Ryan R. Lau, M. K. Powell, Colin Terry, Derek Jahnke
{"title":"Neurotelemetry Electrode Application Techniques Compared","authors":"Ryan R. Lau, M. K. Powell, Colin Terry, Derek Jahnke","doi":"10.1080/1086508X.2011.11079817","DOIUrl":"https://doi.org/10.1080/1086508X.2011.11079817","url":null,"abstract":"ABSTRACT. The secure and efficient affixation of EEG electrodes is an integral part of performing neurotelemetry; however, there are currently no recommendations for the ideal method of affixing the electrodes that has evidence-based support. The purpose of this study was to find and determine the best hook up method based on the required hook up time and number of repairs. One hundred neurotelemetry patients were randomly assigned to one of the following four electrode application methods: collodion-Ten20®, collodion-Elefix®, Hypafx®-Ten20®, or Hypafix®-Elefix®. The collodion-Ten20® method had the longest average hook up time (53.7 min) and the lowest percentage of patients who needed repairs (24%); the Hypafix®-Ten20® method had the shortest average hook up time (42.1 min); and the Hypafix®-Elefix® had the highest percentage of patients who needed repairs (86.4%). Based on these results, the study led to the recommendations that collodion-Ten20® be used for neurotelemetry studies lasting 24 hours or more and that Hypafix® is more suitable for routine EEG studies.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"14 1","pages":"165 - 182"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81378007","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":"Alzheimer dementia: an overview and a promising new concept.","authors":"Ernst Niedermeyer, Janet O Ghigo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper is taken from a presentation one of us (EN) had hoped to give at the 2010 ASET Annual Conference. In it EN provides evidence that in true Alzheimer dementia (AD), memory loss is the initially dominating problem due to deterioration of the circulation in the hippocampus, which has a vulnerable blood supply to begin with. Brain pathology is likely to be secondary. Could this situation be prevented, or even reversed, with simple techniques like \"head-down therapy\"? What was planned to be an oral presentation by EN could not materialize because of his illness. Thanks to Janet Ghigo's invaluable assistance, our efforts have resulted in this joint presentation. The paper is presented in the conversational style Dr. Niedermeyer would have used in his oral presentation. This style reminds AJET readers of both Dr. Niedermeyer's unquenchable curiosity and his infectious enthusiasm about all research.</p>","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"51 2","pages":"82-91"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29907011","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":"Alzheimer Dementia: An Overview and a Promising New Concept","authors":"E. Niedermeyer, Janet Ghigo","doi":"10.1080/1086508X.2011.11079806","DOIUrl":"https://doi.org/10.1080/1086508X.2011.11079806","url":null,"abstract":"ABSTRACT. This paper is taken from a presentation one of us (EN) had hoped to give at the 2010 ASET Annual Conference. In it EN provides evidence that in true Alzheimer dementia (AD), memory loss is the initially dominating problem due to deterioration of the circulation in the hippocampus, which has a vulnerable blood supply to begin with. Brain pathology is likely to be secondary. Could this situation be prevented, or even reversed, with simple techniques like “head-down therapy”? What was planned to be an oral presentation by EN could not materialize because of his illness. Thanks to Janet Ghigo's invaluable assistance, our efforts have resulted in this joint presentation. The paper is presented in the conversational style Dr. Niedermeyer would have used in his oral presentation. This style reminds AJET readers of both Dr. Niedermeyer's unquenchable curiosity and his infectious enthusiasm about all research.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"117 1","pages":"82 - 91"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74984699","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":"Ellen R. Grass lecture: Back to the future: from grass roots to microchips.","authors":"Joseph F Drazkowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study of the electroencephalogram (EEG) and other clinical neurophysiology (CNP) measurement tools has evolved over the last 70 years. In this evolutionary process, Ellen Grass and many professional technologists along the way have been instrumental in the translation of new developments in CNP technology to clinical utility. Technological developments in long-term EEG/video intensive care unit (ICU) monitoring, intraoperative monitoring, high frequency oscillation (HFO) recordings, automated signal analysis tools, seizure prediction devices, and the study of implanted intracranial recording and stimulation devices will improve our understanding of how the nervous system works. Improved understanding and translation of this evolving technology for improved patient care and outcomes remains the ultimate goal of such endeavors. Professional organizations such as the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET) and the American Society of Electroneurodiagnostic Technologists (ASET) must continue to serve the CNP community and society to guide the application of this technology with an emphasis on providing information, guidelines on its use, and setting standards of professionalism. Any prior prediction of the demise of CNP technology has been greatly exaggerated. Quite the opposite has occurred, considering that the humble origins of vacuum tube powered Grass EEG machines will eventually yield to intracranial implanted microchip based recording and stimulation devices; the future appears bright for our profession.</p>","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"51 2","pages":"69-81"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29907010","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":"Lambda Waves","authors":"Francesco Brigo","doi":"10.1080/1086508X.2011.11079808","DOIUrl":"https://doi.org/10.1080/1086508X.2011.11079808","url":null,"abstract":"ABSTRACT. Lambda waves are physiological, triangular shaped, sharp transients occurring over the occipital regions when eyes are open. Lambda waves occur with saccadic eye movements during visual scanning, disappearing when eyes are closed and in sleep. They are best elicited when subjects visually scan a complex picture, therefore seen during visual exploration of a brightly illuminated object or room. The expression of these waveforms seems to be secondary to a functional activation of a common region in the brain, probably localized within parieto-occipital region.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"84 1","pages":"105 - 113"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74326106","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}
Randa Jarrar, Jeffery Buchhalter, Korwyn Williams, Mary McKay, Claire Luketich
{"title":"Technical tips: Electrode safety in pediatric prolonged EEG recordings.","authors":"Randa Jarrar, Jeffery Buchhalter, Korwyn Williams, Mary McKay, Claire Luketich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Electrodes are an essential element of electroencephalography. Complications related to the use of recording electrodes are known to occur but not much is known about the mechanism, risk factors, and incidence of such complications. In this study, we wanted to identify the incidence and potential risk factors for electrode related skin injuries. We found that such injuries occur in 11.4% of children.</p>","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"51 2","pages":"114-7"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29907014","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":"Waveform Window #20 Specific Eeg Patterns","authors":"","doi":"10.1080/1086508X.2011.11079810","DOIUrl":"https://doi.org/10.1080/1086508X.2011.11079810","url":null,"abstract":"Specific EEG patterns are EEG patterns that are readily distinguishable from the background. These patterns can be normal or they can be abnormal. Normal specific patterns come in many forms. Some normal variants appear epileptiform but are nonepileptogenic in their significance, meaning that the variants have no established correlation with clinical seizures. Some variants are very rhythmic and must be examined by considering the location of the pattern, the background activity from which the pattern arises, and the state of the patient. Some specific EEG patterns are abnormal such as periodic lateralized epileptiform discharges (PLEDs), hypsarrhythmia, or 3Hz generalized spike and wave. Abnormal specific EEG patterns can sometimes help lead to the patient's diagnosis. These patterns can be challenging and fun to investigate and recognize. During the recording, the neurodiagnostic technologist must do all he/she can to identify the pattern, e.g., by changing the patient's level of consciousness (awake vs sleep, eyes open vs eye closed, responding or not responding to commands), verifying that the pattern is not artifactual, and any other procedures that block or bring out the suspected pattern. Creating a department archive of specific EEG patterns builds a collection of waveforms for students, new technologists, residents, fellows, and anyone studying for board exams.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"213 1 1","pages":"118 - 124"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85641873","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}