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By A. James Rowan, MD, Mount Sinai School of Medicine and Bronx VA Medical Center, New York, NY Eugene Tolunsky, MD, Mount Sinai School of Medicine and Medical Center, New York, NY
Description This practical handbook covers all the key aspects of EEG interpretation. Arranged in an easy-to-use format, the text covers the value
of EEG, practical tips on interpretation, specific areas where EEG is most useful, pitfalls to avoid, how to report the findings, and
explanations of the most prominent EEG phenomena. And, it provides readers with a comprehensive mini-atlas of EEG tracings.
1. Origin
of the EEG 2. Technical Considerations a. Electrodes b. Electrode Placement c. Potential Fields d. Amplification e.
Bipolar Recording f. Referential Recording g. Montage Selection h. Overview of Electronics I. Calibration II. Display
(write-out) III. Sensitivity IV. Low Pass (high frequency) Filters V. High Pass (low frequency) Filters 3. Artifacts
II.
THE NORMAL EEG
4. The Normal Adult EEG a. The Alpha Rhythm b. Beta Activity c. Theta Activity d. Delta Activity e.
Mu Rhythm f. Lambda Waves g. Features of Sleep 5. Special Considerations in Children 6. Special Considerations in the Elderly 7.
Activation Procedures a. Hyperventilation b. Intermittent Photic Stimulation c. Sleep Deprivation d. Sedated Sleep 8.
Normal Variants and Paroxysmal Phenomena of Uncertain Significance a. Alpha Variants b. Rhythmical Mid-Temporal Discharges (RMTD) c.
Wicket Spikes d. Subclinical Rhythmical Electrographic Discharges of Adults (SREDA) e. Small Sharp Spikes f. Phantom Spike-waves g.
14 and 6 Positive Spike
III. THE ABNORMAL EEG
9. Non-epileptiform Abnormal Patterns a. Focal Slowing b.
Diffuse Slowing c. Projected Rhythms d. Periodicity e. Burst-Suppression 10. Epileptiform Patterns a. The Spike b.
The Spike-wave Complex c. The sharp wave d. Other Interictal Paroxysmal Waveforms e. Location and Significance of Focal Epileptiform
Discharges
IV. THE EEG AND EPILEPSY
11. Eight Important Epilepsy Syndromes a. Simple Febrile Convulsions b.
Complex Febrile Convulsions c. West Syndrome (Infantile Spasms) d. Lennox-Gastaut Syndrome (LGS) e. Absence Epilepsy f. Benign
Childhood Epilepsy with Centrotemporal Spikes (BECTS) g. Juvenile Myoclonic Epilepsy (JME) h. Benign Epilepsy of Childhood with
Occipital Paroxysms 12. The Value of the EEG in Epilepsy Prognosis 13. Epilepsy Monitoring a. Prolonged EEG-Video Monitoring b.
Ambulatory EEG 14. The EEG in Non-epileptic Seizures of Psychogenic Origin 15. Status Epileptic a. Generalized Convulsive Status
Epilepticus (GCSE) b. Non-convulsive Status Epilepticus (NCSE)
V. THE EEG IN OTHER NEUROLOGICAL AND MEICAL CONDITIONS
16.
The Dementias a. Alzheimer?s Disease b. Multi-infarct Dementia (MID) c. Creuzfeldt-Jakov Disease d. Pick?s Disease 17.
Stroke a. Ischemic Stroke b. Hemorrhagic Stroke 18. Subdural Hematoma 19. Metabolic Disorders a. General EEG Features b.
The Triphasic Wave in Hepatic and Renal Encephalopathies c. Other Metabolic Encephalopathies 20. Coma
VI. TIPS ON
READING AND REPORTING THE EEG
21. Elements of the Report 22. How to Look at the Record
APPENDIX
A.THE
INFLUENCE OF PHARMACOLOGICAL AGENTS ON THE EEG B. THE ROLE OF THE EEG IN DETERMINGN ANTIEPILEPTIC DRUG THERAPY C. GUIDELINES FOR
TREATMENT OF GENERALIZED CONVULSIVE STATUS
EPILEPTICUS (GCSE)
1. Overt GCSE 2. Subtle GCSE D. GUIDELINES
FOR TREATMENT OF NON-CONVULSIVE STATUS EPILEPITCUS (NCSE) E. CREBRAL DEATH RECORDING
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