By Eli M. Mizrahi MD, Richard A. Hrachovy MD
Completely revised and up to date via the world over well-known specialists, the 3rd version of this well known and usual atlas displays twelve years of significant advances in electrodiagnosis of neurologic functionality in neonates. The authors have distilled the massive, advanced literature on neonatal EEG to supply a pragmatic, modern, beautifully illustrated consultant to acting EEG in neonates and examining either universal and weird styles. This version comprises electronic in addition to analog EEG and lines over two hundred brand-new, full-sized reproductions of EEG tracings. The authors reveal state of the art advancements in recording process and spotlight fresh advances within the realizing of ordinary and irregular mind improvement.
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Additional info for Atlas of Neonatal Electroencephalography
The terms transitional sleep and indeterminant sleep are used to characterize the state of the infant when it cannot be precisely determined by specific EEG criteria. Reactivity to Stimulation Changes in EEG activity in response to stimuli do not clearly emerge until about 33 to 34 weeks CA (Fig. 4-19), and by 37 weeks of CA, these responses can be easily elicited. The response to a stimulus is related to the character of the ongoing activity at the time of the stimulus. If high-voltage, very slow activity is present, an effective stimulus produces abrupt and pronounced generalized attenuation of voltage lasting as long as 5 to 10 seconds.
Periodic bursts of electromyogram (EMG) potentials due to sucking. Brief bursts of repetitive EMG potentials occur periodically in the temporal regions bilaterally in this 41-week CA infant with normal EEG background activity. Low voltage, sustained EMG is present in anterior leads. 41 34 35 FIG. 3-25. Multifocal, repetitive electromyogram (EMG) potentials due to jaw tremor. Bursts of repetitive EMG due to tremulousness of the jaw are present independently in the left and right temporal regions in this 42-week CA infant with normal EEG background activity.
Wake/sleep cycles. All stages of sleep and wakefulness are present. TracÃ© alternant begins to resolve by 44 weeks CA. NREM sleep is otherwise characterized by continuous slow-wave activity. Toward the end of this epoch, rudimentary sleep spindles may appear (Fig. 4-30). By 46 weeks CA, they are seen in all infants (Fig. 4-31). Reactivity. The background is reactive to stimulation. 61 LIST OF FIGURES Background Fig. 4-1. Average duration of discontinuous periods in NREM sleep in the EEG of the premature infant Fig.