurchenko – Neurologist

1 bld. 10 Ostrovityanov Str., Moscow 117997



M. A. Bogomazova
Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Russian Federation

Maria A. Bogomazova – Neurologist

1 bld. 10 Ostrovityanov Str., Moscow 117997



R. T. Tairova
Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Russian Federation

Raisa T. Tairova – MD, PhD, Deputy Director for Medical Work,  Chief Physician

1 bld. 10 Ostrovityanov Str., Moscow 117997



Kh. A. Dzhabrailova
Sechenov University
Russian Federation

Khedi A. Dzhabrailova – 6th year Student

8/2 Trubetskaya Str., Moscow 119991



References

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2. Tatum W.О. (Ed.). Handbook of EEG interpretation. New York: Demos Medical; 2014.

3. Brigo F., Cicero R., Fiaschi A., Bongiovanni L.G. The breach rhythm. Clin Neurophysiol. 2011; 122 (11): 2116–20. https://doi.org/10.1016/j.clinph.2011.07.024.

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7. Kampf C., Grossmann A., Benecke R., Rösche J. Disappearance of breach rhythm heralding recurrent tumor progression in a patient with astrocytoma. Clin EEG Neurosci. 2013; 44 (3): 237–43. https://doi.org/10.1177/1550059412458263.

8. Krylov V.V., Grin’ А.А., Sinkin М.V., et al. Electroencephalography in patients with traumatic brain injury. Methodological recommendations. Мoscow; 2018 (in Russ.).

9. Kadian R., Kumar A. Breach rhythm. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2020.

10. Lyudmilov C., Petersone D., Schmidt C., et al. Breach rhythm may be suppressed as a form of Todd's paralysis. J Clin Neurophysiol. 2020; 37 (3): 271–3. https://doi.org/10.1097/WNP.0000000000000683.


Review

For citations:


Mironov M.B., Burd S.D., Kukina N.V., Rubleva Yu.V., Kordonskaya O.O., Senko I.V., Yurchenko A.V., Bogomazova M.A., Tairova R.T., Dzhabrailova Kh.A. Breach-rhythm. Epilepsy and paroxysmal conditions. 2021;13(2):140-146. (In Russ.) https://doi.org/10.17749/2077-8333/epi.par.con.2021.055

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ISSN 2077-8333 (Print)
ISSN 2311-4088 (Online)