Clinical neurophysiologic testing plays a critical role as a complement to the clinical assessment in patients who are being evaluated for a variety of neurologic symptoms. Many different techniques and methods of assessment can be used to evaluate the function of the nervous system, including electroencephalography, electromyography, evoked potentials, movement disorder studies, and sleep studies. An accurate understanding of the role of these tests and reliable technical performance and interpretation of these studies is critical in clinical practice. This new edition in the Contemporary Neurology Series remains an essential resource for physicians and technologists learning or utilizing clinical neurophysiology in their training or practice.
This fifth edition updates the basic concepts underlying each of the techniques used in clinical neurophysiology and provides detailed descriptions of the methods, findings, studies, and value of the wide range of electrophysiologic testing available for patients with epilepsy and spells, neuromuscular diseases, movement disorders, demyelinating diseases, sleep disorders, autonomic disorders, and those undergoing orthopaedic and neurosurgical procedures in the operative setting. The role of each type of study, the interpretation of findings, and the application of the studies to different types of clinical problems are detailed throughout the text. It is a practical textbook for neurologists, physiatrists and clinical neurophysiologists in clinical or research practice or in training.
Author(s): Devon I. Rubin
Series: Contemporary Neurology Series, 92
Edition: 5
Publisher: Oxford University Press
Year: 2021
Language: English
Pages: 1129
City: New York
Cover
Series
Clinical Neurophysiology
Copyright
Contents
Preface
Acknowledgments
List of Contributors
Introduction
Section I Basic Neurophysiology
1. Basics of Neurophysiology
2. Electrophysiological Generators in Clinical Neurophysiology
3. Waveforms and Artifacts
Section II CLINICAL ELECTROENCEPHALOGRAPHY
Adult EEG
4 Adult Electroencephalography: Normal and Benign Variants
5 Adult EEG: Artifacts and the EEG
6 Adult EEG: Epileptiform Activity
7 Adult EEG: Abnormal Nonepileptiform Activity
Pediatric EEG
8 Pediatric EEG: Normal Maturational Changes
9 Pediatric EEG: Epileptiform Activity
EEG— Special Studies and Surgical Monitoring
10 Computer-Assisted Ambulatory Electroencephalography
11 Long-Term Video-EEG Monitoring in the Epilepsy Monitoring Unit
12 EEG Trend Analysis in the ICU
13 Intracranial EEG Monitoring and Electrocorticography
14 Quantitative EEG Analysis, EEG Mapping, and Magnetoencephalography
Applications
15 Assessment of Spells and Seizures in the Outpatient Setting
16 Epilepsy Surgery Evaluation
SECTION III CLINICAL ELECTROMYOGRAPHY
Nerve Conduction Studies
17 Motor Nerve Conduction Studies
18 Sensory Nerve Conduction Studies and Sensory Nerve Action Potentials
19 Late Responses: F-Waves and H-Reflexes
20 Repetitive Nerve Stimulation Studies
21 Cranial Reflexes and Related Techniques
22 Quantitative Motor Unit Number Estimates
23 Technical Issues and Potential Complications of Nerve Conduction Studies
Needle Electromyography
24 Needle Electromyography
25 Quantitative Electromyography
26 Single-Fiber Electromyography
27 Technical Problems and Potential Complications of Needle EMG
Applications of Electromyography
28 Electrodiagnostic Assessment of Mononeuropathies
29 Electrodiagnostic Assessment of Radiculopathies
30 Assessment of Plexopathies
31 Electrodiagnostic Assessment of Polyneuropathies
32 Electrodiagnostic Assessment of Motor Neuron Diseases
33 Assessment of Neuromuscular Junction Diseases
34 Electrodiagnostic Assessment of Myopathies
35 Neuromuscular Electrodiagnostic Testing in the Intensive Care Unit
36 Neuromuscular Ultrasound in the EMG Laboratory
SECTION IV EVOKED POTENTIALS
37 Somatosensory Evoked Potentials
38 Visual Evoked Potentials
39 Brainstem Auditory Evoked Potentials
40 Motor Evoked Potentials
SECTION V ASSESSMENT OF AUTONOMIC FUNCTION
41 Autonomic Physiology
42 Quantitative Sudomotor Axon Reflex and Related Tests
43 Evaluation of Adrenergic Function
44 Thermoregulatory Sweat Test
45 Cardiovagal Reflexes
SECTION VI CLINICAL NEUROPHYSIOLOGY OF MOVEMENT DISORDERS
46 Movement-Related Cortical Potentials and Event-Related Potentials
47 Long Latency Reflexes and the Silent Period
48 Electrophysiology Testing of Movement Disorders
SECTION VII ASSESSMENT OF SLEEP
49 Assessment of Sleep and Sleep Disorders: Polysomnography and Other Tests
50 Pediatric Sleep Assessment
51 Abnormal Sleep and Sleep Disorders
SECTION VIII INTRAOPERATIVE MONITORING
52 Cerebral Function Monitoring and Cortical Mapping for Nonepilepsy Surgery
53 Brainstem and Cranial Nerve Monitoring
54 Spinal Cord and Root Monitoring
55 Peripheral Nervous System Monitoring
SECTION IX ELECTRICAL CONCEPTS AND SAFETY
56 Volume Conduction in Clinical Neurophysiology
57 Instrumentation and Electricity for Clinical Neurophysiology
58 Digital Signal Processing: Digitization, Averaging, Filters, and Time/Frequency Domain Analysis
59 Electrical Safety
Index
