Real Time Tele-Epilepsy Consultants - RTTC

Real Time Tele-Epilepsy Consultants - RTTC Real Time Tele-Epilepsy Consultants (RTTC) is a physician-led organization delivering expert, high qu

12/24/2025

Happy Holidays from RTTC!

The 2HELPS2B is a practical risk score used to estimate the likelihood of electrographic seizures in hospitalized patien...
12/18/2025

The 2HELPS2B is a practical risk score used to estimate the likelihood of electrographic seizures in hospitalized patients undergoing continuous EEG (cEEG) monitoring. Each letter stands for a key EEG or clinical feature:

H – Presence of periodic discharges with plus features
E – Presence of epileptiform discharges
L – Lateralized rhythmic or periodic patterns
P – Prior seizure or clinical suspicion
S – Brief potentially ictal rhythmic discharges (BIRDs)
2B – Background showing burst suppression or attenuation (worth two points)

🧠 Why it matters:
This tool helps identify patients at higher risk for seizures, guiding when to extend EEG monitoring or escalate treatment.

💡 EEG Tech Tip:
Always describe EEG background, rhythmic/periodic patterns, and “plus” features clearly in your reports. These details directly impact a patient’s 2HELPS2B score and can influence clinical management decisions like anti-seizure medication use or continued monitoring.

Recognizing Brief Ictal Rhythmic Discharges (BIRDs): 🐦BIRDs are brief (
12/10/2025

Recognizing Brief Ictal Rhythmic Discharges (BIRDs): 🐦BIRDs are brief (

In neurodiagnostics, we know that every small pathway tells a big story. The 12 cranial nerves are responsible for every...
12/03/2025

In neurodiagnostics, we know that every small pathway tells a big story. The 12 cranial nerves are responsible for everything from smelling a morning coffee ☕ to controlling eye movement 👀 and maintaining balance 🦶.

Each nerve has a unique role and when one isn’t functioning properly, the impact can be profound. That’s why detailed EEGs and neurological assessments are so critical in diagnosing and managing disorders that affect these pathways. 🧠

💡 EEG Tech Tip: When recording, always make note of cranial nerve–related findings – for example, facial asymmetry, ptosis, or abnormal eye movement. Subtle observations like these can provide valuable context when correlating EEG changes with clinical presentation.

Wishing you joy and good health this Thanksgiving!
11/26/2025

Wishing you joy and good health this Thanksgiving!

11/25/2025

🧠 As Epilepsy Awareness Month concludes, we’re reminded that awareness must translate into action and accessibility.

🤝 EEG technology continues to evolve — and so does the way we deliver care. At RTTC, we remain committed to supporting our partners with the highest standards in EEG interpretation and tele-epilepsy collaboration.

💜 Together, we can help make timely diagnosis and treatment possible for every patient, everywhere.

🧠 The first human EEG was recorded in 1924 by German psychiatrist Hans Berger, marking a breakthrough in our understandi...
11/20/2025

🧠 The first human EEG was recorded in 1924 by German psychiatrist Hans Berger, marking a breakthrough in our understanding of brain activity.

💜 Since then, EEG has become central to diagnosing and classifying epilepsy, offering insight into seizure localization and cerebral function in ways once impossible.

💡 Today, advanced digital EEG systems, cloud-based review, and tele-epilepsy services, like those provided by RTTC, make expert EEG interpretation accessible in real time to hospitals and clinics nationwide.

🧠 EEG testing is not one-size-fits-all. The right study depends on the clinical question and setting:Routine EEG: A shor...
11/13/2025

🧠 EEG testing is not one-size-fits-all. The right study depends on the clinical question and setting:

Routine EEG: A short (20–40 minute) recording, often performed outpatient or bedside, useful for initial screening or post-event evaluation.

Ambulatory EEG: Provides extended recording (usually one to several days) in a home or outpatient setting to capture intermittent or unpredictable events.

Long-Term Video EEG (LTM): Conducted in an epilepsy monitoring unit (EMU), pairing continuous EEG with synchronized video for precise electroclinical correlation.

💜 RTTC supports each of these modalities with comprehensive interpretation coverage by board-certified epileptologists — ensuring accurate, timely reporting and consistent quality across all settings.

“Honor to the soldier and sailor everywhere who bravely bears his country’s cause. Honor, also, to the citizen who cares...
11/11/2025

“Honor to the soldier and sailor everywhere who bravely bears his country’s cause. Honor, also, to the citizen who cares for his brother in the field and serves, as he best can, the same cause.” —Abraham Lincoln

🧠 An electroencephalogram (EEG) remains one of the most essential tools for diagnosing and managing epilepsy.EEGs help c...
11/06/2025

🧠 An electroencephalogram (EEG) remains one of the most essential tools for diagnosing and managing epilepsy.

EEGs help clinicians:
Detect and localize abnormal brain activity associated with seizures
Differentiate seizure types and identify focal vs. generalized onset
Guide treatment decisions and monitor response to therapy
Support surgical evaluation for refractory epilepsy

💜 At RTTC, our team of board-certified epileptologists provides real-time EEG interpretation — helping facilities deliver rapid, informed decisions that improve patient outcomes.

🧠 November is recognized as Epilepsy Awareness Month, a time to educate and highlight the importance of early, accurate ...
11/05/2025

🧠 November is recognized as Epilepsy Awareness Month, a time to educate and highlight the importance of early, accurate diagnosis and comprehensive care for those living with epilepsy.

💜 At Real Time Tele-Epilepsy Consultants (RTTC), our mission centers on supporting hospitals, clinics, and physicians with timely EEG interpretation and expert consultation – because every minute counts when identifying seizure activity.

Throughout this month, we’ll share brief insights on the role of EEGs in epilepsy care – from their purpose and evolution to the various types used in today’s clinical practice.

🧠 Understanding Symmetry and AsymmetryEvaluating symmetry is a core part of EEG interpretation. Subtle differences betwe...
10/29/2025

🧠 Understanding Symmetry and Asymmetry
Evaluating symmetry is a core part of EEG interpretation. Subtle differences between hemispheres in voltage or frequency can carry diagnostic meaning and should be described carefully when present.

🧠 Symmetric
Background rhythms appear similar in both hemispheres – amplitude and frequency are evenly matched, typically within normal variation.

⚙️ Mild Asymmetry
Voltage asymmetry: Consistent difference in amplitude between hemispheres 1 Hz between hemispheres.

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