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46 Cards in this Set

  • Front
  • Back
Frequency
number of times a repetitive wave recurs in onw second (measured in hertz)
Rhythmic
have similar intercals between individual waves; waveforms are usually regular
semirhythmic
contain some recurring similar morphology waveforms as well as some intermixed irregular waveforms
Arrhythmic
EEG activity in which no stable rhythms are present
Spindles
groups of rhythmical repetitive waves that fradually increase and then decrease in amplitude
Amplitude
heigth of wave
Attenuation
reduction of amplitude of EEG activity resulting from decreased voltage
Hypersynchrony
seen as an increase in voltage and regularity of rhythmic activity
Paroxysmal
activity that emerges from background with a rapid onset, reaching quite high voltage, and ending with an abrupt return to lower voltage activity (term does not imply abnormality)
Monomorphic/regular
rhythmic run of waceforms of similar shape
Sinusoidal
when regular waves are similar to sine waves
Irregular
waveforms that do not have a sinusoidal or simple geometric shape
Transient
an event that clearly stands out against the background
Comp;ex
a sequence of two or more waves that have a characteristic form or recur with a fairly consistent shape
Monophasic
has a single deflection either up or down from the baseline
Diphasic (biphasic)
has two components on opposite sides of the baseline
Triphasic
has three components alternating about the base line
polyphasic/multiphasic
two or more components of different direction
Topography
location
Generalized
not limited to a specific area
Lateral
coming from one side
Bilateral
coming from both sides
Focal
coming from a local region
Symmetry
equal distribution of EEG activity over homologous head areas
Bilaterally synchronous
waves which occur at the same time on both sides of the head
Duration
the interval from beginning to end of an individual wave or complex
Alpha
Frequency- 8-13hz
Amplitude/voltage-15-45microvolts (often higher on right side)
Topography-bilaterally synchronous and posterior dominant
Attenuates with eyes opening and concentration
Posterior Slow Waves of Youth
Composed of delta activity intermixed with activity of alpha
Most often seen in ages 8-14 years
Attenuates with alpha on eye opening
Disappear with stage 1 sleep
Increase with hyperventilation
Beta
Frequency-14hz and higher
Amp-rarely exceeds 20 microvolts
Topography- fronto-central
Non-reactive to eye opening and concentration
Accenuated by medications
Theta
Frequency-4-7hz
Amp-variable, typically lower than the alpha
Topography- variable, depending on the patients age and level of consciousness
Non-reactive to eye opening and concentration
Considered normal in the waking records of young children and the elderly, and is normal component of drowsiness and sleep
Delta
Frequency-less than 4hz (typically falls between 1-3hz)
Amp- variable
Topography- variable
Non-reactive to eye opening and concentration
Normal component of deep sleep
Considered abnormal in the adult waking record or when focal in sleep
Vertex (sharp wave transient)
Maximal over the central vertex
Seen on the end of stage one sleep and throughout stage two sleep
Bilaterally Synchronous and symmetrical (waves which occur at the same time on both sides of the head)
May appear in response to sensory stimulus, such as tapping on the foot or hands of patients
Sleep Spindles
Maximal in the central vertex areas
Occur in spindle fashion; progressively increasing, then gradually decreasing amplitude
Frequencey range of 11-15hz
Seen in the stage 2&3 of sleep
Voltage may range up to 150 microvolts
K-Complexes
Maximal over the central vertex
Consist of vertex wave followed immediately by sleep spindles
Elicited by auditory stimulation, but they also appear withour stimulation
Repeated stimulation of the same tone quality will no longer cause reaction (becomes habitual)
Seen in stage 2&3 of sleep
Positive Occipital Sharp Transients (POSTS)
Series of surface positive transients
Seen in stage one of sleep and can persist to stage two of sleep
Normal in all patients
Stage one of sleep
Alpha drop out or waxing and waning
Diffusely scattered theta activity
POSTS
possible appearance of Vertex waves
Slow eye movements
Stage two of sleep
Sleep Spindles (11-15hz)
Vertex waves defined clearly
K-complexes
Theta activity is greater
Stage three of sleep
20-50% of the recording will consist of 2hz or less over 75 microvolts
K-complexes and sleep spindles may persist
Stage four of sleep
More than 50% of the record will consist of high voltage delta (75microvolts) with occasional superimposed faster activity
Older we get, less time in slow wave sleep (SWS)
Stage five of sleep
(REM sleep)
EEG similar to stage one of sleep, with sharp theta waves called sawtooth waves appearing int he central region
Rapid eye movements
Major decrease in muscle tone
Occur at the intervals of 90 minutes
First REM shorter than later REMs
Men have penile erection
Dreams are recalled when aroused from REM
Normal Variants
a waveform or complex that contains features that closely resemble abnormal patterns but has little or no clinical significance
Squek Phenomena
Seen in posterior head regions
Voltage variable
Brief increase in frequency and amplitude after eye closure followed by rapid deceleration to individuals normal baseline
Mu Rhythm
Negative arch shaped rhythm of about 8-10Hz
Prominent at C3 and C4
Seen during wakefulness
Typically unilateral of asymmetrical
Key to identification is by movement of the contralateral arm
Lambda
Positive waves present when viewing a scene or complex image
Seen occipital during wakefulness
Blocked by eye closure
14&6 positive spikes
Sharply contoured, variable frequency
Mainly seen in the temporal regions
At times it is 14 and other times 6hz
6hz is prominent in young children, while older children exhibit the 14hz rhythm.
Alpha variant (fast, slow)
Posterior rhythm is either harmonic or sub harmonic (half or double the normal rhythm)
Seen in wakefulness with eyes closed
Attentuates with eyes open