Clinical EEG and neuroscience最新文献_第3页

Pre-attentive and Attentive Auditory Event-related Potentials in Children With Attention-Deficit Hyperactivity Disorder and Autism. 注意缺陷多动障碍和自闭症儿童的注意前和注意听觉事件相关电位。

Clinical EEG and neuroscience Pub Date : 2024-11-01 Epub Date: 2024-05-16 DOI: 10.1177/15500594241255499

Ulrich Schall, Ross Fulham, Max Günther, Jessica Bergmann, Renate Thienel, Julie Ortmann, Natalie G Wall, Paula Gómez Álvarez, Anne-Marie Youlden

{"title":"Pre-attentive and Attentive Auditory Event-related Potentials in Children With Attention-Deficit Hyperactivity Disorder and Autism.","authors":"Ulrich Schall, Ross Fulham, Max Günther, Jessica Bergmann, Renate Thienel, Julie Ortmann, Natalie G Wall, Paula Gómez Álvarez, Anne-Marie Youlden","doi":"10.1177/15500594241255499","DOIUrl":"10.1177/15500594241255499","url":null,"abstract":"Abnormalities in auditory processing are believed to play a major role in autism and attention-deficit hyperactivity disorder (ADHD). Both conditions often co-occur in children, causing difficulties in deciding the most promising intervention. Event-related potentials (ERPs) have been investigated and are showing promise to act as potential biomarkers for both conditions. This study investigated mismatch negativity (MMN) using a passive listening task and P3b in an active auditory go/no-go discrimination task. Recordings were available from 103 children (24 females): 35 with ADHD, 27 autistic, 15 autistic children with co-occurring ADHD, and 26 neurotypical (NT) children. The age range considered was between 4 and 17 years, but varied between groups. The results revealed increases in the MMN and P3b amplitudes with age. Older children with ADHD exhibited smaller P3b amplitudes, while younger autistic children showed reduced MMN amplitudes in response to phoneme changes compared to their NT counterparts. Notably, children diagnosed with autism and ADHD did not follow this pattern; instead, they exhibited more similarities to NT children. The reduced amplitudes of phonetically elicited MMN in children with autism and reduced P3b in children with ADHD suggest that the two respective ERPs can act as potential biomarkers for each condition. However, optimisation and standardisation of the testing protocol, as well as longitudinal studies are required in order to translate these findings into clinical practice.","PeriodicalId":93940,"journal":{"name":"Clinical EEG and neuroscience","volume":" ","pages":"613-624"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11459870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abnormal Electroencephalogram Findings and Its Correlation With Clinical Features From Pediatric Patients in Psychiatric Clinic. 精神科门诊小儿患者的异常脑电图结果及其与临床特征的相关性

Clinical EEG and neuroscience Pub Date : 2024-11-01 Epub Date: 2024-05-23 DOI: 10.1177/15500594241256170

