Example of spike wave activation in sleep seen in routine electroencephalography at 3 years of age. (A) An awake epoch of EEG showing frequent left central epileptiform discharges (black arrow showing phase reversal at C3). LFF 1 Hz, HFF 70 Hz, Sensitivity 20 uV/mm, Timebase 30 mm/sec. (B) A sleep epoch of EEG showing near continuous, high amplitude, right centrotemporal epileptiform discharges. Boxed area highlighting the focal epileptiform discharges. Bipolar longitudinal montage, LFF 1 Hz, HFF 70 Hz, Sensitivity 30 uV/mm, Timebase 30 mm/sec.