Real Time Tele-Epilepsy Consultants - RTTC

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Real Time Tele-Epilepsy Consultants - RTTC

Real Time Tele-Epilepsy Consultants (RTTC) is a physician-led organization delivering expert, high qu

11/26/2025

Wishing you joy and good health this Thanksgiving!

11/25/2025

🧠 As Epilepsy Awareness Month concludes, we’re reminded that awareness must translate into action and accessibility.

🤝 EEG technology continues to evolve — and so does the way we deliver care. At RTTC, we remain committed to supporting our partners with the highest standards in EEG interpretation and tele-epilepsy collaboration.

💜 Together, we can help make timely diagnosis and treatment possible for every patient, everywhere.

11/20/2025

🧠 The first human EEG was recorded in 1924 by German psychiatrist Hans Berger, marking a breakthrough in our understanding of brain activity.

💜 Since then, EEG has become central to diagnosing and classifying epilepsy, offering insight into seizure localization and cerebral function in ways once impossible.

💡 Today, advanced digital EEG systems, cloud-based review, and tele-epilepsy services, like those provided by RTTC, make expert EEG interpretation accessible in real time to hospitals and clinics nationwide.

11/13/2025

🧠 EEG testing is not one-size-fits-all. The right study depends on the clinical question and setting:

Routine EEG: A short (20–40 minute) recording, often performed outpatient or bedside, useful for initial screening or post-event evaluation.

Ambulatory EEG: Provides extended recording (usually one to several days) in a home or outpatient setting to capture intermittent or unpredictable events.

Long-Term Video EEG (LTM): Conducted in an epilepsy monitoring unit (EMU), pairing continuous EEG with synchronized video for precise electroclinical correlation.

💜 RTTC supports each of these modalities with comprehensive interpretation coverage by board-certified epileptologists — ensuring accurate, timely reporting and consistent quality across all settings.

11/11/2025

“Honor to the soldier and sailor everywhere who bravely bears his country’s cause. Honor, also, to the citizen who cares for his brother in the field and serves, as he best can, the same cause.” —Abraham Lincoln

11/06/2025

🧠 An electroencephalogram (EEG) remains one of the most essential tools for diagnosing and managing epilepsy.

EEGs help clinicians:
Detect and localize abnormal brain activity associated with seizures
Differentiate seizure types and identify focal vs. generalized onset
Guide treatment decisions and monitor response to therapy
Support surgical evaluation for refractory epilepsy

💜 At RTTC, our team of board-certified epileptologists provides real-time EEG interpretation — helping facilities deliver rapid, informed decisions that improve patient outcomes.

11/05/2025

🧠 November is recognized as Epilepsy Awareness Month, a time to educate and highlight the importance of early, accurate diagnosis and comprehensive care for those living with epilepsy.

💜 At Real Time Tele-Epilepsy Consultants (RTTC), our mission centers on supporting hospitals, clinics, and physicians with timely EEG interpretation and expert consultation – because every minute counts when identifying seizure activity.

Throughout this month, we’ll share brief insights on the role of EEGs in epilepsy care – from their purpose and evolution to the various types used in today’s clinical practice.

10/29/2025

🧠 Understanding Symmetry and Asymmetry
Evaluating symmetry is a core part of EEG interpretation. Subtle differences between hemispheres in voltage or frequency can carry diagnostic meaning and should be described carefully when present.

🧠 Symmetric
Background rhythms appear similar in both hemispheres – amplitude and frequency are evenly matched, typically within normal variation.

⚙️ Mild Asymmetry
Voltage asymmetry: Consistent difference in amplitude between hemispheres 1 Hz between hemispheres.

10/22/2025

🧠 Case Study: Seizures Triggered by Motion and Perception in a Young Construction Worker

A 25-year-old construction worker presented with dizzy spells triggered by both actual motion (e.g., escalators, waterslides) and perceived movement (e.g., watching first-person roller coaster videos). The sensation of falling backward led him to extend his arms, trying to maintain balance, but he remained aware during the episodes.

Key Findings:
🔑 Video-EEG confirmed the episodes were focal seizures with subtle ictal rhythms in the midline centroparietal region.
🔑 MRI and FDG-PET scans were negative, but ictal SPECT (using a tilting chair to trigger seizures) showed right medial parietal hyperperfusion.
🔑 The SPECT scan demonstrated seizure onset in the right posterior cingulate sulcus, a region linked to heading-direction processing involving visual, vestibular, and proprioceptive inputs.

Learn more about this case here: https://doi.org/10.1212/WNL.00000000002134

10/15/2025

Today is SUDEP Action Day — a global day dedicated to raising awareness of epilepsy deaths. According to the National Institutes of Health, SUDEP is the most common epilepsy-related cause of death. A discussion with your doctor to determine where you or your loved one fall on the risk spectrum is very important. Dr. Stephan Schuele, Northwestern Medicine, gives an overview of what SUDEP is, how to reduce the risks, and the importance of communicating about it here: https://www.dannydid.org/about-sudep/

10/07/2025

🧠 Identifying Focal vs. Generalized Epileptiform Activity

How to differentiate focal vs. generalized epileptiform activity:

Focal Epileptiform Discharges:
🔹 Confined to one region (e.g., temporal, frontal)
🔹 May have phase reversal at a specific electrode
🔹 Associated with focal epilepsy (e.g., temporal lobe epilepsy)
🔹 Can spread to other areas (secondary generalization)

Generalized Epileptiform Discharges:
🔹 Symmetrical & synchronous across both hemispheres
🔹 Includes 3 Hz spike-wave (absence seizures), polyspike-wave (JME), and slow spike-wave (LGS)
🔹 Seen in primary generalized epilepsy syndromes

💡 Tech Tip: Check for phase reversal in bipolar montages – this can help pinpoint focal activity!

10/01/2025

💤 Can you identify the differences in EEG Patterns across Sleep Stages? 💤

Stage N1 (Light Sleep):
✅Characterized by theta waves (4-7 Hz) and the occasional alpha waves (8-12 Hz) if the person is relaxed but awake.
✅ It marks the transition from wakefulness to sleep, with low-amplitude mixed frequency activity.

Stage N2 (Deeper Sleep with Spindles):
✅ Defined by sleep spindles (12-16 Hz) and K-complexes (high amplitude, sharp waves).
✅ These patterns reflect brain's transition into deeper sleep and are often associated with memory consolidation.

Stage N3 (Deep Sleep):
✅ Dominated by delta waves (0.5-4 Hz), which are large amplitude, low-frequency waves.
✅ This is the restorative phase of sleep, critical for physical recovery and immune function.

REM Sleep (Rapid Eye Movement):
✅ EEG shows low-voltage mixed frequency activity similar to wakefulness, with sawtooth waves and rapid eye movements.
✅ REM sleep is crucial for dreaming and cognitive restoration, with muscle paralysis to prevent acting out dreams.

Address

336 22nd Avenue North
Nashville, TN
37203

Telephone

+16153468182

Website

http://rttconsultants.com/

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