Young Jun Ko, Jae Hyun Han, Anna Cho, Heejeong Yoo, Hunmin Kim

{"title":"Abnormal Electroencephalogram Findings and Its Correlation With Clinical Features From Pediatric Patients in Psychiatric Clinic.","authors":"Young Jun Ko, Jae Hyun Han, Anna Cho, Heejeong Yoo, Hunmin Kim","doi":"10.1177/15500594241256170","DOIUrl":"10.1177/15500594241256170","url":null,"abstract":"Objective: We aimed to evaluate the occurrence of electroencephalogram (EEG) abnormalities in pediatric patients attending an outpatient psychiatry clinic at a tertiary center. We examined the rates of abnormalities and specific findings based on demographics, specific diagnoses, and clinical severity. Methods: This study included pediatric patients who underwent EEG at the outpatient psychiatry clinic. Patient demographics, psychiatric diagnosis, intellectual disability, intelligent quotient (IQ) score, family history of psychiatric disorders, and Clinical Global Impression-Severity (CGI-S) score were obtained through retrospective electronic health record analysis. The rate of EEG abnormalities was calculated, and specific abnormal findings were reviewed. Relationships between the rate of EEG abnormalities and diagnosis, severity, IQ, and age at EEG examination were analyzed. Results: Of 319 patients who underwent EEG, 21.3% (68 patients) of patients exhibited abnormalities, including background abnormalities (14.7%, 47 patients), interictal epileptiform discharges (IEDs) (10.3%, 33 patients), and a slow posterior dominant rhythm (3.8%, 10 patients). The frontal region was the most commonly affected area. Neurodevelopmental disorders (NDDs) had the most frequent abnormalities (29.8%), followed by anxiety (16.7%), sleep (14.3%), mood (11.7%), psychotic (5%), and conduct disorders (0%). Disease severity did not correlate with the rate of EEG abnormalities. Adjusted for age, sex, severity, and family history, patients with EEG abnormalities exhibited lower IQ scores. Conclusion: EEG abnormalities were common in pediatric patients with psychiatric disorders, with background abnormalities detected as frequently as IEDs. Disease severity was not associated with EEG abnormality, while IQ scores showed a negative correlation.","PeriodicalId":93940,"journal":{"name":"Clinical EEG and neuroscience","volume":" ","pages":"636-642"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082921","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}

引用次数: 0

Neurofeedback Training in Children with ADHD: A Systematic Review of Personalization and Methodological Features Facilitating Training Conditions. 多动症儿童的神经反馈训练：关于促进训练条件的个性化和方法学特征的系统回顾。

Clinical EEG and neuroscience Pub Date : 2024-11-01 Epub Date: 2024-08-30 DOI: 10.1177/15500594241279580

Luisa Himmelmeier, Katja Werheid

{"title":"Neurofeedback Training in Children with ADHD: A Systematic Review of Personalization and Methodological Features Facilitating Training Conditions.","authors":"Luisa Himmelmeier, Katja Werheid","doi":"10.1177/15500594241279580","DOIUrl":"10.1177/15500594241279580","url":null,"abstract":"Objective. Current research on the effectiveness of neurofeedback (NFB) in children with attention-deficit/hyperactivity disorder (ADHD) is divided. Personalized NFB (pNFB), using pre-recorded individual electroencephalogram (EEG) features, is hypothesized to provide more reliable results. Our paper reviews available evidence on pNFB effectiveness and its methodological quality. Additionally, it explores whether other methodological features implying personalization are related to successful NFB. Methods. We conducted a systematic literature review on PubMed, PSYNDEX, PsycInfo and PsycArticles until November, 30, 2023. Studies that focused on pNFB in children with ADHD were selected, deviant studies excluded. Quality ratings by independent raters using Loney's1 criteria were conducted. Pooled effect sizes for NFB effects and methodological features were calculated. Results. Three of 109 studies included personalization and were reviewed in the full-text. In two studies, theta/beta-NFB was personalized using individual alpha peak frequencies (iAPF), whereas in one study, individual beta rhythms were trained. All three studies demonstrated significant short- and long-term improvements in ADHD symptoms, as assessed by questionnaires and objective performance tests, when compared to standard protocols (SP), sham-NFB, and control conditions. Twelve of 111 studies reported methodological features consistently related to NFB effectiveness. These features, including self-control instructions, feedback animations, timing of feedback presentation, behavioral performance, pre-recorded individual ERP-components and stimulant medication dosage, can be used to personalize NFB and enhance training success. Conclusion. Personalizing NFB with iAPF appears promising based on the existing -albeit small- body of research. Future NFB studies should include iAPF and other personalized features facilitating implementation consistently associated with treatment success.","PeriodicalId":93940,"journal":{"name":"Clinical EEG and neuroscience","volume":" ","pages":"625-635"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115984","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}

引用次数: 0

Investigation of the Effect of Antiseizure Medications on Cognition in Patients With Epilepsy. 抗癫痫药物对癫痫患者认知能力影响的调查。

Clinical EEG and neuroscience Pub Date : 2024-11-01 Epub Date: 2024-07-21 DOI: 10.1177/15500594241266283

