EEG Report Builder v5.1

1. Introduction & Indication

Study type

Patient state

Location

Ventilation

Sedation / Medications

Technical quality

Clinical indication

2. Background Activity

PDR present

PDR frequency (Hz)

PDR quality

PDR symmetry

Reactivity

ACNS 2021: reactivity is a change in voltage or frequency to stimulation; specify stimulus type and character of response.

Dominant frequency

Organization

Continuity

Voltage

Excess Background Slow Activity

Excess slow activity

Diffuse slowing intruding on an otherwise preserved background — not focal slowing.

Serial / Titration Course (optional)

Inserted as a chronological lead-in before the structured background description below, which should describe the final or most clinically representative state.

Background interpretive significance / certainty

Confidence: not used

3. Sleep

Sleep captured

Sleep elements observed

vertex waves sleep spindles K-complexes POSTS slow-wave activity REM features alpha dropout

3b. Normal Variants & Artifacts

Select all that apply — multiple allowed

Normal Variants Identified

Mu rhythm Wicket spikes SSS / BETS RMTD SREDA 14 & 6 Hz bursts Phantom 6 Hz S&W Breach rhythm Lambda waves Alpha variant

Artifacts Present

Muscle/EMG Eye blink Lateral eye mvt ECG artifact 60 Hz line noise Electrode pop Sweat/drift Chewing Ventilator IV/pump

Additional variant / artifact detail (optional)

4. Slowing / Non-Epileptiform Abnormalities

Slowing present

Slowing Characteristics

Distribution

Laterality

Region

Frequency

Prevalence

ACNS 2021 bands = proportion of the epoch. "Intermittent" is a temporal descriptor, not an ACNS prevalence band.

Severity

Morphology

Amplitude

State dependence

Slowing interpretive significance / certainty

Confidence: not used

Controls whether borderline temporal theta drives the EEG classification.

5. Epileptiform Activity

Epileptiform discharges

Epileptiform Characteristics

Morphology

Distribution

Prevalence

Sporadic discharges use a rate scale, not the percentage-of-epoch scale used for rhythmic/periodic patterns.

Clinical correlate

Location(s) — select all that apply

L temporal R temporal L frontotemporal R frontotemporal L frontal R frontal L central R central L parietal R parietal L occipital R occipital L hemispheric R hemispheric vertex/midline bifrontal generalized

Epileptiform interpretive significance / certainty

Confidence: not used

6. ACNS Rhythmic / Periodic Pattern

Pattern present

ACNS Pattern Characterization

Main term 1

Main term 2

Region

Frequency

Prevalence (% of epoch)

ACNS 2021: proportion of the epoch occupied by the pattern.

Duration (typical run)

ACNS 2021; intermediate band widened from 1–4.9 to 1–9.9 min in the 2021 revision.

Plus modifier

Triphasic morphology

Evolution

Stimulus relation

Pattern interpretive significance / certainty

Confidence: not used

7. Seizures / Events

Electrographic seizures

Ictal-interictal continuum

Clinical event captured

8. ECG

ECG rhythm

ECG rate (BPM)

9. Augmentation Procedures

Patient behavior / response to stimulation

Ordered best to worst response. In ICU records this is the primary activation assessment.

Hyperventilation

HV response

HV note

Photic stimulation

Photic response

Photic frequency range

10. Impression / Follow-up

Final classification

Auto = dynamic impression from form inputs.

Follow-up recommendation

Optional custom note / clinical context