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Figure 1: Ictal EEG using a neonatal/double distance montage shows independent seizure foci with epileptiform discharges of different frequency, morphology, and amplitude over the two hemispheres, thus demonstrating a pattern seen in migrating focal seizures. Top: left occipital seizure manifesting as high-amplitude rhythmic delta activity (white arrow) with simultaneous, independent right central seizure with rhythmic sharp-slow wave complexes (black arrow). Bottom: Seizure over the midline comprising sharp waves (white arrow) with concurrent right temporal seizure characterized by high-amplitude rhythmic delta activity (black arrow)

Figure 1: Ictal EEG using a neonatal/double distance montage shows independent seizure foci with epileptiform discharges of different frequency, morphology, and amplitude over the two hemispheres, thus demonstrating a pattern seen in migrating focal seizures. Top: left occipital seizure manifesting as high-amplitude rhythmic delta activity (white arrow) with simultaneous, independent right central seizure with rhythmic sharp-slow wave complexes (black arrow). Bottom: Seizure over the midline comprising sharp waves (white arrow) with concurrent right temporal seizure characterized by high-amplitude rhythmic delta activity (black arrow)