Dilara Mermi Dibek, Hatice Eraslan Boz, İbrahim Öztura, Barış Baklan

{"title":"Investigation of the Effect of Antiseizure Medications on Cognition in Patients With Epilepsy.","authors":"Dilara Mermi Dibek, Hatice Eraslan Boz, İbrahim Öztura, Barış Baklan","doi":"10.1177/15500594241266283","DOIUrl":"10.1177/15500594241266283","url":null,"abstract":"Background. The effect of antiseizure medications (ASMs) on cognition varies depending on the type of ASM. We aimed to investigate the effects of ASMs on patients with epilepsy based on the conflicting findings in the literature. Methods. Patients diagnosed with epilepsy who were taking ASMs were included. All patients underwent a neuropsychiatric assessment, Beck Depression and Anxiety Inventories, Positive and Negative Syndrome Scale, and general psychopathological tests. The patients were divided into polytherapy and monotherapy groups. Subgroups were categorized according to the type of ASMs, dosage, and duration of monotherapy. Results. Ninety-seven patients were included in this study. The polytherapy group showed a significant decrease in attention, total learning, and interpretation of proverbs compared to the monotherapy group. In the monotherapy group, carbamazepine use had a moderate positive correlation with working memory (r = .669; P = .034), and a strong negative correlation with maintaining attention (r = -.740; P = .014). The duration of levetiracetam monotherapy was negatively correlated with verbal memory (immediate recall r = -.436, P = .038; free recall r = .426, P = .043) and negatively weakly correlated with naming performance (r = -.488, P = .025). Conclusion. The study showed polytherapy may affect verbal and working memory. Carbamazepine may affect working memory and the maintenance of attention in a dose-dependent manner. Levetiracetam may cause impairments in verbal memory and naming, depending on the duration of usage.","PeriodicalId":93940,"journal":{"name":"Clinical EEG and neuroscience","volume":" ","pages":"643-650"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736025","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}

引用次数: 0

Neurofeedback Reduces P300 Amplitudes to Intensely Emotive Pictures in Depressed Cancer Patients. 神经反馈可降低抑郁症癌症患者对强烈情感图片的 P300 振幅。

Clinical EEG and neuroscience Pub Date : 2024-10-21 DOI: 10.1177/15500594241287961

Marvin Krawutschke, Martin Teufel, Kira Schmidt, Saskia Pasche, Theresa Schweig, Anna Bialek, Axel Kowalski, Mitra Tewes, Martin Schuler, Dirk Schadendorf, Norbert Scherbaum, Eva-Maria Skoda, Madeleine Fink, Bernhard W Müller

{"title":"Neurofeedback Reduces P300 Amplitudes to Intensely Emotive Pictures in Depressed Cancer Patients.","authors":"Marvin Krawutschke, Martin Teufel, Kira Schmidt, Saskia Pasche, Theresa Schweig, Anna Bialek, Axel Kowalski, Mitra Tewes, Martin Schuler, Dirk Schadendorf, Norbert Scherbaum, Eva-Maria Skoda, Madeleine Fink, Bernhard W Müller","doi":"10.1177/15500594241287961","DOIUrl":"https://doi.org/10.1177/15500594241287961","url":null,"abstract":"Objective. Electroencephalographic neurofeedback (EEG NF) or its effects on event-related potentials (ERPs) in quantitative EEG have not yet been systematically studied in cancer patients. The aim of this study was to investigate the emotional arousal and valence effects on the event-related P300 in a visual oddball paradigm by an individualized EEG alpha and theta/beta NF intervention in cancer patients and survivors (N = 18, age between 31 and 73 years). Methods. ERPs to low and high arousal target stimuli with either emotional positive or negative content and depressive state were obtained in cancer patients before and after a five-week NF intervention in a waitlist paradigm, following the consensus on the reporting and experimental design of clinical and cognitive-behavioral NF studies (CRED-nf checklist). Results. Overall, P300 amplitudes decreased significantly (p < .05) from pre to post therapy. Effects concerning high arousal stimuli with negative and positive valences were on the border to significance. Moreover, patients achieved significant relief of depressive symptoms (p < .05). Especially younger participants (<55 yrs.) benefited. Conclusions. P300 observations could reflect a therapeutic effect on brain activity level. EEG NF alleviates depressive symptoms in cancer patients. Significance. Based on these findings, further studies are needed to investigate the effects on event-related potentials by NF therapy.","PeriodicalId":93940,"journal":{"name":"Clinical EEG and neuroscience","volume":" ","pages":"15500594241287961"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483189","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}

