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Chapter 1 - Introduction

from Part I - Basics

Published online by Cambridge University Press:  24 June 2021

Neville M. Jadeja
Affiliation:
University of Massachusetts Medical School
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Summary

EEGs are a simple and commonly used neurological test that most trainees find hard to interpret. Summations of excitatory and inhibitory postsynaptic potentials of pyramidal neurons in the superficial layers of the cortex generate electrographic activity. These occur constantly, hence normal electrographic activity is continuous. Subcortical structures such as the thalamus and reticular activating system (RAS) modulate cortical neuronal activity, resulting in electrographic rhythms. A sizable area of cortex is required to generate enough signal on scalp recordings. Small potentials may be missed. Voltage is current times resistance (Ohm’s law). EEGs are used in a variety of clinical care settings, including clinics, wards, emergency rooms, critical care units, and operating rooms. Like every other test, the EEG has significant technical and practical limitations. EEG electrodes should have low impendences (less than 5 ohms). Electrodes are placed on the scalp using a standardized system (international 10-20 system). EEGs should be calibrated before and after each recording. Each major division is 1 second within which there are five subdivisions of 200 milliseconds each. For adult records, most readers will use a sensitivity of 7 uV/mm, low-frequency filter of 1 Hz, high-frequency filter of 70 Hz, notch filter (60 Hz), and paper speed of 30 mm per second.

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Publisher: Cambridge University Press
Print publication year: 2021

