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PRIMER OF EEG
Primer of EEG
With A Mini-Atlas
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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.

Audience
Neurology residents; Neurologists; EEG Technicians

Contents


INTRODUCTION: THE UTILITY OF THE EEG





I. ORGIN AND TECHNICAL ASPECTS OF THE EEG

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

Bibliographic details
Paperback, 224 pages, publication date: MAR-2003
ISBN-13: 978-0-7506-7476-8
ISBN-10: 0-7506-7476-8
Imprint: BUTTERWORTH HEINEMANN


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Last update: 30 Nov 2009
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