Department of Neurology, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
Department of Neurology, University of Florida, Gainesville, Florida, U.S.A.
J Clin Neurophysiol. 2019 Sep;36(5):330-336. doi: 10.1097/WNP.0000000000000546.
Identifying the localization, distribution, and polarity of waveforms are the prime goals of clinical scalp EEG analysis. Appropriate choices of bipolar and referential montages are keys to emphasizing the diagnostic features of interest, and demand some understanding of the spatiotemporal physical behavior of the underlying neuronal generators. Several examples drawn from canonical epilepsy syndromes are used to illustrate this general message.
确定波形的定位、分布和极性是临床头皮脑电图分析的主要目标。适当选择双极和参考导联是突出感兴趣的诊断特征的关键,需要对潜在神经元发生器的时空物理行为有一定的了解。本文从典型的癫痫综合征中选取了几个示例来说明这一普遍观点。