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|Year : 2018 | Volume
| Issue : 4 | Page : 1217-1218
EEG in clinical practice
Department of Neurology, Neurobiology, and Psychiatry and Biobehavioral Sciences, University of California at Los Angeles (UCLA) Seizure Disorder Center, David Geffen School of Medicine at UCLA, 710 Westwood Plaza, Los Angeles, CA 90095-1769, California
|Date of Web Publication||18-Jul-2018|
Dr. Jerome Engel
Department of Neurology, Neurobiology, and Psychiatry and Biobehavioral Sciences, University of California at Los Angeles (UCLA) Seizure Disorder Center, David Geffen School of Medicine at UCLA, 710 Westwood Plaza, Los Angeles, CA 90095-1769
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Engel J. EEG in clinical practice. Neurol India 2018;66:1217-8
Editors : K Radhakrishnan, JMK Murthy, C Rathore
Publishers : Manipal, India: Manipal Universal Press
Year of publication : 2018
Total number of pages : 524
Cost : Rs. 2500/-
This comprehensive textbook on the practice of electroencephalogram (EEG) is edited by three distinguished Indian neurologists and clinical neurophysiologists. The lead editor, Professor Kurupath Radhakrishnan, was responsible for the development of the internationally respected Comprehensive Epilepsy Center at the Sree Chitra Tirunal Institute for Medical Sciences and Technology in Trivandrum, which was one of the first to perform surgical treatment for epilepsy on a major scale. Professor Jagarlapudi M K Murthy, is Chief of the Department of Neurology and Institute of Neurosciences in Hyderabad, and Professor Chaturbhuj Rathore is Professor of Neurology at the SBKS Medical Institute and Research Center in Vadodara, Gujarat. All of the 34 authors, with the exception of two co-authors, are also from India.
The authors state, in the preface, that there is not a single comprehensive easy-to-follow textbook on EEG that can help postdoctoral students and practicing neurologists learn this discipline. Indeed, it has been a long time since a similar textbook has been published, and much has happened in the interim. Furthermore, available textbooks tend to concentrate on technical details rather than practical tips and instructive illustrations. The authors have addressed this deficiency by producing a simple easy-to-read and understand, but comprehensive and well-illustrated book on scalp-recorded standard EEGs. They have certainly succeeded in this goal with a handsomely produced practical guide to the state-of-the-art concepts, from a historical introduction to the most recent advances in the field. The sophistication in each chapter is a testament to the state-of-the-art of clinical neurophysiology in India today, but the detail is not an obstacle to the primary teaching intention, as the text is straightforward, and aptly supported by large numbers of excellent illustrations of EEG tracings and useful tables and figures.
With the development of digital EEG, this valuable diagnostic tool has become increasingly available, especially in resource-constrained countries, but expertise in the interpretation of EEG among practitioners remains uneven worldwide. Too often, even in industrialized countries, EEGs are misread, resulting in not only failure to identify a particular diagnosis, but more often the assignment of a serious diagnosis, such as epilepsy, to a patient who does not have this disease, with disastrous consequences. The appropriate practice of EEG requires specialized training which, as evidenced by this textbook, need not be overwhelming or disagreeable. The chapters in this book provide examples of all the normal and abnormal patterns encountered in the EEG laboratory, as well as discussion of differential diagnosis and concern about misreading of artifacts and normal variants. An initial chapter on fundamental mechanisms of EEG generation and recording is straightforward and practical. This is followed by a chapter on artifacts, extremely important for avoiding misinterpretation of the EEG tracings, and chapters on activation procedures, sleep, neonatal EEG, normal EEGs in infancy and childhood, and in adults, benign epileptiform EEG patterns, again essential for avoiding misinterpretations, concepts on determining focality, four chapters on epilepsy, the most important application of EEG in the modern era of neuroimaging, and chapters on periodic EEG patterns, non-epileptiform EEG abnormalities, EEG patterns in specific neurologic diseases, and monitoring in the intensive care unit. Three chapters review cutting-edge developments in clinical neurophysiology: magnetoencephalography in epilepsy, quantitative EEG, and high-frequency oscillations in scalp-recorded EEG, all areas in which Indian neuroscientists are currently contributing. The final chapter deals with practical issues of interpretation and recording. There is also an appendix, a glossary of terms, and a handy list of abbreviations.
The quality of the book production is as good as, or better than, anything on the market today in the West, and the contents are more current. It is not, and should not be viewed as, a substitute for specialized training in EEG, but as an excellent adjunct to formal EEG fellowships. In addition, this book belongs on the shelf of every neurology trainee and neurologist, who order EEGs and must understand the clinical significance of the EEG report, even if they do not interpret EEGs themselves.