Standard Electroencephalography in Clinical Psychiatry: A Practical Handbook (Wiley Practical Handbooks for Psychiatry Series)

This book provides a concise overview of the possible clinical applications of standard EEG in clinical psychiatry. After a short history, the book describes the physiologic basis of the EEG signal, then reviews the principles of EEG in terms of technical backgrounds and requirements, EEG recording and signal analysis, with plentiful illustrations of the most frequent biological or technical artefacts. Normal EEG patterns and waveforms for easy reference are clearly presented, before the detailed description of abnormal patterns. With the basic information in hand, the reader progresses to an account of the role of EEG in the diagnostic work up in psychiatry, covering nonconvulsive status epilepticus, frontal lobe seizures and non-epileptic seizures. The clinical application of EEG in both childhood and adult disorders follows, including many case vignettes. The effects of psychotropic drugs on EEG are highlighted. The book closes with a discussion of currently available certification venues for Clinical Neurophysiology along with limitations of each venue. It calls for the development of training guidelines and certification processes specific to Psychiatric Electrophysiology. The material is clearly presented throughout, with plenty of figures, tables with summaries of relevant findings, flow diagrams for diagnostic work-up, boxes with learning points, and short lists of key references. We fully expect the book will become the standard teaching source for psychiatry residents and fellows, as well as a useful resource for practising psychiatrists and clinical psychologists. Praise for the book:'This distinguished group of editors has put together chapters that represent an excellent practical handbook on electroencephalography in clinical psychiatry, now a very important topic. I highly recommend it not only to psychiatrists, but also to anyone interested in neuroscience.'John R. Hughes, DM (Oxon), MD, PhD, Professor of Neurology, University of Illinois Medical Center, at Chicago, Illinois, USA Cover......Page 1 Title......Page 2 Other Titles in the Wiley Practical Handbooks for Psychiatry Series......Page 3 Standard Electroencephalographyin Clinical Psychiatry......Page 4 Copyright......Page 5 Contents......Page 6 List of Contributors......Page 9 Preface......Page 10 Reference......Page 12 The early pre-clinical era......Page 13 Early history of human electroencephalography......Page 15 References......Page 17 Membrane potentials......Page 19 Factors determining polarity and other characteristics ofthe surface EEG waveforms......Page 20 Brain structures involved in the genesis of EEG rhythms......Page 22 References......Page 24 EEG devices......Page 25 Technical requirements......Page 26 Electrode placement: International 10-20 System......Page 27 Montages......Page 29 EEG signals......Page 30 Interpretation and analysis of the EEG signals – artefacts......Page 31 Electrode artefacts......Page 40 Muscle activity......Page 41 References......Page 42 Introduction......Page 44 Normal EEG patterns in the waking adult......Page 46 Beta rhythm......Page 49 Theta activity......Page 52 Lambda waves......Page 53 Delta activity......Page 54 Physiological modifications induced by activation procedures......Page 55 EEG patterns in normal ageing......Page 57 Unusual EEG patterns......Page 59 Stage 1 (drowsiness)......Page 63 References......Page 65 Introduction......Page 69 The depression of normal EEG rhythms......Page 70 EEG slowing and slow waves......Page 71 Focal slowing......Page 72 Epileptiform activity......Page 73 Epileptiform potentials......Page 74 Sharp paroxysmal activity......Page 76 Other periodic patterns include......Page 77 Focal non-epileptiform abnormalities......Page 78 Periodic lateralised epileptiform discharges (PLED)......Page 79 Ischaemia......Page 80 Trauma......Page 81 Metabolic disorders......Page 82 Renal failure......Page 83 Calcium......Page 84 Coma......Page 85 References......Page 86 Introduction......Page 87 Clinical characteristics......Page 88 Epidemiology......Page 89 EEG in NCSE......Page 90 Introduction......Page 91 Clinical characteristics of PNES versus neurogenic seizures......Page 92 Manoeuvres......Page 93 EEG findings......Page 94 Clinical characteristics......Page 95 Summary......Page 97 References......Page 98 Introduction......Page 100 Introduction......Page 101 EEG abnormalities in ADHD......Page 102 Case example......Page 104 Recommendations......Page 105 ADHD and epilepsy......Page 106 Case example......Page 107 Recommendations......Page 108 Introduction......Page 109 Epilepsy in ASD......Page 110 EEG abnormalities in ASD......Page 112 Case example......Page 114 Discussion......Page 115 Conclusions and recommendations......Page 116 References......Page 117 Introduction......Page 121 EEG in psychoses......Page 122 EEG in schizophrenia......Page 123 EEG findings in schizophrenia......Page 124 EEG findings and diagnostic boundaries of schizophrenia......Page 125 EEG findings and familiarity for schizophrenia......Page 126 EEG findings and outcome......Page 127 Schizophrenia and epilepsy......Page 128 EEG findings in diffuse encephalopathies......Page 129 Case vignette......Page 130 EEG in mood disorders......Page 131 Case reports of EEG in catatonia......Page 132 Case series and literature reviews......Page 134 References......Page 137 Introduction......Page 141 EEG and antisocial personality disorder (APD)......Page 142 EEG and institutional aggression (including aggression inschizophrenia)......Page 143 Treatment implications......Page 144 Introduction......Page 146 EEG in non-epileptic panic disorder patients......Page 147 Treatment implications......Page 148 Introduction......Page 150 References......Page 152 Introduction: Epidemiology of delirium and dementia......Page 155 Clinical diagnosis in delirium......Page 157 EEG work up in delirium......Page 158 Metabolic causes of delirium......Page 159 Infectious causes of delirium......Page 162 Clinical diagnosis and EEG work up in dementia......Page 163 Conclusion......Page 166 References......Page 167 The role of EEG assessment of drug-induced CNS toxicity inpsychiatric patients......Page 171 Antipsychotic drugs......Page 172 Lithium......Page 174 Other mood stabilisers......Page 175 Anxiolytics......Page 176 Recreational drugs......Page 177 Case vignette......Page 178 References......Page 179 Clinical neurophysiology board certification......Page 180 index......Page 185 "This book provides a concise overview of the possible clinical applications of standard EEG in clinical psychiatry. It starts with a short history then describes the physiologic basis of the EEG signal. The material is clearly presented throughout, with figures, tables with summaries of relevant findings, flow diagrams for diagnostic work-up, boxes with learning points, and short lists of key references"-- Provided by publisher This book provides a concise overview of the possible clinical applications of standard EEG in clinical psychiatry. It starts with a short history then describes the physiologic basis of the EEG signal.  The material is clearly presented throughout, with  figures, tables with summaries of relevant findings, flow diagrams for diagnostic work-up, boxes with learning points, and short lists of key references.