The prolonged video telemetry EEG ran from 15 to 19 June 2026 for 94 hours and 12 minutes and included wakefulness and natural sleep. Twenty-six events were recorded. These included mouth twitching; arm raising; rapid breathing, trembling, facial pulling, and mouth or eye movements; movement while in bed; episodes of severe dysregulation; and an unusual period of daytime sleep.
The overall event series was not stereotyped, and the monitored habitual events with EEG coverage did not have an associated EEG change. The reporting neurologist concluded that there was nothing to suggest the captured attacks were epilepsy-related and described them as most likely behavioral. In this context, "behavioral" distinguishes the events from epileptic seizures; it does not mean they are voluntary, unimportant, or fully explained.
The EEG between events was abnormal. In wakefulness it showed excess slow activity described as consistent with mild encephalopathy. Here, "mild encephalopathy" describes the EEG background; it is not a measure of his overall clinical severity or proof of progressive decline. In sleep, more definite spike-and-slow-wave discharges appeared over both frontal regions, often with greater right-sided or right-frontal emphasis. The report concluded that these sleep-predominant epileptiform changes indicate an ongoing liability to focal seizures.
The study therefore answers two different questions:
No electrographic seizures were recorded, and the multiple habitual events captured during the admission were not supported as epileptic.
Interictal epileptiform discharges were present, mainly during sleep, so the EEG was not normal and seizure susceptibility remains.
The hospital records also list ongoing involuntary movements as possibly representing paroxysmal dystonia or dyskinesia. The lack of an EEG seizure pattern makes epilepsy less likely for the captured movements but does not classify the movement disorder itself.