Normal and Benign Variants

Dec 31, 2018 by in NEUROLOGY Comments Off on Normal and Benign Variants

Alpha rhythm or posterior dominant rhythm Print Section Listen (Figures 1-1 to 1-5, 1-11, and 1-16) Figure 1-1. Normal Alpha Rhythm and Squeak Effect. An alpha rhythm appears immediately after…

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Generalized Nonepileptiform Activity

Dec 31, 2018 by in NEUROLOGY Comments Off on Generalized Nonepileptiform Activity

General principle Print Section Listen ▪ The EEG is unable to distinguish between different etiologies. The major usage of the EEG is to determine the severity of encephalopathy, prognosis, and…

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Artifacts

Dec 31, 2018 by in NEUROLOGY Comments Off on Artifacts

Characteristics of artifact Print Section Listen ▪ If the activity is limited to a single channel or electrode, it should be assumed to be an artifact until proven otherwise. ▪…

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Epileptic Encephalopathy

Dec 31, 2018 by in NEUROLOGY Comments Off on Epileptic Encephalopathy

Severe neonatal epilepsy with suppression-burst pattern Print Section Listen (Figures 7-1 to 7-6) Figure 7-1. Severe Neonatal Epilepsy with Suppression-Burst Pattern (Early Epileptic Encephalopathy); Erratic Myoclonus. A 5-day-old boy born…

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Generalized Epilepsy

Dec 31, 2018 by in NEUROLOGY Comments Off on Generalized Epilepsy

Antiepileptic drug (AED)-induced seizure worsening Print Section Listen (Figure 8-1) Figure 8-1. Carbamazepine-Induced Myoclonic Seizure. A 3-year-old boy with a history of GTCS who developed frequent myoclonic jerks and drop…

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Newborn

Dec 31, 2018 by in NEUROLOGY Comments Off on Newborn

Tracé discontinu Print Section Listen (Figures 3-1 to 3-3 and 3-7) Figure 3-1. Tracé Discontinu. EEG of a 27-week CA infant with severe HIE. Tracé discontinu (TD) is the earliest…

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ICU

Dec 31, 2018 by in NEUROLOGY Comments Off on ICU

EEG pattern of encephalopathy Print Section Listen Nonspecific patterns ▪ Alpha rhythm slowing → theta slowing → delta slowing → loss of alpha rhythm → loss of normal faster activity…

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Refractory Status Epilepticus

Dec 31, 2018 by in PSYCHIATRY Comments Off on Refractory Status Epilepticus

Introduction Print Section Listen Traditionally, status epilepticus (SE) was defined as continuous or repetitive seizure activity persisting for at least 30 minutes without recovery of consciousness between attacks. More recently,…

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Interpreting Depth Electrode EEG

Dec 31, 2018 by in PSYCHIATRY Comments Off on Interpreting Depth Electrode EEG

Introduction Print Section Listen The goal of both intracranial and scalp electroencephalography (EEG) within the epilepsy surgery evaluation is to identify the brain region critical for seizure generation (epileptogenic zone)…

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Interpreting Grid and Strip Electrode EEG

Dec 31, 2018 by in PSYCHIATRY Comments Off on Interpreting Grid and Strip Electrode EEG

Introduction Print Section Listen Long-term video-electroencephalographic (EEG) monitoring may be used to confirm the diagnosis of a seizure disorder, classify seizure-type(s), assess response to therapy, and evaluate patients for surgical…

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