The Neurodiagnostic Journal最新文献

{"title":"The Maureen Berkeley Award.","authors":"","doi":"10.1080/21646821.2022.2139135","DOIUrl":"https://doi.org/10.1080/21646821.2022.2139135","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"62 4","pages":"306"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9220468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Credentialing Organizations.","authors":"","doi":"10.1080/21646821.2022.2139577","DOIUrl":"https://doi.org/10.1080/21646821.2022.2139577","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"62 4","pages":"314-322"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9220458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ASET-CEU Quiz.","authors":"","doi":"10.1080/21646821.2022.2145823","DOIUrl":"https://doi.org/10.1080/21646821.2022.2145823","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"62 4","pages":"309-311"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9220463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Botulinum Toxin Injection on Reducing Myogenic Artifacts during Video-EEG Monitoring: A Longitudinal Study.","authors":"Babak Ghelichnia,&nbsp;Pargol Balali,&nbsp;Ghasem Farahmand,&nbsp;Mahdi Shafiee Sabet,&nbsp;Somaye Feizi,&nbsp;Bahareh Pourghaz,&nbsp;Melika Jameie,&nbsp;Abbas Tafakhori","doi":"10.1080/21646821.2022.2149996","DOIUrl":"https://doi.org/10.1080/21646821.2022.2149996","url":null,"abstract":"<p><p>Medically refractory seizures affect one-third of patients with epilepsy (PwE), for whom epilepsy surgery is considered. Video electroencephalography (vEEG) monitoring is a fundamental tool for pre-operative seizure localization. Facial and cranial myogenic artifacts can obscure vEEG findings, thus interfering with seizure localization. Studies have shown the beneficial effects of botulinum toxin type A (BTX-A) injection into cranial muscles for reducing myogenic artifacts. This longitudinal study aimed to assess the effects of BTX-A injection on these artifacts. Twenty-two patients with medically refractory hypermotor seizures with daily seizure frequency and undetermined epilepsy localization were included in this study and underwent Dysport® injection (200 units) into the frontotemporal region. vEEG recordings were performed at baseline (one week before the injection), and at three days and six days post-injection. Before and after the injection, the amplitudes of myogenic artifacts were compared during various states (ictal, blinking, chewing, bruxism, head lateralization, scowling, talking, and yawning). BTX-A injection significantly reduced the amplitudes of EEG myogenic artifacts, except during blinking (day three) and talking (days three and six). On day six, significant reduction in EEG myogenic artifacts were noted during blinking, chewing, and bruxism for the greatest number of patients (95.5%, 90.9%, 81.8%), while significant reductions in EEG myogenic artifacts during talking, head lateralization, and ictal phase were associated with the least number of patients (22.7%, 36.3%, and 40.9%). Therefore, BTX-A injection could be a convenient method for filtering myogenic contamination, improving EEG interpretation, and facilitating seizure localization in patients with medically refractory seizures.</p>","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"62 4","pages":"222-238"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10832417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ASET Position Statement on the 24/7 Staffing for Neurodiagnostic Long-Term EEG Monitoring Services.","authors":"","doi":"10.1080/21646821.2022.2145831","DOIUrl":"https://doi.org/10.1080/21646821.2022.2145831","url":null,"abstract":"The field of Neurodiagnostics continues to transform to meet the demands and needs of high-quality patient care and patient/caregiver satisfaction, thus the need for twenty-four hour, seven days/week (24/7) staffing availability. Medical institutions are demanding 24/7 neurodiagnostic services as the standard of care, partly due to medical situations in which after-hours diagnostic care (i.e., testing, monitoring, rounding, maintenance, communication, and other work in support of testing) directly correlates with patient outcomes. Therefore, it is ASET’s position that 24/7 staffing models be utilized to support patient and employee safety and patient outcome in Level III and IV epilepsy monitoring units (EMUs); Level I and II neurocritical care units; and Level III and IV neonatal ICUs (NICUs) as described and outlined below:","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"62 4","pages":"251-259"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9220461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Confirming a C5 Palsy with a Motor Evoked Potential Trending Algorithm during Insertion of Cervical Facet Spacers: A Case Study.","authors":"Ly Hoang,&nbsp;Paul Jasiukaitis","doi":"10.1080/21646821.2022.2136926","DOIUrl":"https://doi.org/10.1080/21646821.2022.2136926","url":null,"abstract":"<p><p>The use of cervical facet spacers has shown favorable clinical results in the treatment of cervical spondylotic disease; however, there are limited data regarding neurological complications associated with the procedure. This case report demonstrates the specificity of multi-myotomal motor evoked potentials (MEPs) in detecting acute postoperative C5 palsy following placement of facet spacers. A posterior cervical