Joseph Perumpillichira

@AMoosaMD @CLENeurons @CleClinicMD @CleClinicKids Well done Moosa. Congratulations 👏

I am honored to receive the 2025 Cleveland Clinic Epilepsy Fellow’s Choice Award! Grateful to be part of such an outstanding epilepsy program and to have the opportunity to help train and mentor the next generation of epileptologists. @CLENeurons @CleClinicMD @CleClinicKids

@convectuoso111 @NeuroPBL @theABN_Info Well done

Hugely excited to have helped put together a fantastic training day line-up for the @theABN_Info annual meeting 2025! Training day registration is free, and as well as our programme for specialty trainees we have a dedicated programme for FYs and IMTs! abnconference.co.uk/training-day/

@KatyCDodd Congratulations

Viva passed with minor corrections 🎉 #PhDone

@rajeshramnair Congratulations Rajesh

@KatyCDodd @BSI_neuroimmune Well done Katy👏

So many fascinating talks at #neuroimmune24 symposium, thanks to @BSI_neuroimmune team! Delighted to be awarded best flash talk

Can studying IEDs following 50 Hz cortical stimulation help in identifying SOZ. Dr Ana Suler Marti @aes 2023 Orlando

Utility of exploring thalamic nucleoid during Stereo EEG studies by Ryan McGinn and colleagues from Stanford. AES 2023 Orlando

@AlexandraUrban_ @PittEpilepsy @RamadhaniRuba Management of uremic encephalopathy, including Hemodialysis

An easy EEG interpretation- IIC (ictal interictal continuum). The challenge - what to do next if creatinine= 6, didn’t respond to Ativan challenge and a load of levetiracetam. What would you do next? Glad to share soon what we did. @PittEpilepsy @PittNeurology #eeg

@vumcpedepilepsy Arousal/state change at 7 sec on Fig 1. The rhythmic bilat F delta in Fig 2 is likely to be an artifact

@PianoMedic Great experience, on the Hornblower

Back from Canada and just about getting through the jet lag. Still can’t get over how breathtakingly awesome the #NiagaraFalls were - wet, stunning, exhiliarating - wow :) #bucketlist #intothemist

@vumcpedepilepsy Childhood Occipital Visual Epilepsy (COVE), a self limited focal Epilepsy of childhood (previously known as idiopathic childhood Epilepsy -Gastaut). EEG shows high amplitude Occipital spike-wave, L>R

@vumcpedepilepsy Fixation- off sensitivity seen on eye closure, as well as increased activation of trains of bilateral occipital sharp waves during HV

@vumcpedepilepsy sorry, involving both Fp1 and Fp2 electrodes

@vumcpedepilepsy Likely Fp2 electrode artifacts . The EEG background activity is markedly abnormal, showing a persistent low voltage pattern

@vumcpedepilepsy 6 and 14 Hz positive spikes, benign EEG variant in drowsiness and light sleep

@vumcpedepilepsy GPFA (12-14 Hz generalized paroxysmal fast activity) in sleep. It has been described in Lennox Gastaut syndrome, as well as in other generalized epilepsies. Polygraphy using deltoid, trapezius surface EMG electrodes, might sometimes correlate this with subtle tonic seizures

@vumcpedepilepsy Near continuous generalized, frontally dominant slow (2 Hz) SW discharges, with persistent higher amplitude L, clinically manifesting as atypical absences (correct usage is "prolonged focal unaware seizures" and NCSE). Maybe worthwhile working up for resective epilepsy surgery

@vumcpedepilepsy Lambda waves , normal physiological waves. These are bilateral occipital, triangular shaped waveforms, with positive polarity, seen during visually scanning a picture or watching a video

@vumcpedepilepsy Early myoclonic encephalopathy is likely, (if there's no h/o asphyxia or HIE), indicates poor neurol prognosis. Differentials of EME are broad, including metabolic(NKH, pyridoxine dependency etc) & genetic (SCN, CDKL5, GABR). Accurate diagnosis guides Rx and prognosis