NDT 230 - EEG Procedures and Pathology II

Module 1:  Objectives

• Define seizure, epilepsy and epileptogenesis.
• Define ictal, inter-ictal and post-ictal.
• Explain the evolution of theories about epilepsy from early recorded time until present day.
• Recognize the incidence and prevalence of seizures and epilepsy in the US.
• Recognize commonly used abbreviations in classifications of epilepsy.

Module 1:  Assignments

• Read “Rowan’s Primer of EEG” pgs 121-123
• Complete Links:

• Reading Material 1
• Neuronal Mechanisms of Epileptogenesis
• ASET Article:  The Expanding Role of Genetics
• ASET Article: Cortical Dysplasia
• ASET Article:  Sex-Steroid Hormones

• Complete Quiz 1

Module 2:  Objectives

• Explain the International Classification of Seizures.
• Define status epilepticus and non-convulsive status epilepticus.
   
• List typical clinical manifestations of the various types of seizures.
• Anticipate the expected EEG patterns seen with various seizure types.  
• Differentiate focal, lateralized, generalized and initially focal with secondary generalization onsets of epileptiform activity.
• Define febrile seizures.
• Recognize the incidents of SUDEP (Sudden Unexpected Death in Epilepsy Patients)
• Define Psychogenic Nonepileptic Seizures and describe appropriate compassionate care patients with such events.
• Recognize symptoms of Nonepileptic events such as syncope, transient ischemic attacks (TIAs), ischemic events and heart attacks.

Module 2: Assignments

• Read Pgs 204-218 in “Practical Approach…”
• Complete Links:

• Lesson 2 Reading Material
• ASET Article:  SUDEP
• ASET Article:  Diagnosis of NCSE
• ASET Article: Mental Status Exam
• ASET Article:  Psychogenic Nonepileptic Seizures
• ASET Article:  Semiology Witness to a Seizure
• ASET Article:  Neonatal Seizures
• ASET Article:  First Seizure in a Child

• Complete Assignment 1

• Complete Quiz 2

Module 3:  Objectives

• Define common terms and abbreviations associated with seizures, seizure classifications, and types of epilepsy.
• Explain the International Classification of Epilepsies & Epileptic Syndromes
• Identify characteristics associated with most common epilepsy syndromes such as:
  • West’s Syndrome
  • Lennox-Gastaut Syndrome
  • Landau-Kleffner Syndrom
  • Sturge-Webber Syndrome
  • Rett Syndrome
  • Benign Occipital Epilepsy
  • Benign Rolandic Epilepsy
  • Juvenile Myoclonic Epilepsy (JME)

Module 3:  Assignments

• Read “Rowan’s Primer of EEG” pgs 133-153
• Complete Links:

• Lesson 3 Reading Material
• Abbreviations Commonly Used in the Lab
• ASET Article: Epileptic Syndromes
• ASET Article:  Landau Kleffner
• ASET Article:  JME
• EEG Samples of Benign Rolandic Spikes
• ASET Article:  Reflex Epilepsy
• ASET Article:  Tuberous Sclreosis
• ASET Article:  Holoprosencephaly

• Complete Quiz 3

Module 4:  Objectives

• Identify various treatment options including:
  • AEDs
  • Vagus Nerve Stimulators
  • Ketogenic Diet
  • Seizure Surgery
• List brand and trade names for anti-epileptic medications and other drug classifications.
• Explain the effects certain drugs have on the EEG.

Module 4:  Assignments

• Complete Links:

• Lesson 4 Reading Assignment
• ASET Article: AED’s Expanded
• ASET Article: Vagal Nerve Stimulator
• Video-Dr Tatum Update on Med Effects
• Presentation Handout
• Complete Quiz 4
• Complete Assignment 2

Module 5:  Objectives

• List the steps to follow for first aid during and after a seizure.
• Identify the role of the Neurodiagnostic Technologist related to patient safety and seizures.
• Describe the role that technologists play in epilepsy patient advocacy
• Explain the role of the Epilepsy Foundation.
• Explain the ACNS Guideline for Long Term EEG Monitoring and implications for extended monitoring.  

Module 5:  Assignments

• Complete Links:

• Lesson 5 Reading Material
• Video-Epilepsy Foundation Seizure First Aid
• Optional Free Online Medical Education Series
• ACNS Guideline 12-LTM
• ASET Article:  LTM

• Complete Quiz 5

Module 6:  Objectives

• Describe the pre-surgical testing process.
• Develop clinical correlations skills with a review of LTM Case Studies  
• Develop pattern recognition skills during EEG Show and Tell, a presentation by Selim Benbadis, MD  

Module 6:  Assignments:

• Complete Links:

• Lesson 6 Reading Material
• Video Pre-Surgical Testing
• Presentation Handout
• Journal Article: The Role of Scalp EEG in Pre-Surgical Evaluation
• LTM Case Studies
• Video-Show and Tell
• Presentation Handout

• Complete Quiz 6

Module 7:  Objectives

• Recognize various EEG wave forms.
• Compare and contrast normal from abnormal EEG patterns.
• Describe the clinical correlations presented with EEG samples.