引用次数: 0

EEG Oscillatory Activity and Resting-State Networks Associated with Neurocognitive Function in Mild Traumatic Brain Injury. 与轻度脑外伤神经认知功能相关的脑电图振荡活动和静息状态网络。

Clinical EEG and neuroscience Pub Date : 2024-10-18 DOI: 10.1177/15500594241290858

Masaya Ueda, Keita Ueno, Takuma Yuri, Yasunori Aoki, Masahiro Hata, Takao Inoue, Ryouhei Ishii, Yasuo Naito

{"title":"EEG Oscillatory Activity and Resting-State Networks Associated with Neurocognitive Function in Mild Traumatic Brain Injury.","authors":"Masaya Ueda, Keita Ueno, Takuma Yuri, Yasunori Aoki, Masahiro Hata, Takao Inoue, Ryouhei Ishii, Yasuo Naito","doi":"10.1177/15500594241290858","DOIUrl":"https://doi.org/10.1177/15500594241290858","url":null,"abstract":"This study aimed to investigate the characteristics of resting-state electroencephalography (EEG) activity and brain networks in patients with mild traumatic brain injury (mTBI) and their association with neurocognitive function (NCF). We analyzed 26 patients with subacute mTBI and 21 healthy controls. The subacute mTBI group (9 females, 17 males) had a mean age of 29.9 ± 9.9 years, and the healthy controls (11 females, 10 males) had a mean age of 29.7 ± 11.5 years. Current source density, lagged phase synchronization, and resting-state network activity were analyzed using exact low-resolution electromagnetic tomography (eLORETA) with 60 s resting-state EEG data. In addition, a correlation analysis was performed between these EEG parameters and NCF in patients with mTBI. We used the statistical nonparametric mapping method in eLORETA to correct for multiple comparisons. There were no significant differences in EEG parameters between the patients with mTBI and healthy controls. However, in patients with mTBI, correlation analysis revealed negative correlations between theta activity in the anterior cingulate cortex and verbal short-term memory and between activity in the memory perception network and verbal memory. Our findings suggest that resting-state EEG may be clinically useful in investigating the mechanism of NCF decline in patients with mTBI.","PeriodicalId":93940,"journal":{"name":"Clinical EEG and neuroscience","volume":" ","pages":"15500594241290858"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483188","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}

引用次数: 0

Simultaneous Infantile Spasms and Focal Seizures: A Rarely Reported Combined Seizure Phenomenon on Video Electroencephalogram (VEEG). 婴儿痉挛和局灶性癫痫同时发作：视频脑电图 (VEEG) 上罕见的合并癫痫发作现象。

Clinical EEG and neuroscience Pub Date : 2024-10-15 DOI: 10.1177/15500594241289637

Katherine Horman, Sonal Bhatia

{"title":"Simultaneous Infantile Spasms and Focal Seizures: A Rarely Reported Combined Seizure Phenomenon on Video Electroencephalogram (VEEG).","authors":"Katherine Horman, Sonal Bhatia","doi":"10.1177/15500594241289637","DOIUrl":"https://doi.org/10.1177/15500594241289637","url":null,"abstract":"Focal seizures (FS) have previously been described before or after infantile spasm (IS) clusters, but FS occurring simultaneously with an IS cluster has been rarely reported in the EEG literature. We present three cases where focal seizures (FS) occurred concurrently during an infantile spasm (IS) cluster on VEEG. On VEEG, onset of IS cluster preceded FS in all three patients; however, patient three was diagnosed with FS prior to the onset of IS. FS duration ranged from 10-90 s and was electrographic-only in two out of the three patients. Unfortunately, the first two patients are now deceased, and for patient two no etiology was ever identified. Currently, patient three is free of spasms as well as seizures but has global developmental delay; no definite etiology has been identified for their presentation. Concurrent FS with IS suggests that the seizure types may be generated in different brain areas with one seizure type potentially triggering the other and is generally reflective of multifocal or diffuse cerebral disease with a poor prognosis as was seen in at least two of our patients. Our three cases of IS where FS occurred concurrently contribute to the limited existing data describing this phenomenon on VEEG.","PeriodicalId":93940,"journal":{"name":"Clinical EEG and neuroscience","volume":" ","pages":"15500594241289637"},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483190","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}

