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3 - Electroencephalography

from SECTION I - NEUROLOGICAL EXAMINATION AND NEURODIAGNOSTIC TESTING

Published online by Cambridge University Press:  06 August 2009

Ivo Drury
Affiliation:
Department of Neurology Henry ford Hospital Detroit, Michigan
Sid M. Shah
Affiliation:
Michigan State University
Kevin M. Kelly
Affiliation:
Drexel University, Philadelphia
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Summary

The appearance of the normal electroencephalogram (EEG) changes significantly from birth through the teenage years and remains relatively unchanged until at least age 80. Epileptiform abnormalities on the EEG may be either interictal or ictal. Status epilepticus (SE) is defined as a continuous seizure lasting 30 minutes or more, or the occurrence of two or more seizures without full recovery of the baseline level of consciousness. EEG abnormalities that are slower than expected for the age and behavioral state of the patient are referred to as slow-wave abnormalities. Focal slow-wave abnormalities imply a local disturbance of cortical and sometimes adjacent subcortical structures. Generalized intermittent slowing occurs most commonly in diverse encephalopathies. EEG is useful in establishing a diagnosis of brain death; it should be used only when the patient has met all clinical criteria for the absence of any brain or brainstem function due to a known and irreversible cause.
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Principles and Practice of Emergency Neurology
Handbook for Emergency Physicians
, pp. 30 - 34
Publisher: Cambridge University Press
Print publication year: 2003

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References

Drury, I, Henry, T R. Ictal patterns in generalized epilepsy. J Clin Neurophysiol. 1993; 10: 268–80Google Scholar
Lee, S I. Nonconvulsive status epilepticus. Ictal confusion in later life. Arch Neurol. 1985; 42: 778–81Google Scholar
Privitera, M D, Strawsburg, R H. Electroencephalographic monitoring in the emergency department. Emerg Med Clin North Am. 1994; 12: 1089–100Google Scholar

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  • Electroencephalography
    • By Ivo Drury, Department of Neurology Henry ford Hospital Detroit, Michigan
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.004
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  • Electroencephalography
    • By Ivo Drury, Department of Neurology Henry ford Hospital Detroit, Michigan
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.004
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.

  • Electroencephalography
    • By Ivo Drury, Department of Neurology Henry ford Hospital Detroit, Michigan
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.004
Available formats
×