Electroneurophysiology Other Modalities 1 ENPY 2254

Upon successful completion of this course the student will be able to:

• Demonstrate the ability to obtain a relevant patient history for evoked potentials and nerve conduction studies.
• Define near and far field potentials.
• Define the following Evoked Potential technical parameters:
• LFF/HFF filters and time constants.
• Sensitivity and gain.
• Amplifiers.
• Calibration.
• Sweep speed.
• Averaging.
• Stimulation settings/parameters.
• Perform, and describe, a routine normal full pattern VEP using ABRET guidelines demonstrating:
• Accurate visual acuity testing.
• Accurate measurement and application of Queen’s square electrode placement.
• Electrode impedances under 5kohms.
• Appropriate use of filters, sensitivity settings, sweep speed and number of averages.
• Appropriate montage settings.
• Appropriate stimulation settings.
• Recognition of normal obligate waveforms, cursor placements, as well as appropriate latencies and amplitudes.
• Ability to recognize and troubleshoot artefacts and other technical problems.
• Relevant documentation of above and other pertinent information to the recorded VEP.
• Define VEP generators and the anatomical pathways involved.
• Perform, and describe, a routine normal ABR using ABRET guidelines demonstrating:
• Accurate hearing threshold testing.
• Accurate measurement and application 10-20 electrode placement.
• Electrode impedances under 5kohms.
• Appropriate use of filters, sensitivity settings, sweep speed and number of averages.
• Appropriate montage settings.
• Appropriate stimulation settings
• Recognition of normal obligate waveforms, cursor placements, as well as appropriate latencies and amplitudes.
• Ability to recognize and troubleshoot artefacts and other technical problems.
• Relevant documentation of above and other pertinent information to the recorded ABR.
• Define ABR generators and the anatomical pathways involved.
• Perform, and describe, a routine normal upper limb (median and ulnar) and lower limb (tibial and common peroneal) SSEP using ABRET guidelines demonstrating:
• Accurate sensory threshold testing.
• Accurate measurement and application 10-20 electrode placement.
• Electrode impedances under 5kohms.
• Appropriate use of filters, sensitivity settings, sweep speed and number of averages.
• Appropriate montage settings.
• Appropriate stimulation parameters.
• Recognition of normal obligate waveforms, cursor placements, as well as appropriate latencies and amplitudes.
• Ability to recognize and troubleshoot artefacts and other technical problems.
• Relevant documentation of above and other pertinent information to the recorded SSEP.
• Define SSEP generators and the anatomical pathways involved.
• Prepare a concise and complete technical interpretation/report of a normal and abnormal VEP, ABR, and SSEP.
• Demonstrate the ability to adapt recording parameters and techniques for a variety of patient populations and clinical situations.
• Describe and recognize abnormal EP activity and various disease processes causing abnormalities.
• Define the use of evoked potentials in the critically ill.
• Analyze and describe EP abnormal waveforms seen on previously recorded and real-time recorded EP’s during assignments and reading sessions.
• Describe the steps involved in an NCS (nerve conduction study):
• Describe the peripheral nervous system.
• Demonstrate how each test is used for diagnosis in different clinical conditions.
• Accurately place recording electrodes.
• Troubleshoot artefacts or any other technical problems.
• State the stimulus and recording parameters for each test.
• Calculate motor and sensory nerve conduction velocities.

Effective as of Winter 2017