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    SubjectsMedicineFIRDA (Frontal Intermittent Rhythmic Delta Activity) - EEG Pattern
    ClinicalMedicine

    FIRDA (Frontal Intermittent Rhythmic Delta Activity) - EEG Pattern

    1 MCQs in Medicine for NEET PG

    1 Medium
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    A 58-year-old man with decompensated cirrhosis secondary to chronic hepatitis C presents with worsening confusion, reversed sleep-wake cycle, and asterixis. His serum ammonia is 148 micromol/L. A routine EEG is performed to evaluate for non-convulsive seizures. The recording demonstrates intermittent bursts of bilateral synchronous sinusoidal rhythmic activity at 2–3 Hz with maximum amplitude over the frontal regions (Fp1, Fp2, F3, F4), which attenuate with alerting. This pattern is marked as **A** in the diagram. Which of the following best characterizes the clinical significance of the pattern marked **A** in this patient?

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