SWINGLE CLINICALQ — 23 MARKER SCORE CARD EEG Paradox Decoder — Swingle-Style Multi-Site

RANGE DEFINITIONS (Swingle Clinical Thresholds)

Classification Z Range Clinical Meaning Normal -1.5 to +1.5 Within regulatory tolerance Mild +/-1.5 - +/-2.0 Subclinical shift Moderate +/-2.0 - +/-2.5 Clinically relevant deviation Severe >= +/-2.5 High regulatory strain Ratios use amplitude-derived ClinicalQ comparisons (Theta/Beta, Alpha EO:EC, etc.).

FULL 23-MARKER SCORE CARD

# Marker Site Value Range Severity Out of Spec

1 Pre-Ictal Delta CZ EO Not captured Missing Incomplete Incomplete 2 TBI Acute Delta CZ EO Not captured Missing Incomplete Incomplete 3 Central Delta Excess CZ EO Not captured Missing Incomplete Incomplete 4 Low Alpha (Stress) CZ EC Not captured Missing Incomplete Incomplete 5 Alpha Deficiency (TBI) CZ EC Not captured Missing Incomplete Incomplete 6 PTSD Low Alpha CZ EC Not captured Missing Incomplete Incomplete 7 Peniston Low Beta CZ EC Not captured Missing Incomplete Incomplete 8 Posterior Alpha EO O1 EO -3.30 < -2.5 Severe YES 9 Posterior Alpha EC O1 EC -0.39 -1.5 to +1.5 Normal No 10 Alpha EO:EC Ratio O1 113% >+2.5 Severe YES 11 Theta/Beta Ratio F3 EO 0.99 Missing Incomplete Incomplete 12 Theta/Beta Ratio CZ EO Not captured Missing Incomplete Incomplete 13 Frontal Alpha Asymmetry F3/F4 EC 7% -1.5 to +1.5 Normal No 14 F3 Alpha Suppression F3 EC -2.05 ±2.0 – ±2.5 Moderate YES 15 F4 Beta Elevation F4 EO -0.28 -1.5 to +1.5 Normal No 16 Central Beta Instability CZ Not captured Missing Incomplete Incomplete 17 Alpha Reserve (Global) EC Low ±1.5 – ±2.0 Mild Borderline 18 Delta:Alpha Ratio CZ EC Not captured Missing Incomplete Incomplete 19 Left > Right Load Global 5:5 -1.5 to +1.5 Normal No 20 Vigilance Drop EO → UT Not captured Missing Incomplete Incomplete 21 Occipital Regulation O1 -0.39 -1.5 to +1.5 Normal No 22 Executive Load Index FZ Not captured Missing Incomplete Incomplete 23 Regulatory Collapse Index Global High >+2.5 Severe YES

KEY RATIO METRICS

1. 1
   Theta/Beta Ratio — Frontal/Central; >2.5 elevated/dysregulated.
2. 2
   Alpha EO:EC Ratio — Expected ≥30% EC increase; blunted <20% suggests alpha reserve collapse.
3. 3
   Delta:Alpha Ratio (Central) — High delta + suppressed alpha suggests structural inefficiency.
4. 4
   Laterality Load — Left:Right ratio >2:1 suggests left hemispheric regulatory strain.

CLINICAL DISTRIBUTION SUMMARY

SWINGLE PATTERN CLUSTERS IDENTIFIED

Cluster A – Central Dysregulation (Delta excess + alpha collapse) Cluster B – Trauma / Stress Signature (Low alpha EC, posterior instability, frontal asymmetry) Cluster C – Executive Strain (Theta/Beta elevation, frontal regulatory load)

CRITICAL MARKERS (Immediate Stabilization Priority)

• O1 EO Posterior Alpha EO (-3.30)
• O1 Alpha EO:EC Ratio (113%)
• Global Regulatory Collapse Index (High)

SWINGLE INTERPRETIVE NOTE

• Structural-like central inefficiency and/or severe alpha suppression.
• Executive strain overlay.
• Regulatory collapse across states.

Automated seizure/TBI rule matches require visual EEG confirmation.

— EEG Paradox Decoder, Swingle 23-Marker Score Card