Electroneurophysiology (EEG) 3 - Advanced Topics ENPY 3352

Upon successful completion of this course, students will be able to:

• Define the clinical and electrographic correlates for the following disorders/conditions:
• Headaches and Migraines.
• Psychiatric disorders.
• Head Injuries, Trauma and Traumatic Brain Injuries.
• Comatose Patients and the Critically Ill.
• Define electrocerbral silence and the 10 technical steps/guidelines to performing an ECS recording.
• Describe treatment options, including their effects on EEG recordings, for patients with the disorders described above with emphasis on patients being treated in the intensive care environment.
• Explain the uses, applications and techniques of continuous EEG monitoring.
• Explain the types, applications and techniques of quantitative EEG.
• Define posttraumatic seizures and epilepsy.
• Describe EEG monitoring in the Epilepsy Monitoring Unit (EMU), including patient population, monitoring parameters and techniques employed to obtain optimal recordings.
• Define activation/provocative procedures used in the EMU to enhance seizure recordings.
• Explain intracranial EEG monitoring as it applies to the EMU and epilepsy surgery.
• Define intra-operative and extra-operative Electrocorticography techniques.
• Define special localizing techniques used in epilepsy patients including:
• Cortical stimulation.
• Ictal and Interictal SPECT.
• WADA.
• fMRI.
• Other imaging techniques (CT, MRI).
• PET.
• Define normal and abnormal characteristics of the electrocardiogram.
• Define the uses and techniques of neuropsychology as it pertains to patients with seizures/epilepsy.
• Demonstrate the ability to obtain a relevant patient history for EEG.
• Perform a routine digital EEG recording using CAET guidelines within a 30minute time period and demonstrating:
• Accurate measurement and application of scalp electrodes using the 10-20 system with no errors.
• Electrode impedance equal or less than 5kohms.
• Appropriate use of filter and sensitivity settings.
• Appropriate use of montages.
• Recognition of state changes, normal and abnormal waveforms.
• Knowledge of activation procedures and their associated waveforms.
• Ability to recognize and troubleshoot artefacts and other technical problems.
• Relevant documentation of above and other pertinent information to the recorded EEG.
• Demonstrate the ability to adapt recording parameters and techniques for a variety of patient populations and clinical situations.
• Prepare a concise and complete technical interpretation/report of an abnormal EEG.
• Analyze and describe EEG normal and abnormal waveforms seen on previously and real-time recorded EEGs during assignments and reading sessions.

Effective as of Fall 2015