Excess beta activity on EEG

Fast activity above 13 Hz · Normal

Abundant frontocentral 20 Hz activity. Think sedative medication before anything else. Simulated trace, longitudinal bipolar channels. Open in the interactive viewer

What it looks like

Low-amplitude fast activity is normal over frontocentral regions. Abundant, higher-amplitude, widespread beta is most often a medication effect, classically benzodiazepines and barbiturates. 11

What it means at the bedside

Read it as a clue to sedatives, not as disease. The useful abnormality is the opposite one: focal loss of beta points to cortical injury or a fluid collection under that region.

Usually benignFrontocentralDrug effect

Sources

  1. Britton JW, et al. Electroencephalography (EEG): An Introductory Text and Atlas of Normal and Abnormal Findings in Adults, Children, and Infants. American Epilepsy Society, 2016 (free, NCBI Bookshelf). www.ncbi.nlm.nih.gov/books/NBK390354/

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