Atlas of EEG in Critical Care (PDF)

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.

Dr. Hirsch completed medical school and internship at Yale
University. He was resident and chief resident at the Neurological
Institute of New York where he also completed a two-year fellowship
in Epilepsy/EEG. He is currently Associate Clinical Professor of
Neurology at Columbia University and Director of the Continuous EEG
Monitoring Program at New York-Presbyterian Hospital/Columbia
University Medical Center. His primary interest is providing
clinical care for adolescents and adults with epilepsy, including
those who are potential candidates for epilepsy surgery and in
diagnosing "funny spells". His research interests include
effectiveness and tolerability of antiepileptic drugs, brain
monitoring in the critically ill, brain stimulation for epilepsy,
and cardiac effects of seizures.

Dr. Brenner has been on the faculty at the University of
Pittsburgh since 1983, and is now clinical professor of neurology
and psychiatry. He has authored over 70 publications and was the
medical editor of the American Journal of Electroneurodiagnostic
Technology (2003-2006). He is a member of the American Academy of
Neurology (AAN), American Clinical Neurophysiology Society (ACNS),
and the American Epilepsy Society (AES). He was director of the
clinical EEG course for the AAN from 1991 through 1995 and
co-director of the annual AES course in 2001. He was director of
clinical EEG courses for the ACNS from 2001-2003. He was president
of the ACNS (2005-2006) and recently completed EEG on DVD-Adult: An
Interactive Reading Session.

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