fusion with decompression and instrumentation involving DTRAX (Providence Medical Technology; Lafayette, CA) was used to treat a patient with cervical stenosis and myelopathy. Intraoperative neurophysiological monitoring (IONM) consisting of MEPs, somatosensory evoked potentials (SSEPs), and free-run electromyography (EMG), was used throughout the procedure. Immediately following the placement of the DTRAX spacers at C4-5, a decrease in amplitudes from the right deltoid and biceps MEP recordings (>65%) was detected. All other IONM modalities remained stable; it is noteworthy that there was an absence of mechanically elicited EMG. A novel post-alert regression analysis trending algorithm of MEP amplitudes confirmed the visual alert. This warning along with an intraoperative computed tomography (CT) scan of the cervical spine subsequently resulted in the decision to remove one of the facet spacers. Surgical intervention did not result in recovery of the aforementioned MEP recordings, which remained attenuated at the time of wound closure. Postoperatively, the patient exhibited an immediate right C5 palsy (2/5). A post-surgery application of the trending algorithm demonstrated that it correlated to the visual alert until the end of monitoring.</p>","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"62 4","pages":"206-221"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10831432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review of \"Autonomic Testing,\" by Peter Novak <b>Autonomic Testing</b> by Peter Novak, M.D., Ph.D., Oxford University Press, 2019, 528 pages. ISBN: 978-0190889227. Retail: $150.00. Currently available through Amazon, paperback: $90.24 and Kindle: $106.00.","authors":"Inrundeep Kaur","doi":"10.1080/21646821.2022.2139132","DOIUrl":"https://doi.org/10.1080/21646821.2022.2139132","url":null,"abstract":"The first part of Autonomic Testing provides an understanding of the pertinent anatomy and physiology and explanations on how to conduct functional autonomic tests. This includes minimum requirements as well as additional monitors that can be utilized to provide additional information. Each test is further explained by the physiology, technique, and interpretation. This is useful for technologists because it brings together all aspects of performing an autonomic test. This section ends with a normal case study. The remainder of the book consists of ninety-nine cases presented over ten sections. The cases are grouped together based upon patterns and syndromes commonly encountered such as syncope, postural tachycardia syndromes, and small fiber neuropathy. The author also includes sections on testing with other neurological conditions such as neurodegenerative disorders and multiple sclerosis. The format of the cases presented are extremely helpful and are a feature of the book that is beneficial to both novice and experienced technologists. Each case begins with the chief complaint, case presentation, past medical history, medications, and an assessment plan. This is followed by the autonomic test evaluation which includes information about heart rate, blood pressure (for the Valsalva and tilt tests) sudomotor evaluation, respiratory system effects including end tidal CO2, cerebral blood flow velocity, skin biopsy of both sensory-epidermal and sweat glands, and patient symptoms reported during the test. Included are tables that display the results of the aforementioned diagnostics. The interpretation is provided followed by comments, treatment and follow-up, and caveats. The case study concludes with figures displaying the results of the tilt test with comments that include the patient’s clinical response at specific times to further aid in the interpretation and understanding of results. Autonomic Testing is a comprehensive guide for anyone who is interested in the evolving field of autonomic neurology. The earlier chapters provide enough information to create a foundation to better understand the remainder of the book. Dr. Novak provides a resource with meticulously detailed diagnostic information and presents it in a way that connects both knowledge and clinical application. This book is a valuable tool for every autonomic lab and personnel interested in autonomic tests.","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"62 4","pages":"312"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10446817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Calendar of Events.","authors":"","doi":"10.1080/21646821.2022.2139138","DOIUrl":"https://doi.org/10.1080/21646821.2022.2139138","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"62 4","pages":"313"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10446818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Trustees Award.","authors":"","doi":"10.1080/21646821.2022.2139572","DOIUrl":"https://doi.org/10.1080/21646821.2022.2139572","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"62 4","pages":"308"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9220456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Theda Sannit Outstanding Educator Award.","authors":"","doi":"10.1080/21646821.2022.2139137","DOIUrl":"https://doi.org/10.1080/21646821.2022.2139137","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"62 4","pages":"307"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9220465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}