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December 1963

14 and 6 CPS Positive EEG Spikes in a Family

Author Affiliations

From the Division of In-Patient Services and Department of Psychology, Hillside Hospital.
Resident in Psychiatry (Dr. Zitrin), Hillside Hospital.
Staff Psychiatrist (Dr. Greenberg), Hillside Hospital.
Staff Psychologist (Dr. Steiner), Hillside Hospital.

Arch Gen Psychiatry. 1963;9(6):559-565. doi:10.1001/archpsyc.1963.01720180031005

In 1951, Gibbs and Gibbs,1 reporting on a study of 5,000 epileptics, described an abnormal electroencephalogram which occurred during sleep in 6% of their patients. Characteristically, the aberrant record consisted of abnormal spike activity, with a rate either of 14 or 6 spikes per second, the highest voltage usually occurring in the occipital and temporal areas. Since then, there have been numerous reports of this abnormality in the literature. A variety of symptoms has been described in these patients, including behavior disorders, autonomic dysfunctioning, headache, dizziness, and various epileptiform disorders. Kellaway et al2 found a history of head injury or encephalitis in a significant number (37% of 459 patients), and Hughes et al3 found that 40% of their 115 patients had a history of postnatal head injury. Walter et al4 found a correlation with "aggressive behavior," and Garneski5 found a high

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