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THE IMPORTANCE OF ELECTROENCEPHALOGRAPHIC ACTIVATING METHODS IN CLINICAL PRACTICE OF NEUROLOGIST

https://doi.org/10.17650/2073-8803-2013-8-3-15-30

Abstract

The electroencephalographic activating methods are widely used during the EEG investigation to detect the reactivity of normal electric activity of the brain and for provocation of pathological (especially epileptiform) activity. The most common activating procedures are intermittent photic stimulation, hyperventilation, the probe "opening – closing" of the eyes, sleep deprivation and sleep. The more different activation methods are used during EEG investigation the more information EEG-method can propose in diagnostics of various pathological conditions , especially epilepsy, since epileptiform activity typically occur under certain conditions. In practice it is desirable to apply the activating procedures that are easily achievable with the available equipment and without possible adverse effects for the patients. The use of activating methods during EEG helps to establish correct diagnosis and to improve the efficacy of the treatment. The authors proposed a detailed review, devoted to the clinical aspects of these activating methods, combined with their own illustrations of EEG- responses to a variety of activating procedures.

About the Authors

L. Yu. Glukhova
Институт детской неврологии и эпилепсии им. Святителя Луки (ИДНЭ), г. Москва
Russian Federation


K. Yu. Мukhin
Институт детской неврологии и эпилепсии им. Святителя Луки (ИДНЭ), г. Москва
Russian Federation


M. A. Nikitina
Институт детской неврологии и эпилепсии им. Святителя Луки (ИДНЭ), г. Москва
Russian Federation


E. I. Barletova
Институт детской неврологии и эпилепсии им. Святителя Луки (ИДНЭ), г. Москва
Russian Federation


E. A. Тupikova
Институт детской неврологии и эпилепсии им. Святителя Луки (ИДНЭ), г. Москва
Russian Federation


References

1. Благосклонова Н.К. Клиническая электроэнцефалография / в кн.: Эпилептология детского возраста. Руководство для врачей / под ред. А.С. Петрухина. – М.: Медицина, 2000 – 624с.:ил.; С. 309-406.

2. Зенков Л.Р., Ронкин М.А. Электроэнцефалография // Функциональная диагностика нервных болезней. – М.: Медицина, 1991. – С. 7-146.

3. Карлов В.А., Бурд С.Г., Михаловска-Карлова Е.П. Пароксизмальный мозг / в кн.: Эпилепсия у детей и взрослых женщин и мужчин. Руководство для врачей/под ред. В.А. Карлова – М.: ОАО «Издательство Медицина», 2010. – С. 701-706.

4. Мухин К.Ю., Петрухин А.С., Глухова Л.Ю. Эпилепсия. Атлас электро-клинической диагностики – М.: Альварес Паблишинг, 2004.

5. Adrian E.D., Matthews B.H.C. The Berger rhythm: potential changes from the occipital lobes in man // Brain. – 1934. – V. 57. – P. 355-385.

6. Berger H. Uber das Elektrenkephalogramm des Menschen. 1st report // Arch. Psychiat. Nervenkr. – 1929. – V. 87. – P. 527-570.

7. Bickford R.G. Activation procedures and special electrodes / In: Klass D.W., Daly D.D. (eds.). Current practice of Clinical Electroencephalography. – New York: Raven Press, 1979. – P. 269-305.

8. Binnie C.D., Darly C.E., Kasteleijen-Nolst Trenite D.G.A., et al. Photosensitive epilepsy: clinical features / In: Beamanoir A., Gastaut N. Naquet R., eds. Colloquium on reflex epilepsy. – Geneva: Edition Medicine et Hygiene, 1989. – P. 241-243.

9. Bostem F. Hyperventilation / In: Handbook of Electroencephalography and Clinical Neurophysiology, vol. 3D // ed. A. Remond – Amsterdam: Elsevier, 1976. – P. 74 – 88.

10. Brazier M.A.B., Finesinger J.E., Schwab R.S. Characteristics of the normal electroencephalogram. II. The effect of varying blood sugar levels on the occipital cortical potentials in adult during quiet breathing // J. Clin. Invest. – 1944. – V. 23. – P. 319-323.

11. Coull B.M., Pedley T.A. Intermittent photic stimulation: clinical usefulness of non-convulsive responses // Electroencephalogr. Clin. Neurophysiol. – 1978. – V. 44. – P. 353-363.

12. Crespel A., Gelisse P. Atlas of electroencephalography. Volume 1: Awake and sleep EEG. Activation procedures and artifacts. – John Libbey Eurotext, Paris, 2005. – P. 89-145.

13. Dalby M.A. Epilepsy and 3 per second and wave rhythms: a clinical, electroencephalographic and prognostic analysis of 346 patients // Acta.Neurol.Scand.Suppl. – 1969. – V. 40. – P. 1-80.

14. Davis H., Wallace W.M. Factors affecting changes produced in electroencephalograms by standardized hyperventilation // Arch. Neurol. Psychiatry. – 1942. – V. 47. – P. 606-625.

15. Degen R. A study of the diagnostic value of waking and sleep EEGs after sleep deprivation in epileptic patients on anticonvulsant therapy // Electroencephalogr. Clin. Neurophysiol. – 1980. – V. 49. – P. 577-584.

16. Ellingson R.J. Cortical electrical responses to visual stimulation in the human infant // Electroencephalogr. Clin. Neurophysiol. – 1960. – V. 12. – P. 633-677.

17. Engel J.Jr. A practical guide for routine EEG studies in epilepsy // J.Clinical Neurophsyol. – 1984. – V. 1. – P. 109-142.

