REM sleep on EEG

Low-amplitude mixed frequency with sawtooth waves · Normal

Low-voltage mixed activity; F7 and F8 deflect in opposite directions with each eye movement. Simulated trace, longitudinal bipolar channels. Open in the interactive viewer

What it looks like

Low-amplitude, mixed-frequency EEG resembling drowsiness, with rapid eye movements, low chin EMG tone and runs of 2–6 Hz sawtooth waves over the central region. 10

What it means at the bedside

Rapid lateral eye movements appear as out-of-phase deflections at F7 and F8. REM within minutes of sleep onset on a routine EEG suggests sleep deprivation, drug withdrawal or narcolepsy.

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Sources

  1. American Academy of Sleep Medicine. The AASM Manual for the Scoring of Sleep and Associated Events. aasm.org/clinical-resources/scoring-manual/

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