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References

Benbadis, SR, Tatum, WO. Overintepretation of EEGs and misdiagnosis of epilepsy. Journal of Clinical Neurophysiology. 2003 Feb 1;20(1):42–4.Google Scholar
La Vaque, TJ. The history of EEG Hans Berger: psychophysiologist. A historical vignette. Journal of Neurotherapy. 1999 Apr 1;3(2):19.CrossRefGoogle Scholar
Pearl, PL, Holmes, GL. Childhood absence epilepsies. In Pediatric epilepsy: Diagnosis and therapy (pp. 323–34). Demos Medical Publishing, New York; 2008.Google Scholar
Jasper, H, Kershman, J. Electroencephalographic classification of the epilepsies. Archives of Neurology and Psychiatry. 1941 Jun 1;45(6):903–43.Google Scholar
Barlow, JS. The early history of EEG data-processing at the Massachusetts Institute of Technology and the Massachusetts General Hospital. International Journal of Psychophysiology. 1997 Jun 1;26(1–3):443–54.Google Scholar
Wong, PK. Potential fields, EEG maps, and cortical spike generators. Electroencephalography and Clinical Neurophysiology. 1998 Feb 1;106(2):138–41.Google Scholar
Hughes, SW, Crunelli, V. Thalamic mechanisms of EEG alpha rhythms and their pathological implications. The Neuroscientist. 2005 Aug;11(4):357–72.CrossRefGoogle ScholarPubMed
Cooper, R, Winter, AL, Crow, HJ, Walter, WG. Comparison of subcortical, cortical and scalp activity using chronically indwelling electrodes in man. Electroencephalography and Clinical Neurophysiology. 1965 Feb 1;18(3):217–28.Google Scholar
Jackson, AF, Bolger, DJ. The neurophysiological bases of EEG and EEG measurement: A review for the rest of us. Psychophysiology. 2014 Nov;51(11):1061–71.CrossRefGoogle ScholarPubMed
Herman, ST, Abend, NS, Bleck, TP, et al. Consensus statement on continuous EEG in critically ill adults and children, part I: indications. Journal of Clinical Neurophysiology. 2015 Apr;32(2):87.CrossRefGoogle ScholarPubMed
Worrell, GA, Lagerlund, TD, Buchhalter, JR. Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures. Mayo Clinic Proceedings. 2002 Sep 1;77(9):991–8.CrossRefGoogle ScholarPubMed
Cavazzuti, GB, Cappella, L, Nalin, A. Longitudinal study of epileptiform EEG patterns in normal children. Epilepsia. 1980 Feb;21(1):4355.CrossRefGoogle ScholarPubMed
Pohlmann-Eden, B, Hoch, DB, Cochius, JI, Chiappa, KH. Periodic lateralized epileptiform discharges – a critical review. Journal of Clinical Neurophysiology. 1996 Nov 1;13(6):519–30.CrossRefGoogle ScholarPubMed
Salinsky, M, Kanter, R, Dasheiff, RM. Effectiveness of multiple EEGs in supporting the diagnosis of epilepsy: an operational curve. Epilepsia. 1987 Aug;28(4):331–4.Google Scholar
Veldhuizen, R, Binnie, CD, Beintema, DJ. The effect of sleep deprivation on the EEG in epilepsy. Electroencephalography and Clinical Neurophysiology. 1983 May 1;55(5):505–12.Google Scholar
Fowle, AJ, Binnie, CD. Uses and abuses of the EEG in epilepsy. Epilepsia. 2000 Mar;41:S1018.CrossRefGoogle ScholarPubMed
Ferree, TC, Luu, P, Russell, GS, Tucker, DM. Scalp electrode impedance, infection risk, and EEG data quality. Clinical Neurophysiology. 2001 Mar 1;112(3):536–44.CrossRefGoogle ScholarPubMed
Homan, RW, Herman, J, Purdy, P. Cerebral location of international 10–20 system electrode placement. Electroencephalography and Clinical Neurophysiology. 1987 Apr 1;66(4):376–82.Google Scholar
Seeck, M, Koessler, L, Bast, T, et al. The standardized EEG electrode array of the IFCN. Clinical Neurophysiology. 2017 Oct 1;128(10):2070–7.CrossRefGoogle ScholarPubMed
Acharya, JN, Hani, AJ, Cheek, J, Thirumala, P, Tsuchida, TN. American Clinical Neurophysiology Society guideline 2: guidelines for standard electrode position nomenclature. The Neurodiagnostic Journal. 2016 Oct 1;56(4):245–52.Google Scholar
Sperling, MR, Engel, Jr J. Sphenoidal electrodes. Journal of Clinical Neurophysiology. 1986 Jan 1;3(1):6773.Google Scholar
DeJesus, PV, Masland, WS. The role of nasopharyngeal electrodes in clinical electroencephalography. Neurology. 1970 Sep 1;20(9):869.CrossRefGoogle ScholarPubMed
Teplan, M. Fundamentals of EEG measurement. Measurement Science Review. 2002 Jan;2(2):1.Google Scholar
Sinha, SR, Sullivan, LR, Sabau, D, et al. American clinical neurophysiology society guideline 1: minimum technical requirements for performing clinical electroencephalography. The Neurodiagnostic Journal. 2016 Oct 1;56(4):235–44.Google Scholar
Drees, C, Makic, MB, Case, K, et al. Skin irritation during video-EEG monitoring. The Neurodiagnostic Journal. 2016 Jul 2;56(3):139–50.Google Scholar
Cyngiser, TA. Creutzfeldt–Jakob disease: a disease overview. American Journal of Electroneurodiagnostic Technology. 2008 Sep 1;48(3):199208.CrossRefGoogle ScholarPubMed

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  • Introduction
  • Neville M. Jadeja
  • Book: How to Read an EEG
  • Online publication: 24 June 2021
  • Chapter DOI: https://doi.org/10.1017/9781108918923.003
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  • Introduction
  • Neville M. Jadeja
  • Book: How to Read an EEG
  • Online publication: 24 June 2021
  • Chapter DOI: https://doi.org/10.1017/9781108918923.003
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Introduction
  • Neville M. Jadeja
  • Book: How to Read an EEG
  • Online publication: 24 June 2021
  • Chapter DOI: https://doi.org/10.1017/9781108918923.003
Available formats
×