引用次数: 0

Electroencephalography can Ubiquitously Delineate the Brain Dysfunction of Neurodegenerative Dementia by Both Visual and Automatic Analysis Methods: A Preliminary Study. 脑电图可通过视觉和自动分析方法全面描述神经退行性痴呆症的大脑功能障碍：初步研究。

Clinical EEG and neuroscience Pub Date : 2024-10-03 DOI: 10.1177/15500594241283512

Kei Sato, Takefumi Hitomi, Katsuya Kobayashi, Masao Matsuhashi, Akihiro Shimotake, Akira Kuzuya, Ayae Kinoshita, Riki Matsumoto, Hajime Takechi, Takenao Sugi, Shigeto Nishida, Ryosuke Takahashi, Akio Ikeda

{"title":"Electroencephalography can Ubiquitously Delineate the Brain Dysfunction of Neurodegenerative Dementia by Both Visual and Automatic Analysis Methods: A Preliminary Study.","authors":"Kei Sato, Takefumi Hitomi, Katsuya Kobayashi, Masao Matsuhashi, Akihiro Shimotake, Akira Kuzuya, Ayae Kinoshita, Riki Matsumoto, Hajime Takechi, Takenao Sugi, Shigeto Nishida, Ryosuke Takahashi, Akio Ikeda","doi":"10.1177/15500594241283512","DOIUrl":"https://doi.org/10.1177/15500594241283512","url":null,"abstract":"Introduction: The aim was to examine the differences in electroencephalography (EEG) findings by visual and automated quantitative analyses between Alzheimer's disease (AD) and dementia with Lewy bodies (DLB) and Parkinson's disease with dementia (PDD). Methods: EEG data of 20 patients with AD and 24 with DLB/PDD (12 DLB and 12 PDD) were retrospectively analyzed. Based on the awake EEG, the posterior dominant rhythm frequency and proportion of patients who showed intermittent focal and diffuse slow waves (IDS) were visually and automatically compared between the AD and DLB/PDD groups. Results: On visual analysis, patients with DLB/PDD showed a lower PDR frequency than patients with AD. In patients with PDR <8 Hz and occipital slow waves or patients with PDR <8 Hz and IDS, DLB/PDD was highly suspected (PPV 100%) and AD was unlikely (PPV 0%). On automatic analysis, the findings of the PDR were similar to those on visual analysis. Comparisons between visual and automatic analysis showed an overlap in the focal slow wave commonly detected by both methods in 10 of 44 patients, and concordant presence or absence of IDS in 29 of 43 patients. With respect to PDR <8 Hz and the combination of PDR <8 Hz and IDS, PPV and NPV in DLB/PDD and AD were not different between visual and automatic analysis. Conclusions: As the noninvasive, widely available clinical tool of low expense, visual analysis of EEG findings provided highly sufficient information to delineate different brain dysfunction in AD and DLB/PDD, and automatic EEG analysis could support visual analysis especially about PD.","PeriodicalId":93940,"journal":{"name":"Clinical EEG and neuroscience","volume":" ","pages":"15500594241283512"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373816","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}

引用次数: 0

The Utility of 24-h Video-EEG Monitoring in the Diagnosis of Epilepsy in Children. 24 小时视频脑电图监测在诊断儿童癫痫中的实用性。

Clinical EEG and neuroscience Pub Date : 2024-09-19 DOI: 10.1177/15500594241286684

Qingxiang Zhang, Wenjin Zheng, Stéphane Jean, Fuliang Lai, Weihong Liu, Shiwei Song

