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Curriculum Innovations: Developing an EEG Workshop for Hands-on Training in Electroencephalography During Resident Rotation in Clinical Neurophysiology. 课程创新:为临床神经生理学住院医师轮换期间的脑电图实践培训开发EEG研讨会。
Q3 Health Professions Pub Date : 2023-09-01 Epub Date: 2023-09-18 DOI: 10.1080/21646821.2023.2246117
Nitin K Sethi

A 3-hour hands-on EEG workshop was conducted as a part of resident rotation in clinical neurophysiology to determine its feasibility and educational value for neurology residents, medical students, and EEG technologists, with the learning objectives of motivating interest in clinical electroencephalography, enhancing ability to recognize a normal EEG and identify physiological and non-physiological artifacts, and enhancing teaching, organizational and communication skills of EEG technologists. The workshop included a demonstration of EEG electrode placement according to the 10-20 System on a resident volunteer by the EEG technologist. Activation procedures (photic stimulation and hyperventilation) were demonstrated to the residents during the 25-minute recording. A board-certified epileptologist later reviewed the record with the residents. Resident and EEG technologist feedback on the workshop was obtained via non-formal e-mail request. All residents rated the workshop highly and found it more engaging and motivating than the didactic EEG lecture in which basics of EEG recording are reviewed. The residents gained improved awareness and appreciation of the role of the technologist and the skill and time involved in obtaining an EEG record. The EEG technologist appreciated the face-to-face interaction with the residents and felt part of the patient care team. A hands-on EEG workshop as a part of resident clinical neurophysiology rotation is feasible, effective, and motivating in teaching residents and medical students the basis of EEG recording and recognition of common physiological and non-physiological artifacts in a normal record.

作为临床神经生理学住院医师轮换的一部分,进行了一个3小时的EEG实践研讨会,以确定其对神经病学住院医师、医学生和EEG技术人员的可行性和教育价值,学习目标是激发对临床脑电图的兴趣,增强识别正常脑电图和识别生理和非生理伪影的能力,并增强脑电图技术人员的教学、组织和沟通技能。研讨会包括脑电图技术专家根据10-20系统在一名常驻志愿者身上演示脑电图电极的放置。在25分钟的记录过程中,向居民演示了激活程序(光刺激和过度换气)。一位获得委员会认证的癫痫动物学家后来与居民一起查看了记录。住院医师和脑电图技术专家通过非正式电子邮件请求获得了对研讨会的反馈。所有居民都对研讨会给予了很高的评价,并发现它比回顾脑电图记录基础知识的说教式脑电图讲座更具吸引力和激励性。居民们对技术专家的作用以及获取脑电图记录所需的技能和时间有了更好的认识和赞赏。脑电图技术专家很欣赏与住院医生面对面的互动,并感觉自己是患者护理团队的一部分。作为住院医师临床神经生理学轮换的一部分,一个动手的脑电图研讨会是可行、有效和激励的,可以教住院医师和医学生脑电图记录和识别正常记录中常见生理和非生理伪影的基础。
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引用次数: 0
ASET-CEU Quiz. ASET-CEU测验。
Q3 Health Professions Pub Date : 2023-09-01 Epub Date: 2023-09-18 DOI: 10.1080/21646821.2023.2245743
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引用次数: 0
Editorial: New Managing Editor. 社论:新任总编辑。
Q3 Health Professions Pub Date : 2023-09-01 Epub Date: 2023-09-18 DOI: 10.1080/21646821.2023.2240693
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引用次数: 0
Neuromonitoring Identifies Occlusion of Femoral Artery in STA-MCA Bypass Procedure: A Case Report. 神经监测发现STA-MCA搭桥术中股动脉闭塞:一例报告。
Q3 Health Professions Pub Date : 2023-09-01 Epub Date: 2023-09-18 DOI: 10.1080/21646821.2023.2247952
Miriam Shao, Aaron Kruse, Priscilla Nelson, David J Langer, Justin W Silverstein

Intraoperative neurophysiological monitoring (IONM) is a technique used to assess the somatosensory and gross motor systems during surgery. While it is primarily used to detect and prevent surgically induced nervous system trauma, it can also detect and prevent injury to the nervous system that is the result of other causes such as trauma or ischemia that occur outside of the operative field as a result of malpositioning or other problematic physiologic states. We present a case study where a neuromonitoring alert altered the surgical procedure, though the alert was not correlated to the site of surgery. A 69-year-old male with a history of bilateral moyamoya disease and a left middle cerebral artery infarct underwent a right-sided STA-MCA bypass and encephaloduroarteriosynangiosis (EDAS) with multimodal IONM. During the procedure, the patient experienced a loss of motor evoked potential (MEP) recordings in the right lower extremity. Blood pressure was elevated, which temporarily restored the potentials, but they were lost again after the angiography team attempted to place an arterial line in the right femoral artery. The operation was truncated out of concern for left hemispheric ischemia, and it was later discovered that the patient had an acute right external iliac artery occlusion caused by a fresh thrombus in the common femoral artery causing complete paralysis of the limb. This case highlights the importance of heeding IONM alerts and evaluating for systemic causes if the alert is not thought to be of surgical etiology. IONM can detect adverse systemic neurological sequelae that is not necessarily surgically induced.

