PMID- 21516927 OWN - NLM STAT- MEDLINE DCOM- 20110517 LR - 20151119 IS - 1086-508X (Print) IS - 1086-508X (Linking) VI - 51 IP - 1 DP - 2011 Mar TI - Triphasic waves. PG - 16-25 AB - Triphasic waves (TWs) are a distinctive, although non-specific EEG pattern, which are quite frequently encountered and sometimes difficult to interpret. Although initially considered pathognomonic of hepatic encephalopathy, TWs have been described in association with a large number of conditions. TWs may occur in encephalopathies (metabolic or structural) or as an ictal pattern. Nonepileptic TWs with sharply contoured morphology may resemble epileptic patterns encountered in nonconvulsive status epilepticus (NCSE), thus leading to misinterpretation and overinterpretation of this pattern as ictal, if only the EEG is considered. An electroclinical response to benzodiazepines and the evaluation of consciousness impairment should be considered when interpreting TWs. Evaluating only the EEG without considering also clinical and laboratory findings is not only useless and meaningless, but may even lead to serious consequences. FAU - Brigo, Francesco AU - Brigo F AD - Department of Neurological, Neuropsychological, Morphological and Movement Sciences, Section of Neurology, University of Verona, Verona, Italy. FAU - Storti, Monica AU - Storti M LA - eng PT - Journal Article PL - United States TA - Am J Electroneurodiagnostic Technol JT - American journal of electroneurodiagnostic technology JID - 9607038 RN - 0 (Anticonvulsants) RN - 12794-10-4 (Benzodiazepines) SB - IM MH - Anticonvulsants MH - *Benzodiazepines MH - Brain Diseases/classification/*diagnosis MH - Diagnosis, Differential MH - Electroencephalography/*drug effects MH - Humans EDAT- 2011/04/27 06:00 MHDA- 2011/05/18 06:00 CRDT- 2011/04/27 06:00 PHST- 2011/04/27 06:00 [entrez] PHST- 2011/04/27 06:00 [pubmed] PHST- 2011/05/18 06:00 [medline] PST - ppublish SO - Am J Electroneurodiagnostic Technol. 2011 Mar;51(1):16-25.