DC-EEG recording: a paradigm shift in seizure localization?
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Brain Mapping↗
Biomedical subjects
Terrence D Lagerlund
Publications and source records attributed to Terrence D Lagerlund.
Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures.
The scalp electroencephalogram (EEG) is the cornerstone in the diagnosis and treatment of seizure disorders. The EEG, with its excellent temporal resolution, provides a direct measurement of cortical electrophysiology, revealing, for example, the presence of interictal epileptiform discharges that identify regions of an epileptogenic brain. We define the EEG characteristics of focal and generalized epileptiform discharges and provide evidence for their varying diagnostic importance in different patient populations. Identification of nonepileptiform EEG transients, such as wicket waves, small sharp spikes,rhythmic temporal theta activity, and 14- and 6-Hz positive bursts, that can be confused for epileptiform transients is emphasized. A final point is that the clinician must interpret EEG findings within the overall clinical context.
Alpha Rhythm↗
A general method for remontaging based on a singular value decomposition algorithm.
The authors developed a general mathematic algorithm to convert any montage (referential, bipolar, or Laplacian) to any other by linear transformation. Input and output montages are described by matrices, and singular value decomposition is used to find the linear transformation. An error signal can be calculated from the input data to monitor remontaging validity. This algorithm also identifies output channels that cannot be obtained from the specified input. The authors tested this algorithm using an instrument that retrieves digitally encoded EEG data from videotape and produces signals in referential or bipolar form. They obtained good agreement when they compared referential and Laplacian data derived from bipolar output with the same montages calculated from referential output for the same EEG segment.
Algorithms↗