术中神经生理学监测(IONM)是一种用于评估手术期间躯体感觉和毛运动系统的技术。虽然它主要用于检测和预防手术诱导的神经系统创伤,但它也可以检测和预防由其他原因引起的神经系统损伤,例如由于错位或其他有问题的生理状态而在手术区域外发生的创伤或局部缺血。我们提出了一个案例研究,其中神经监测警报改变了手术程序,尽管警报与手术部位无关。一名69岁的男性,有双侧烟雾病病史和左大脑中动脉梗死,接受了右侧STA-MCA搭桥术和多模式IONM的脑硬浆细胞增多症(EDAS)。在手术过程中,患者右下肢出现运动诱发电位(MEP)记录丢失。血压升高,暂时恢复了电位,但在血管造影术团队试图在右股动脉中放置动脉线后,电位再次丢失。由于担心左半球缺血,手术被截断,后来发现患者的右髂外动脉急性闭塞是由股总动脉中的新血栓引起的,导致肢体完全瘫痪。该病例强调了注意IONM警报的重要性,并在警报不被认为是外科病因的情况下评估系统原因。IONM可以检测不一定由手术引起的不良系统性神经后遗症。
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引用次数: 0
Credentialing Organizations. 认证组织。
Q3 Health Professions Pub Date : 2023-09-01 Epub Date: 2023-09-18 DOI: 10.1080/21646821.2023.2240695
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引用次数: 0
Waveform Window #54: Alpha-Delta Sleep. 波形窗口#54:阿尔法-德尔塔睡眠。
Q3 Health Professions Pub Date : 2023-09-01 Epub Date: 2023-08-01 DOI: 10.1080/21646821.2023.2235955
Gage Serpas
Alpha-delta sleep is an abnormal rhythm that occurs in slow wave sleep (stage N3) characterized by alpha waves intruding on delta waves and is observed in patients with chronic insomnia, or a chronic pain condition such as fibromyalgia (Van Hoof et al. 2007). Researchers have also linked alpha intrusion to anxiety. An example of this can be a patient exhibiting hypervigilance, which is a sensitivity to the environment including sounds, movements, and changes in surroundings; this hypervigilance can persist in sleep (Van Hoof et al. 2007). When the patient reaches N3 sleep, alpha waves become superimposed on delta waves. Alpha-delta sleep has been studied extensively by polysomnography, but there are few EEG examples with a full array of 10–20 electrodes in the current literature.
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引用次数: 0
Neuroanatomy: Draw It to Know It (3rd Edition), by Adam Fisch 神经解剖学:亚当-费希(Adam Fisch)著,《画它来认识它》(第 3 版
Q3 Health Professions Pub Date : 2023-08-08 DOI: 10.1080/21646821.2023.2242064
Petra N. Davidson
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引用次数: 0
ASET-CEU Quiz. ASET-CEU测验。
Q3 Health Professions Pub Date : 2023-06-01 DOI: 10.1080/21646821.2023.2211919
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引用次数: 0
Credentialing Organizations. 的认证机构。
Q3 Health Professions Pub Date : 2023-06-01 DOI: 10.1080/21646821.2023.2211921
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引用次数: 0
Waveform Window #53: Hypersynchrony in REM Sleep. 波形窗口#53:快速眼动睡眠中的超同步。
Q3 Health Professions Pub Date : 2023-06-01 DOI: 10.1080/21646821.2023.2204771
Donna Young, Stacey D Elkhatib Smidt, Sushanth Bhat, Sudhansu Chokroverty
In children, electroencephalogram (EEG) waveform hypersynchrony commonly occurs during sleep in the form of hypnagogic and hypnopompic/post-arousal hyper synchrony. Hypnagogic hypersynchrony is characterized by 3to 4.5-Hz paroxysmal, sinusoidal wave bursts of increased amplitude, which can be notched, and are prominent in the frontal, central, or frontocentral regions (Asadi-Pooya and Sperling 2019; Berry et al. 2020; Britton et al. 2016). Hypnagogic hypersynchrony is associated with drowsiness and is found in stages 1 and 2 of non-rapid eye movement (NREM) sleep. This hypersynchrony most often occurs in children under 13 years of age (Berry et al. 2020). Hypnopompic or postarousal hypersynchrony is a similar but less frequently recognized entity to its hypnagogic equivalent that instead follows an arousal (Asadi-Pooya and Sperling 2019; Viswanathan et al. 2021). Neither of these hypersynchronous waveforms have been described in rapid eye movement (REM) sleep. We report a case of hypersynchrony during REM sleep.
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引用次数: 0
期刊
The Neurodiagnostic Journal
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