{"title":"Ellen R. Grass Lecture: Back to the Future: From Grass Roots to Microchips","authors":"J. Drazkowski","doi":"10.1080/1086508X.2011.11079805","DOIUrl":"https://doi.org/10.1080/1086508X.2011.11079805","url":null,"abstract":"ABSTRACT. 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.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"40 1","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":"78461988","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":"Utility of EEG in differential diagnosis of adults with unexplained acute alteration of mental status.","authors":"Scott T Bearden, Leston B Nay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>EEG is a safe, inexpensive, mobile test that can be integrated with the neurologic clinical examination and other testing to help physicians move more quickly and accurately to the right branch of the differential diagnostic tree even when the EEG result is not specifically diagnostic itself As technology evolves to allow faster; easier electrode application and remote transmission of EEG data to electroencephalographers; the use of EEG in the emergency room and intensive care units to assist with differential diagnosis is likely to sharply increase. We examine some differential diagnostic scenarios and actual cases where EEG proved useful. Neurologists are trained to think in differential diagnostic terms. As they review EEG tracings, they often ask neurodiagnostic technologists questions pertaining to the patient history or other testing results that help them assimilate the relevant differential diagnostic data. Neurodiagnostic technologists have a unique opportunity to collect useful differential diagnostic information because they spend about 20 minutes talking with the patient as they apply electrodes and they see the EEG results while the patient, family members, or the patient's nurse is still available for questioning. Those technologists who are able to see the bigger picture and think in differential diagnostic terms as they do EEG testing are more likely to include in their patient's history important clinical details that will help the neurologist reach the correct diagnosis of the patient.</p>","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"51 2","pages":"92-104"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29907012","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":"","DOIUrl":"","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"51 2","pages":"105-13"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29907013","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":"Utility of EEG in Differential Diagnosis of Adults with Unexplained Acute Alteration of Mental Status","authors":"Scott Bearden, Leston B. Nay","doi":"10.1080/1086508X.2011.11079807","DOIUrl":"https://doi.org/10.1080/1086508X.2011.11079807","url":null,"abstract":"ABSTRACT. EEG is a safe, inexpensive, mobile test that can be integrated with the neurologic clinical examination and other testing to help physicians move more quickly and accurately to the right branch of the differential diagnostic tree even when the EEG result is not specifically diagnostic itself. As technology evolves to allow faster, easier electrode application and remote transmission of EEG data to electroencephalographers; the use of EEG in the emergency room and intensive care units to assist with differential diagnosis is likely to sharply increase. We examine some differential diagnostic scenarios and actual cases where EEG proved useful. Neurologists are trained to think in differential diagnostic terms. As they review EEG tracings, they often ask neurodiagnostic technologists questions pertaining to the patient history or other testing results that help them assimilate the relevant differential diagnostic data. Neurodiagnostic technologists have a unique opportunity to collect useful differential diagnostic information because they spend about 20 minutes talking with the patient as they apply electrodes and they see the EEG results while the patient, family members, or the patient's nurse is still available for questioning. Those technologists who are able to see the bigger picture and think in differential diagnostic terms as they do EEG testing are more likely to include in their patient's history' important clinical details that will help the neurologist reach the correct diagnosis of the patient.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"711 1","pages":"104 - 92"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76329854","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}
R. Jarrar, Jeffery Buchhalter, Korwyn L Williams, M. McKay, Claire Luketich
{"title":"Technical Tips: Electrode Safety in Pediatric Prolonged EEG Recordings","authors":"R. Jarrar, Jeffery Buchhalter, Korwyn L Williams, M. McKay, Claire Luketich","doi":"10.1080/1086508X.2011.11079809","DOIUrl":"https://doi.org/10.1080/1086508X.2011.11079809","url":null,"abstract":"ABSTRACT. 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.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"36 1","pages":"114 - 117"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74887333","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":"Transcranial Doppler Series Part V: Specialty Applications","authors":"H. Nicoletto, L. S. Boland","doi":"10.1080/1086508X.2011.11079798","DOIUrl":"https://doi.org/10.1080/1086508X.2011.11079798","url":null,"abstract":"ABSTRACT. Transcranial Doppler (TCD) is well known for its usefulness in diagnosing vasospasm in patients with subarachnoid hemorrhage and vasculopathy in children with sickle cell disease. However, there are some lesser known TCD studies. Bubble studies detect right to left shunts. Head rotation studies evaluate for extrinsic compression of the vertebral arteries. CO2 challenge and breath holding studies evaluate vasomotor reserve. Reactive hyperemia studies help diagnose subclavian steal. Emboli monitoring detects any particulates that might be present in the cerebral blood flow.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"98 1","pages":"31 - 41"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83586653","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":"Tuberous sclerosis and epilepsy.","authors":"Liliana D Petrova","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tuberous Sclerosis Complex (TSC) is an inherited disorder resulting from mutations in one of two tumor suppressor genes: TSC1 (hamartin) and TSC2 (tuberin). Hamartin and tuberin, the protein products of TSC1 and TSC2, form a functional protein complex in the mTOR pathway that controls cell growth and proliferation. Epilepsy is the most common disorder in TSC, frequently associated with intractable and early onset seizures, and often as infantile spasms. Epilepsy surgery is an option for TSC patients with medically intractable epilepsy. Multimodality neuroimaging has improved the detection of epileptogenic foci, allowing an increased number of TSC patients to be evaluated noninvasively for resective surgery. Advances in understanding of the molecular pathogenesis of the TSC are crucial to establish new therapeutic approaches for individuals with TSC.</p>","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"51 1","pages":"5-15"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29835521","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 #19 Seize The Day","authors":"A. Cheng-Hakimian, Cindy Fujimura","doi":"10.1080/1086508X.2011.11079800","DOIUrl":"https://doi.org/10.1080/1086508X.2011.11079800","url":null,"abstract":"A 65-year-old woman was functioning at a high level until six weeks before the following EEG was performed (Figure 1 and Figure 2). At that time, she began to have subtle problems with her routine activities of cooking and cleaning. This quickly progressed to needing increasing help with all daily activities . She also began to have trouble walking. About two weeks prior to testing she stopped taking the stairs, and a week prior she could only walk with maximal assistance. Her husband began to note startle-like jerks when sleeping, of increasing frequency over the past month. Over the week prior to EEG, the patient developed urinary incontinence. An initial EEG at another medical center was reported to show seizures.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"51 1","pages":"54 - 57"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86966977","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":"Tuberous Sclerosis and Epilepsy","authors":"Liliana D Petrova","doi":"10.1080/1086508X.2011.11079795","DOIUrl":"https://doi.org/10.1080/1086508X.2011.11079795","url":null,"abstract":"ABSTRACT. Tuberous Sclerosis Complex (TSC) is an inherited disorder resulting from mutations in one of two tumor suppressor genes: TSC1 (hamartin) and TSC2 (tuberin). Hamartin and tuberin, the protein products of TSC1 and TSC2, form a functional protein complex in the mTOR pathway that controls cell growth and proliferation. Epilepsy is the most common disorder in TSC, frequently associated with intractable and early onset seizures, and often as infantile spasms. Epilepsy surgery is an option for TSC patients with medically intractable epilepsy. Multimodality neuroimaging has improved the detection of epileptogenic foci, allowing an increased number of TSC patients to be evaluated noninvasively for resective surgery. Advances in understanding of the molecular pathogenesis of the TSC are crucial to establish new therapeutic approaches for individuals with TSC.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"25 1","pages":"15 - 5"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86307402","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}