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Hirsch, Lawrence / Brenner, Richard (eds.)
Atlas of EEG in Critical Care

1. Edition - January 2010
129.- Euro
2010. 344 Pages, Hardcover
- Handbook/Reference Book -
ISBN-10: 0-470-98786-3
ISBN-13: 978-0-470-98786-5 - John Wiley & Sons


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Sample Chapter

Short description
This atlas is a comprehensive yet accessible introduction to EEG monitoring in the critical care setting. It includes basic EEG patterns seen in encephalopathy, both specific and non-specific, nonconvulsive seizures, periodic EEG patterns, and controversial patterns on the ictal-interictal continuum. Confusing artifacts are shown and explained, along with the new standardized nomenclature for these patterns. The text also explains interpreting recordings and data management, 'trending' central to long-term monitoring; demonstrates applications in multi-modal monitoring, correlating with new techniques such as microdialysis; and features superb illustrations of commonly observed neurologic events. This atlas is essential reading for anyone involved in EEG monitoring in the ICU.

From the contents
Preface.

List of contributors.

1 EEG basics.

1.1 Electrode nomenclature, polarity and referential vs. bipolar montages.

1.2 Normal EEG: awake and asleep.

Suggested reading.

Figures 1.0-1.12.

2 EEG in encephalopathy.

2.1 Nonspecific patterns of encephalopathy.

2.2 Patterns suggesting specific diagnoses.

2.3 Findings in specific clinical scenarios.

2.4 Medication effects.

Suggested reading.

Figures 2.1-2.35.

3 Seizures and status epilepticus.

Suggested reading.

Figures 3.1-3.10.

4 Periodic discharges and other controversial EEG patterns.

4.1 PLEDs, BIPLEDs, GPEDs and triphasic waves.

4.2 SIRPIDs.

4.3 Standardized nomenclature.

Suggested reading.

Figures 4.1-4.18.

5 EEG in cerebrovascular disease.

5.1 Ischemia.

5.2 Hemorrhage.

Suggested reading.

Figures 5.1-5.18.

6 Artifacts that can mimic seizures or other physiologic patterns.

Suggested reading.

Figures 6.1-6.20.

7 Prolonged EEG monitoring and quantitative EEG techniques for detecting seizures and ischemia.

Suggested reading.

Figures 7.1-7.10 Quantitative EEG (QEEG) basics.

Figures 7.11-7.17 Basics of seizure detection.

Figures 7.18-7.21 Cyclic seizures and PLEDs.

Figures 7.22-7.25 Other QEEG techniques and uses in patients with seizures.

Figures 7.26-7.31 Detecting other (non-seizure) events.

Figures 7.32-7.35 Long-term trends.

Figures 7.36-7.46 ICU artifacts.

Figures 7.47-7.48 Spreading depression/peri-injury depolarizations.

Figures 7.49-7.54 Multimodality monitoring and intracranial EEG in the ICU.

8 Evoked and event-related potentials in the ICU.

8.1 Median nerve somatosensory evoked potentials.

8.2 Brainstem auditory evoked potentials.

8.3 Flash visual evoked potentials.

8.4 Event-related potentials.

Suggested reading.

Appendix ACNS Standardized EEG Research Terminology and Categorization for the investigation of rhythmic and periodic patterns encountered in critically ill patients: July 2009 version.

Index.


 
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