Electroencephalography II

Origin of the electroencephalographic signal (EEG);
Distinguish normal characteristics of the EEG signal of vigilia and sleep in adults and children, including benign variants, activation evidence and artifacts.

The methodology adopted in the theoretical-practical component is of the active expository type, using slides, videos and texts, which will be made available to students.
The practical component is provided with integral analysis of EEG, normal and different neurological and systemic disorders, as well as its report with practical application of the program contents developed in the theoretical-practical and use of electroencephalography equipment in associated software.

The student must acquire knowledge of :

– Pharmacological, surgical and palliative treatment in refractory epilepsies

– Modalities of invasive study of the human brain in the context of epilepsy surgery

– Differential diagnosis in epilepsy

– Different electroencephalographic patterns in different neurological diseases

– Importance of EEG as a tool for neurological evaluation in the study of term and premature neonates

– Multimodal methods of evaluation of neurological clinical cases

The student must acquire skills and competencies of:

– Acquisition, reading and reporting of wake, sleep-deprived and 24-hour EEG in pediatric and adult age groups

– Clinical-electroencephalographic correlation and differential diagnosis in Neurology

THEORETICAL AND PRACTICAL CONTENTS

– Epileptic syndromes in the different pediatric and young adult age groups

– Therapeutic options in epilepsy

– Epilepsy surgery: electrocorticography (subdural, deep electrodes and cortical electrical stimulation)

– Non-Epileptic Paroxysmal Phenomena

– Neonatal EEG

– EEG in cerebrovascular diseases

– EEG in changes in the state of consciousness

– EEG in dementia syndromes

– Advanced methods in EEG: EEG Amb. 24h, EEG source imaging, EEG / EMG backaveraging.

PRACTICAL CONTENTS

1. Systematization of the application of surface electrodes according to the international system 10-20 and according to the recommendations of the IFCN (2017);

2. Clinical interview: what, when and how to ask in clinical context;

3. Analysis and discussion of EEG and video-EEG traces, with systematic analysis of cases in clinical context and visualization of exams;

4. Preparation of EEG technical report and correlation with the clinical information provided.

NAO

PRIMARY:

– Schomer D, Lopes da Silva F. Niedermeyer’s Electroencephalography: Basic Principles, Clinical Applications, and Related Fields. 6th Ed. 2011. Wolters Kluwer Lippincott Williams & Wilkins, Baltimore.

– Ebersole JS, Husain A, Nordli DR. Current Practice of Clinical Electroencephalography. 4th Ed. 2014. Lippincott Williams & Wilkins, Baltimore.

SECONDARY:

– Mizrahi EM, Hrachovy RA, Kellaway P. Atlas of Neonatal Electroencephalography. 3rd Ed. 2004. Lippincott Williams & Wilkins, Philadelphia, USA.

– Doose H. EEG in Childhood Epilepsy: Initial Presentation and Long-Term Follow-Up. 2003. John Libbey Eurotext, France.

– Luders, HO. Textbook of Epilepsy Surgery. 2nd Ed.2008. CRC Press.

– Eeg-Olofsson KE. Pediatric Clinical Neurophysiology (International Review of Child Neurology. 2007. Mac Keith Press.

– Bureau M, Genton P, Dravet C, Delgado-Escueta AV, Tassinari CA, Thomas P,  Wolf P. Epileptic Syndromes in Infancy, Childhood and Adolescence, 5th. Edition with video. 2012. John Libbey Eurotext, France.

– Rossetti AO (Editor), Laureys S (Editor). Clinical Neurophysiology in Disorders of Consciousness: Brain Function Monitoring in the ICU and Beyond. 2015th Edition. Springer.