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
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