In the evaluation of abnormalities in the EEG, one needs to be constantly aware that there are many EEG transients that morphologically resemble epileptiform discharges and that need to be distinguished from diagnostically crucial epileptiform abnormalities to avoid overdiagnosis or misdiagnosis. All these will be discussed in details with traces. Delta activity in the awake tracing is rarely seen after the age of 5 years. The following are points of emphasis: Alpha rhythm seen after age of 5 years, Significant theta activity (4–7 Hz) is present in the EEG of children and adolescents. The EEG in the normal awake child and adult is well known and needs to be known for proper reading and reporting and identifying an abnormal transient or pattern.
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