This book provides a concise overview of the possible clinical applications of standard EEG in clinical psychiatry. After a short history, the book describes the physiologic basis of the EEG signal, then reviews the principles of EEG in terms of technical backgrounds and requirements, EEG recording and signal analysis, with plentiful illustrations of the most frequent biological or technical artefacts. Normal EEG patterns and waveforms for easy reference are clearly presented, before the detailed description of abnormal patterns.With the basic information in hand, the reader progresses to an account of the role of EEG in the diagnostic work up in psychiatry, covering nonconvulsive status epilepticus, frontal lobe seizures and non-epileptic seizures. The clinical application of EEG in both childhood and adult disorders follows, including many case vignettes. The effects of psychotropic drugs on EEG are highlighted.The book closes with a discussion of currently available certification venues for Clinical Neurophysiology along with limitations of each venue. It calls for the development of training guidelines and certification processes specific to Psychiatric Electrophysiology.The material is clearly presented throughout, with plenty of figures, tables with summaries of relevant findings, flow diagrams for diagnostic work-up, boxes with learning points, and short lists of key references.We fully expect the book will become the standard teaching source for psychiatry residents and fellows, as well as a useful resource for practising psychiatrists and clinical psychologists.Praise for the book:"This distinguished group of editors has put together chapters that represent an excellent practical handbook on electroencephalography in clinical psychiatry, now a very important topic. I highly recommend it not only to psychiatrists, but also to anyone interested in neuroscience."John R. Hughes, DM (Oxon), MD, PhD, Professor of Neurology, University of Illinois Medical Center, at Chicago, Illinois, USA
Author(s): Nash Boutros, Silvana Galderisi, Oliver Pogarell, Silvana Riggio
Series: Wiley Practical Handbooks for Psychiatry Series
Edition: 1
Publisher: Wiley
Year: 2011
Language: English
Pages: 190
Tags: Медицинские дисциплины;Клинические методы диагностики, лабораторная диагностика;Функциональная диагностика;Справочники, каталоги, таблицы
Cover......Page 1
Title......Page 2
Other Titles in the Wiley Practical Handbooks for Psychiatry Series......Page 3
Standard Electroencephalographyin Clinical Psychiatry......Page 4
Copyright......Page 5
Contents......Page 6
List of Contributors......Page 9
Preface......Page 10
Reference......Page 12
The early pre-clinical era......Page 13
Early history of human electroencephalography......Page 15
References......Page 17
Membrane potentials......Page 19
Factors determining polarity and other characteristics ofthe surface EEG waveforms......Page 20
Brain structures involved in the genesis of EEG rhythms......Page 22
References......Page 24
EEG devices......Page 25
Technical requirements......Page 26
Electrode placement: International 10-20 System......Page 27
Montages......Page 29
EEG signals......Page 30
Interpretation and analysis of the EEG signals – artefacts......Page 31
Electrode artefacts......Page 40
Muscle activity......Page 41
References......Page 42
Introduction......Page 44
Normal EEG patterns in the waking adult......Page 46
Beta rhythm......Page 49
Theta activity......Page 52
Lambda waves......Page 53
Delta activity......Page 54
Physiological modifications induced by activation procedures......Page 55
EEG patterns in normal ageing......Page 57
Unusual EEG patterns......Page 59
Stage 1 (drowsiness)......Page 63
References......Page 65
Introduction......Page 69
The depression of normal EEG rhythms......Page 70
EEG slowing and slow waves......Page 71
Focal slowing......Page 72
Epileptiform activity......Page 73
Epileptiform potentials......Page 74
Sharp paroxysmal activity......Page 76
Other periodic patterns include......Page 77
Focal non-epileptiform abnormalities......Page 78
Periodic lateralised epileptiform discharges (PLED)......Page 79
Ischaemia......Page 80
Trauma......Page 81
Metabolic disorders......Page 82
Renal failure......Page 83
Calcium......Page 84
Coma......Page 85
References......Page 86
Introduction......Page 87
Clinical characteristics......Page 88
Epidemiology......Page 89
EEG in NCSE......Page 90
Introduction......Page 91
Clinical characteristics of PNES versus neurogenic seizures......Page 92
Manoeuvres......Page 93
EEG findings......Page 94
Clinical characteristics......Page 95
Summary......Page 97
References......Page 98
Introduction......Page 100
Introduction......Page 101
EEG abnormalities in ADHD......Page 102
Case example......Page 104
Recommendations......Page 105
ADHD and epilepsy......Page 106
Case example......Page 107
Recommendations......Page 108
Introduction......Page 109
Epilepsy in ASD......Page 110
EEG abnormalities in ASD......Page 112
Case example......Page 114
Discussion......Page 115
Conclusions and recommendations......Page 116
References......Page 117
Introduction......Page 121
EEG in psychoses......Page 122
EEG in schizophrenia......Page 123
EEG findings in schizophrenia......Page 124
EEG findings and diagnostic boundaries of schizophrenia......Page 125
EEG findings and familiarity for schizophrenia......Page 126
EEG findings and outcome......Page 127
Schizophrenia and epilepsy......Page 128
EEG findings in diffuse encephalopathies......Page 129
Case vignette......Page 130
EEG in mood disorders......Page 131
Case reports of EEG in catatonia......Page 132
Case series and literature reviews......Page 134
References......Page 137
Introduction......Page 141
EEG and antisocial personality disorder (APD)......Page 142
EEG and institutional aggression (including aggression inschizophrenia)......Page 143
Treatment implications......Page 144
Introduction......Page 146
EEG in non-epileptic panic disorder patients......Page 147
Treatment implications......Page 148
Introduction......Page 150
References......Page 152
Introduction: Epidemiology of delirium and dementia......Page 155
Clinical diagnosis in delirium......Page 157
EEG work up in delirium......Page 158
Metabolic causes of delirium......Page 159
Infectious causes of delirium......Page 162
Clinical diagnosis and EEG work up in dementia......Page 163
Conclusion......Page 166
References......Page 167
The role of EEG assessment of drug-induced CNS toxicity inpsychiatric patients......Page 171
Antipsychotic drugs......Page 172
Lithium......Page 174
Other mood stabilisers......Page 175
Anxiolytics......Page 176
Recreational drugs......Page 177
Case vignette......Page 178
References......Page 179
Clinical neurophysiology board certification......Page 180
index......Page 185
