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《脑电图图谱》第三版

Atlas of Electroencephalography, 3rd Edition.

作者信息

Asadi-Pooya Ali Akbar, Dlugos Dennis, Skidmore Christopher, Sperling Michael R

机构信息

Department of Neurology, Thomas Jefferson University, 901 Walnut Street, Philadelphia, Pennsylvania 19107, USA.

Child Neurology, Children's Hospital of Philadelphia, 10th Floor CTRB, Philadelphia, Pennsylvania 19104, USA.

出版信息

Epileptic Disord. 2017 Sep 1;19(3):384. doi: 10.1684/epd.2017.0934.

Abstract

Electroencephalography (EEG) is the recording of the electrical activity of the brain. EEG is a reliable test to assess cerebral function. It aids in diagnosis, classification, and management of patients with epilepsy. It also has practical uses in conditions other than epilepsy. Moreover, it is harmless and inexpensive. EEG is an important tool for evaluating patients with epilepsy. It may help classify the syndrome, identify the likely source of focal seizures, and confirm a diagnosis of status epilepticus. EEG is therefore helpful when selecting appropriate antiepileptic drugs for patients with epilepsy, is valuable for diagnosis and management of status epilepticus as well as predicting the prognosis in epilepsy syndromes, and, is finally useful when localizing an area for resection in surgery candidates. In addition, despite advances in neuroimaging, EEG remains a valuable tool in the evaluation of stuporous and comatose patients. A systematic approach is essential for EEG interpretation, and when combined with good clinical judgment, it will improve diagnostic sensitivity and specificity and may improve therapeutic outcomes. This EEG atlas is designed as a practical guide for neurology residents, neurologists, and epileptologists, so that they may appropriately identify normal and abnormal findings, while reading an EEG. By reading and reviewing the relevant chapter of this well-organized atlas, that includes many EEG images, the reader will also learn how to report an EEG finding. We hope that this atlas fills an unmet need, and leads to improved patient care.

摘要

脑电图(EEG)是对大脑电活动的记录。脑电图是评估脑功能的一项可靠检查。它有助于癫痫患者的诊断、分类及治疗。它在癫痫以外的病症中也有实际用途。此外,它无害且成本低廉。脑电图是评估癫痫患者的一项重要工具。它可能有助于对综合征进行分类,确定局灶性癫痫发作的可能起源,并确诊癫痫持续状态。因此,在为癫痫患者选择合适的抗癫痫药物时,脑电图很有帮助,对癫痫持续状态的诊断和治疗以及预测癫痫综合征的预后很有价值,最后,在为手术候选者确定切除区域时也很有用。此外,尽管神经影像学取得了进展,但脑电图在评估昏迷和昏睡患者方面仍然是一项有价值的工具。系统的方法对于脑电图解读至关重要,当与良好的临床判断相结合时,它将提高诊断的敏感性和特异性,并可能改善治疗效果。这本脑电图图谱旨在为神经科住院医师、神经科医生和癫痫专家提供实用指南,以便他们在阅读脑电图时能够正确识别正常和异常发现。通过阅读和复习这本组织良好的图谱中包含许多脑电图图像的相关章节,读者还将学习如何报告脑电图检查结果。我们希望这本图谱能够满足一项未被满足的需求,并改善患者护理。

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