A patient is admitted to the intensive care unit with altered mental status and undergoes continuous EEG monitoring. The EEG recording is shown below. Based on the EEG, which of the following best describes the predominant EEG pattern according to ACNS critical care EEG terminology? (Note: Click and drag or use arrow keys to see whole EEG. Adjust settings at the top)

• Generalized periodic discharges (GPDs)
• Lateralized periodic discharges (LPDs)
• Bilateral independent periodic discharges (BIPDs)
• Generalized rhythmic delta activity (GRDA)
• Brief potentially ictal rhythmic discharges (BIRDs)

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