Clinical neurophysiologic testing plays a critical role as a complement to the clinical assessment in patients who are being evaluated for a variety of neurologic symptoms. Many different techniques and methods of assessment can be used to evaluate the function of the nervous system, including electroencephalography, electromyography, evoked potentials, movement disorder studies, and sleep studies. An accurate understanding of the role of these tests and reliable technical performance and interpretation of these studies is critical in clinical practice. This new edition in the Contemporary Neurology Series remains an essential resource for physicians and technologists learning or utilizing clinical neurophysiology in their training or practice.

This fifth edition updates the basic concepts underlying each of the techniques used in clinical neurophysiology and provides detailed descriptions of the methods, findings, studies, and value of the wide range of electrophysiologic testing available for patients with epilepsy and spells, neuromuscular diseases, movement disorders, demyelinating diseases, sleep disorders, autonomic disorders, and those undergoing orthopaedic and neurosurgical procedures in the operative setting. The role of each type of study, the interpretation of findings, and the application of the studies to different types of clinical problems are detailed throughout the text. It is a practical textbook for neurologists, physiatrists and clinical neurophysiologists in clinical or research practice or in training.

Review

“This book does an excellent job accomplishing what it sets out to do – to serve as a stand-alone, comprehensive guide to clinical neurophysiology. It details the roles of each of the various tests, the interpretation of the findings, as well as their role in clinical practice. Although detailed, the material is easy to understand and readily accessible to readers from a variety of backgrounds. The numerous figures included make it superior to any similar textbook and help summarize information for easy reference later.” — Mahnoor Rehman, MD. , Doody’s Reviews

Contents

۱ Basics of Neurophysiology
۲ Electrophysiological Generators in Clinical Neurophysiology
۳ Waveforms and Artifacts
۴ Adult Electroencephalography: Normal and Benign Variants
۵ Adult EEG: Artifacts and the EEG
۶ Adult EEG: Epileptiform Activity
۷ Adult EEG: Abnormal Nonepileptiform Activity
۸ Pediatric EEG: Normal Maturational Changes
۹ Pediatric EEG: Epileptiform Activity
۱۰ Computer-Assisted Ambulatory Electroencephalography
۱۱ Long-Term Video-EEG Monitoring in the Epilepsy Monitoring Unit
۱۲ EEG Trend Analysis in the ICU
۱۳ Intracranial EEG Monitoring and Electrocorticography
۱۴ Quantitative EEG Analysis, EEG Mapping, and Magnetoencephalography
۱۵ Assessment of Spells and Seizures in the Outpatient Setting
۱۶ Epilepsy Surgery Evaluation
۱۷ Motor Nerve Conduction Studies
۱۸ Sensory Nerve Conduction Studies and Sensory Nerve Action Potentials
۱۹ Late Responses: F-Waves and H-Reflexes
۲۰ Repetitive Nerve Stimulation Studies
۲۱ Cranial Reflexes and Related Techniques
۲۲ Quantitative Motor Unit Number Estimates
۲۳ Technical Issues and Potential Complications of Nerve Conduction Studies
۲۴ Needle Electromyography
۲۵ Quantitative Electromyography
۲۶ Single-Fiber Electromyography
۲۷ Technical Problems and Potential Complications of Needle EMG
۲۸ Electrodiagnostic Assessment of Mononeuropathies
۲۹ Electrodiagnostic Assessment of Radiculopathies
۳۰ Assessment of Plexopathies
۳۱ Electrodiagnostic Assessment of Polyneuropathies
۳۲ Electrodiagnostic Assessment of Motor Neuron Diseases
۳۳ Assessment of Neuromuscular Junction Diseases
۳۴ Electrodiagnostic Assessment of Myopathies
۳۵ Neuromuscular Electrodiagnostic Testing in the Intensive Care Unit
۳۶ Neuromuscular Ultrasound in the EMG Laboratory
۳۷ Somatosensory Evoked Potentials
۳۸ Visual Evoked Potentials
۳۹ Brainstem Auditory Evoked Potentials
۴۰ Motor Evoked Potentials
۴۱ Autonomic Physiology
۴۲ Quantitative Sudomotor Axon Reflex and Related Tests
۴۳ Evaluation of Adrenergic Function
۴۴ Thermoregulatory Sweat Test
۴۵ Cardiovagal Reflexes
۴۶ Movement-Related Cortical Potentials and Event-Related Potentials
۴۷ Long Latency Reflexes and the Silent Period
۴۸ Electrophysiology Testing of Movement Disorders
۴۹ Assessment of Sleep and Sleep Disorders: Polysomnography and Other Tests
۵۰ Pediatric Sleep Assessment
۵۱ Abnormal Sleep and Sleep Disorders
۵۲ Cerebral Function Monitoring and Cortical Mapping for Nonepilepsy Surgery
۵۳ Brainstem and Cranial Nerve Monitoring
۵۴ Spinal Cord and Root Monitoring
۵۵ Peripheral Nervous System Monitoring
۵۶ Volume Conduction in Clinical Neurophysiology
۵۷ Instrumentation and Electricity for Clinical Neurophysiology
۵۸ Digital Signal Processing: Digitization, Averaging, Filters, and Time/Frequency Domain Analysis
۵۹ Electrical Safety