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46 Cards in this Set
- Front
- Back
Frequency
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number of times a repetitive wave recurs in onw second (measured in hertz)
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Rhythmic
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have similar intercals between individual waves; waveforms are usually regular
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semirhythmic
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contain some recurring similar morphology waveforms as well as some intermixed irregular waveforms
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Arrhythmic
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EEG activity in which no stable rhythms are present
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Spindles
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groups of rhythmical repetitive waves that fradually increase and then decrease in amplitude
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Amplitude
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heigth of wave
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Attenuation
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reduction of amplitude of EEG activity resulting from decreased voltage
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Hypersynchrony
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seen as an increase in voltage and regularity of rhythmic activity
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Paroxysmal
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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)
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Monomorphic/regular
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rhythmic run of waceforms of similar shape
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Sinusoidal
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when regular waves are similar to sine waves
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Irregular
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waveforms that do not have a sinusoidal or simple geometric shape
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Transient
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an event that clearly stands out against the background
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Comp;ex
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a sequence of two or more waves that have a characteristic form or recur with a fairly consistent shape
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Monophasic
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has a single deflection either up or down from the baseline
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Diphasic (biphasic)
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has two components on opposite sides of the baseline
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Triphasic
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has three components alternating about the base line
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polyphasic/multiphasic
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two or more components of different direction
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Topography
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location
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Generalized
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not limited to a specific area
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Lateral
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coming from one side
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Bilateral
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coming from both sides
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Focal
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coming from a local region
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Symmetry
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equal distribution of EEG activity over homologous head areas
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Bilaterally synchronous
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waves which occur at the same time on both sides of the head
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Duration
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the interval from beginning to end of an individual wave or complex
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Alpha
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Frequency- 8-13hz
Amplitude/voltage-15-45microvolts (often higher on right side) Topography-bilaterally synchronous and posterior dominant Attenuates with eyes opening and concentration |
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Posterior Slow Waves of Youth
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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 |
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Beta
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Frequency-14hz and higher
Amp-rarely exceeds 20 microvolts Topography- fronto-central Non-reactive to eye opening and concentration Accenuated by medications |
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Theta
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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 |
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Delta
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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 |
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Vertex (sharp wave transient)
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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 |
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Sleep Spindles
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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 |
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K-Complexes
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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 |
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Positive Occipital Sharp Transients (POSTS)
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Series of surface positive transients
Seen in stage one of sleep and can persist to stage two of sleep Normal in all patients |
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Stage one of sleep
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Alpha drop out or waxing and waning
Diffusely scattered theta activity POSTS possible appearance of Vertex waves Slow eye movements |
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Stage two of sleep
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Sleep Spindles (11-15hz)
Vertex waves defined clearly K-complexes Theta activity is greater |
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Stage three of sleep
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20-50% of the recording will consist of 2hz or less over 75 microvolts
K-complexes and sleep spindles may persist |
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Stage four of sleep
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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) |
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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 |
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Normal Variants
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a waveform or complex that contains features that closely resemble abnormal patterns but has little or no clinical significance
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Squek Phenomena
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Seen in posterior head regions
Voltage variable Brief increase in frequency and amplitude after eye closure followed by rapid deceleration to individuals normal baseline |
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Mu Rhythm
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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 |
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Lambda
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Positive waves present when viewing a scene or complex image
Seen occipital during wakefulness Blocked by eye closure |
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14&6 positive spikes
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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. |
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Alpha variant (fast, slow)
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Posterior rhythm is either harmonic or sub harmonic (half or double the normal rhythm)
Seen in wakefulness with eyes closed Attentuates with eyes open |