Atlas of neonatal electroencephalography by Eli M. Mizrahi MD, Richard A. Hrachovy MD

By Eli M. Mizrahi MD, Richard A. Hrachovy MD

Thoroughly revised and up-to-date by way of the world over famous specialists, the 3rd version of this renowned and prevalent atlas displays twelve years of significant advances in electrodiagnosis of neurologic functionality in neonates. The authors have distilled the tremendous, complicated literature on neonatal EEG to supply a pragmatic, modern, beautifully illustrated consultant to appearing EEG in neonates and analyzing either universal and strange patterns.

This version comprises electronic in addition to analog EEG and contours over 2 hundred brand-new, full-sized reproductions of EEG tracings. The authors reveal state of the art advancements in recording strategy and spotlight contemporary advances within the figuring out of standard and irregular mind development.

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Additional resources for Atlas of neonatal electroencephalography

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The infant is 40 weeks CA with normal EEG background activity but with multifocal sharp waves of cerebral origin (see Chapter 5). 55 Chapter 4 Elements of the Normal Neonatal Electroencephalogram Visual analysis of the neonatal electroencephalogram (EEG) requires the recognition of the conceptional age-dependent features characteristic of specific epochs of development. These electrographic features are presented here in four different formats: a table that lists specific elements (Table 4-1), a narrative that describes the continuum of development, and a summary by epoch of conceptional age (CA) of the expected elements.

Current practice of clinical neurophysiology, 2nd ed. Philadelphia: Lippincott-Raven, 1991:202, with permission. Beta-Delta Complexes These complexes constitute the prime landmarks of prematurity and are present from about 26 to 38 weeks CA. 5-Hz waves of 50 to 250 μV, with superimposed bursts of low- to moderate-voltage fast activity. The frequency of the fast activity may vary, even in the same infant. Two frequencies predominate: 8 to 12 Hz and, more commonly, 18 to 22 Hz. The voltage of the fast activity varies throughout each burst but rarely exceeds 75 μV.

A burst of EMG activity is present in the right temporal region in the middle portion of this sample. In the latter portion of the recording, a burst of spike and sharp-wave activity of cerebral origin is present in the right occipital region (see Chapter 5) in this 39-week CA infant with otherwise normal EEG background activity. 51 FIG. 3-35. Build-up of sustained electromyogram (EMG) activity in temporal regions. A build-up of sustained EMG activity is seen in the temporal regions bilaterally, higher in amplitude on the left.

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