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Department of Neurology

 

Milestone 16: Electroencephalogram — Patient Care

 

Specifics about each Level and each Item:  What you do you need to know:
 

Level 2

• Uses appropriate terminology related to EEG (e.g., montage, amplitude, frequency)

Bipolar longitudinal montage

Referential montages

Delta, theta, alpha, beta and gama frequencies

Amplitude unit and normal ranges in adults and children


Level 3

• Describes normal EEG features of wake and sleep states

Posterior dominant rhythm for different ages

Sleep structures and transients

Hyperventilation and photic normal responses

• Recognizes EEG patterns of status epilepticus

EEG seizure status patterns

• Recognizes common EEG artifacts

EMG

Eye movements

EKG

Chewing and tongue movement

Other electromagnetic artifacts


Level 4 

• Interprets common EEG abnormalities and creates a report

Interictal epileptiform discharges

- Spikes

- Polyspikes

- Sharp waves

- BCECTS

PLEDs

EEG seizure patterns

Slowing

Asymmetry

Localization of the abnormalities

• Recognizes normal EEG variants

Wickets

RMTD

Alpha variants

POSTs

Lambda waves

SSS

Other less common variants


Resources:

• 8 weeks Comprehensive EEG/Epilepsy course

• Neurology emergencies lectures (status epilepticus)

• Weekly epilepsy grand rounds

• Weekly epilepsy journal clubs

• Morning didactics (twice a week) during epilepsy rotation

• Weekly epilepsy case management conference

• Guidelines for management of:

New onset seizures

Established epilepsy

Status epilepticus

• Clinical rotations:

EMU

EEG lab

Epilepsy clinic

Epilepsy consult and Epilepsy inpatient service

 

Level 2 Resources:


Level 3 Resources:

 


Level 4 Resources