18. Fisher R.S., Cordova S. / In: The Johns Hopkins Atlas of digital EEG // ed. Krauss G.L. Fisher R.S., Kaplan P.W. – 2nd ed. – The Johns Hopkins University Press, 2011. – P.11-76.

19. Fish B.J., Elson L. So, Activation methods / In: Current practice of clinical electroencephalography. Third edition // eds. Ebersole J.S., Pedley T.A. – Lippincott Williams & Wilkins, Philadelphia, 2003. – P. 246-270.

20. Fountain N., Kim., Lee S. Sleep deprivation activates epileptiform discharges independent of the activating effects of sleep // J. Clin. Neurophysiol. – 1998. – V. 15. – P. 69-75.

21. Gastaut H., Trevisan C., Naquet R. Diagnostic value of electroencephalographic abnormalities provoked by intermittent photic stimulation // Electroencephalogr. Clin. Neurophysiol. – 1958. – V. 10. – P. 194-195.

22. Gibbs F.A., Gibbs E.L., Lennox W.G. Electroencephalographic response to overventilation and its relation to age // J. Pediatr. – 1943. – V. 23. – P. 497-505.

23. Gibbs F.A., Gibbs E.L. Diagnostic and localizing value of electroencephalographic studies in sleep // Assoc. Res. Nerv. Ment. Dis. – 1949. – V. 26. – P. 366-377.

24. Greenfield L.J., Geyer J.D., Carney P.R. Reading EEGs. A practical approach. – Lippincot Williams & Wilkins, a Wolters Kluwer business, Philadelphia, 2010.

25. Kasteleijn-Nolst Trenite D.G., Binnie C.D., Harding G.F., Photic stimulation: standardization of screening methods // Epilepsia. – 1999. – V. 40. – Suppl. 4. – P. 75-79.

26. Kodama N., Aoki Y., Hiraga H., et al. 1979. Electroencephalographic findings in children with moyamoya disease // Arch. Neurol. – 1979. – V. 36. – P. 16-19.

27. Kooi K.A., Tucker P.R., Marshall R.E. Fundamentals of Electroencephalography. – Hagerstown, MD: Harper & Row, 1978.

28. Lieb J., Joseph J., Engel J., Walker J., Crandall P. Sleep state and seizure foci related to depth spike activity in patients with temporal lobe epilepsy // EEG Clin Neurophysiol. – 1980. – V. 49. – P. 538-557.

29. Malow B.A., Aldrich M.S. Localizing value of rapid eye movement sleep in temporal lobe epilepsy // Sleep Med. – 2000. – V. 1. – P. 57-60.

30. Miley C.E., Forster F.M. Activation of partial complex seizures by hyperventilation // Arch. Neurol. – 1977. – V. 34. – P. 371-373.

31. Mizrahi E., Lesser R. Video-electroencephalographic monitoring. In: Current practice of clinical electroen-cephalography / Eds.: Ebersole J.S., Pedley T.A. – Lippincott Williams & Wilkins, Philadelphia, 2003. – P. 610-638.

32. Niedermeyer E. Nonepileptic attacks / In: Electroencephalography: basic principles, clinical applications, and related fields, 3rd ed. – Baltimore: Williams & Wilkins, 1993. – Ch. 29.

33. Panayiotopoulos C.P. With comments and contributions from Binnie, C.D., and Takahashi, T. Fixation-off-sen-sitive epilepsies: clinical and EEG characteristics / In: Epileptic Seizures and Syndromes / ed. P. Wolf. – London: John Libbey, 1994. – P. 55-66.

34. Panayiotopoulos C.P. Fixation-off sensitive epilepsies: clinical and EEG characteristics / In: Reflex Epilepsies and Reflex Seizures: Advances in Neurology, Vol. 75 / Eds. B.G. Zifkin, F. Andermann, A. Beaumanoir, et al., – Philadelphia: Lippincott-Raven, 1998. – P. 139-157.

35. Panayiotopoulos CP. The Epilepsies: Seizures, Syndromes and Management. – Oxfordshire, UK: Bladon Medical Publishing, 2005.

36. Penfield W., Jasper H. Epilepsy and the functional anatomy of the human brain. – Little, Brown and Company, Boston, 1954.

37. Rubboli G., Parra P., Seri S., Takahashi T., Thomas P. EEG Diagnostic Procedures and Special Investigations in the Assessment of Photosensitivity // Epilepsia. – 2004. – V. 45(Suppl. 1). – P. 35-39.

38. Sammaritano M., Malow B. Effects of sleep and sleep deprivation on interictal epileptiform discharges / In: C.W. Bazil, B.A. Malow and M.R. Sammaritano, Sleep and epilepsy: the clinical spectrum. – Elsevier Science B.V., 2002. – P. 157- 164.

39. Sammaritano M., Gigli G., Gotman J. Interictal spiking during wakefulness and sleep and the localization of foci in temporal lobe epilepsy // Neurology. – 1991. – V. 4. – P. 290-297.

40. Takahashi T. Activation methods / In: Electroencephalography, 5th Edition, eds. Niedermeyer E, da Silva Fernando Lopes. – Lippincott Williams & Wilkins, 2005. – V. 14.


Review

For citations:


Glukhova L.Yu., Мukhin K.Yu., Nikitina M.A., Barletova E.I., Тupikova E.A. THE IMPORTANCE OF ELECTROENCEPHALOGRAPHIC ACTIVATING METHODS IN CLINICAL PRACTICE OF NEUROLOGIST. Russian Journal of Child Neurology. 2013;8(3):15-30. (In Russ.) https://doi.org/10.17650/2073-8803-2013-8-3-15-30

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