Niedermeyer pointed out in his EEG basic principles and clinical applications text that the emergence of intermittent transients in the EEG provide important diagnostic and prognostic information that can help to guide medical management. Ron Swatzyna and Jay Gunkelman (2011) explained the clinical significance of paroxysmal EEG discharges and specifically how the presence of paroxymal activity in clients without convulsions exhibit significant discharge related symptoms. They assert that if the location of the paroxymal EEG discharges correlates with observed symptomology, it is highly likely that the discharges are responsible. This presentation reviews two clients with temporal lobe transients. The first is paroxysmal in nature and the second is not. The cases will be reviewed from beginning of assessment including pictures of raw EEG patterns (from Jay Gunkelman himself), qEEG, client history & presenting symptoms, protocol selection & implementation, and Neurofeedback treatment outcomes immediately after treatment and one year after completion of treatment.
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