{"title":"The Utility of 24-h Video-EEG Monitoring in the Diagnosis of Epilepsy in Children.","authors":"Qingxiang Zhang, Wenjin Zheng, Stéphane Jean, Fuliang Lai, Weihong Liu, Shiwei Song","doi":"10.1177/15500594241286684","DOIUrl":"https://doi.org/10.1177/15500594241286684","url":null,"abstract":"Objectives: Evaluate the diagnostic yield of 24-h video-EEG monitoring in a group of children admitted in our epilepsy monitoring unit (EMU). Methods: 232 children who underwent 24-h video-EEG monitoring was analysed. We divided each patient's monitoring duration into the first 1, 2, 4, 8, 16 h, relative to the whole 24 h monitoring period. The detection of the first interictal epileptiform discharges (IEDs), epileptic seizures (ES), and psychogenic non-epileptic seizures (PNES) were analysed relative to the different monitoring time subdivision. Results: Our findings revealed that: (1) there was no significant difference in the prevalence of detecting initial IEDs between the first 4-h and 24-h monitoring periods (73.7% vs 81%); (2) clinical events detection rate was statistically similar between the first 8-h and 24-h monitoring periods (15.5% vs 19.3%); (4) an 8-h monitoring was sufficient to capture IEDs, ES and PNES in focal epilepsy children; (5) a 1-h monitoring was sufficient to capture IEDs, ES and PNES in generalized epilepsy children; and (6) IEDs were detected within the first 1-h of monitoring in 96.7% self-limited focal epilepsies (SeLFEs) patient. Conclusion: Our study suggests that a 4-h monitoring has more value in increasing the detection rate of IEDs compared to the traditional shorter routine EEG. And in the case of SeLFEs, a 1-h of monitoring might be sufficient in detecting IEDs. A 24-h VEEG monitoring can detect clinical events in 19.3% of patients. Overall, the yield of IEDs and clinical events detection is adequate in children in children undergoing 24-h video-EEG monitoring.","PeriodicalId":93940,"journal":{"name":"Clinical EEG and neuroscience","volume":" ","pages":"15500594241286684"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303406","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}

引用次数: 0

EEG Findings in a Patient with Holmes Tremor after AVM Surgery: A Case Report and Literature Review. 一名动静脉畸形手术后霍姆斯震颤患者的脑电图检查结果：病例报告与文献综述

Clinical EEG and neuroscience Pub Date : 2024-09-09 DOI: 10.1177/15500594241276269

Yang Wang, Bingjie Jiang

{"title":"EEG Findings in a Patient with Holmes Tremor after AVM Surgery: A Case Report and Literature Review.","authors":"Yang Wang, Bingjie Jiang","doi":"10.1177/15500594241276269","DOIUrl":"https://doi.org/10.1177/15500594241276269","url":null,"abstract":"Background: Holmes tremor (HT) is a rare motor disorder characterized by high-amplitude and low-frequency resting, intentional, and postural tremors. HT typically arises from disruptions in neural pathways, including the dopaminergic system. Its causes include cerebrovascular incidents, neoplasms, demyelination, and infections. Diagnosis involves thorough clinical, neurophysiological, and neuroimaging assessments. Our report details the clinical profile, neuroimaging and EEG results and levodopa treatment response of an HT patient after cerebral arteriovenous malformation (AVM) surgery. Case Report: A female patient who underwent AVM surgery developed head tremor and dystonia. Neuroimaging revealed left thalamus involvement. Video electroencephalography (EEG) revealed high-amplitude, low-frequency tremors. The patient responded well to levodopa treatment. Conclusions: Involuntary rhythmic or non-rhythmic movements are a primary clinical feature of HT. A differential diagnosis of epilepsy and HT can be achieved through neurophysiological monitoring, avoiding the overuse of antiepileptic drugs. Symptoms can be alleviated with levodopa intervention.","PeriodicalId":93940,"journal":{"name":"Clinical EEG and neuroscience","volume":" ","pages":"15500594241276269"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156948","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}

引用次数: 0