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A part of the set "Essential Concepts for the R.EEG.T Exam" – Includes Tables, Diagrams, and Illustrations. Table of contents: 44 pages - Filters, time constant. common mode rejection and digital EEG setting parameters - Montages - Normal varients - Artifacts - Increasing beta/fast activities - N2 sleep and Arousal pattern - Pediatric EEG and syndrome by age group - Neonatal sleep-wake pattern - Pediatric epilepsy syndrome by interictal pattern - Differential of sleep provoked seizure - Photic stimulation - Hyperventilation - Lateralization - Severity of encephalopathy and EEG pattern - Rhythmic delta - Clinical seizure correlate with EEG - Seizure semiology
Typology: Cheat Sheet
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Parameter Aim Adjustment Example When to Adjust Sensitivity 5-10 μV/mm Increase amplitude overall Decrease the voltage required to produce a deflection. Change from 7 μV/mm to 5 μV/mm need to detect low-amplitude subtle activities i.e. ECI protocol Decrease Amplitude overall Increases the voltage required to produce a deflection. Change 7 μV/mm to 10 μV/mm) signals are too strong i.e. waveform to be cut off or "clipped" at the top or bottom Filter 1 - 70 Hz LFF HFF Decrease amplitude of high freq activities Decrease the HFF (High-Frequency Filter) /LPF (Low pass filter) setting Change from 70 Hz to 30 Hz
CMRR >90 db : db = 20x log 10 (Vin/Vout) by masking low amplitude signals impedance across all electrodes and be aware of the bridging effect and 2 KΩ will cause more 60 Hz artifacts due to diminished Common mode rejection efficiency from 90db to 60db brain activities **Analog to the digital conversion
16 bits** Prevent undetected low- amplitude activities Appropriate ADC bits 16 bits is minimal, 24 bits is ideal An 8-bit ADC with ±5V range has a 39 mV resolution, which is too coarse for beta (5-30 μV) The EEG machine standard Parameter Aim Adjustment Example When to adjust Paper speed 20 sec/page 30 mm/sec Widen waveform ( duration in msec the same but occupied more length) In crease paper speed by decreasing the time per page or increase mm per sec Change from 20 sec/page to 10 sec/page or 30 mm/sec to 60 mm/sec want to explore the wave from of rapid brain activity i.e. Epileptic discharge Narrow waveform Increase the time per page or decrease mm per sec Change from 20 sec/page to 30 sec/page or 30 mm/sec to 15 mm/sec To overview the distribution of slower brain activity, i.e. in Polysomnography Frequency of sampling 210 Hz Prevent false longer duration of the wave from low horizontal resolution Appropriate sampling frequency at least 2x of expected EEG high frequency (Nyquist theorem) High frequency in surface EEG 70 Hz -> need at least 140 Hz sampling frequency ( ACNS recommend 3X) The EEG machine standard