Module 7:  Assignments

• Complete Links:

• EEG Record Review #1-3

• Complete Assignment 3

Grading Scale

91-100%     =  4.0   Excellent

86-90.9%    =  3.5

81-85.9%    =  3.0   Good

76-80.9%    =  2.5   Satisfactory and Passing

71-75.9%    =  2.0   Not Passing

66-70.9%    =  1.5

60-65.9%    =  1.0

0-59.9%      =  0.0 

Points Possible

Module

Due Date

10

Module 1:  Objectives

• Define seizure, epilepsy and epileptogenesis.
• Define ictal, inter-ictal and post-ictal.
• Explain the evolution of theories about epilepsy from early recorded time until present day.
• Recognize the incidence and prevalence of seizures and epilepsy in the US.
• Recognize commonly used abbreviations in classifications of epilepsy.

Module 1:  Assignments

• Read “Rowan’s Primer of EEG” pgs 121-123
• Complete Links:

• Reading Material 1
• Neuronal Mechanisms of Epileptogenesis
• ASET Article:  The Expanding Role of Genetics
• ASET Article: Cortical Dysplasia
• ASET Article:  Sex-Steroid Hormones

• Complete Quiz 1

70

Module 2:  Objectives

• Explain the International Classification of Seizures.
• Define status epilepticus and non-convulsive status epilepticus.
   
• List typical clinical manifestations of the various types of seizures.
• Anticipate the expected EEG patterns seen with various seizure types.  
• Differentiate focal, lateralized, generalized and initially focal with secondary generalization onsets of epileptiform activity.
• Define febrile seizures.
• Recognize the incidents of SUDEP (Sudden Unexpected Death in Epilepsy Patients)
• Define Psychogenic Nonepileptic Seizures and describe appropriate compassionate care patients with such events.
• Recognize symptoms of Nonepileptic events such as syncope, transient ischemic attacks (TIAs), ischemic events and heart attacks.

Module 2: Assignments

• Read Pgs 204-218 in “Practical Approach…”
• Complete Links:

• Lesson 2 Reading Material
• ASET Article:  SUDEP
• ASET Article:  Diagnosis of NCSE
• ASET Article: Mental Status Exam
• ASET Article:  Psychogenic Nonepileptic Seizures
• ASET Article:  Semiology Witness to a Seizure
• ASET Article:  Neonatal Seizures
• ASET Article:  First Seizure in a Child

• Complete Assignment 1

• Complete Quiz 2

10

Module 3:  Objectives

• Define common terms and abbreviations associated with seizures, seizure classifications, and types of epilepsy.
• Explain the International Classification of Epilepsies & Epileptic Syndromes
• Identify characteristics associated with most common epilepsy syndromes such as:
  • West’s Syndrome
  • Lennox-Gastaut Syndrome
  • Landau-Kleffner Syndrom
  • Sturge-Webber Syndrome
  • Rett Syndrome
  • Benign Occipital Epilepsy
  • Benign Rolandic Epilepsy
  • Juvenile Myoclonic Epilepsy (JME)

Module 3:  Assignments

• Read “Rowan’s Primer of EEG” pgs 133-153
• Complete Links:

• Lesson 3 Reading Material
• Abbreviations Commonly Used in the Lab
• ASET Article: Epileptic Syndromes
• ASET Article:  Landau Kleffner
• ASET Article:  JME
• EEG Samples of Benign Rolandic Spikes
• ASET Article:  Reflex Epilepsy
• ASET Article:  Tuberous Sclreosis
• ASET Article:  Holoprosencephaly

• Complete Quiz 3

90

Module 4:  Objectives

• Identify various treatment options including:
  • AEDs
  • Vagus Nerve Stimulators
  • Ketogenic Diet
  • Seizure Surgery
• List brand and trade names for anti-epileptic medications and other drug classifications.
• Explain the effects certain drugs have on the EEG.

Module 4:  Assignments

• Complete Links:

• Lesson 4 Reading Assignment
• ASET Article: AED’s Expanded
• ASET Article: Vagal Nerve Stimulator
• Video-Dr Tatum Update on Med Effects
• Presentation Handout
• Complete Quiz 4
• Complete Assignment 2

10

Module 5:  Objectives

• List the steps to follow for first aid during and after a seizure.
• Identify the role of the Neurodiagnostic Technologist related to patient safety and seizures.
• Describe the role that technologists play in epilepsy patient advocacy
• Explain the role of the Epilepsy Foundation.
• Explain the ACNS Guideline for Long Term EEG Monitoring and implications for extended monitoring.  

Module 5:  Assignments

• Complete Links:

• Lesson 5 Reading Material
• Video-Epilepsy Foundation Seizure First Aid
• Optional Free Online Medical Education Series
• ACNS Guideline 12-LTM
• ASET Article:  LTM

• Complete Quiz 5

10

Module 6:  Objectives

• Describe the pre-surgical testing process.
• Develop clinical correlations skills with a review of LTM Case Studies  
• Develop pattern recognition skills during EEG Show and Tell, a presentation by Selim Benbadis, MD  

Module 6:  Assignments:

• Complete Links:

• Lesson 6 Reading Material
• Video Pre-Surgical Testing
• Presentation Handout
• Journal Article: The Role of Scalp EEG in Pre-Surgical Evaluation
• LTM Case Studies
• Video-Show and Tell
• Presentation Handout

• Complete Quiz 6

100

Module 7:  Objectives

• Recognize various EEG wave forms.
• Compare and contrast normal from abnormal EEG patterns.
• Describe the clinical correlations presented with EEG samples.

Module 7:  Assignments

• Complete Links:

• EEG Record Review #1-3

• Complete Assignment 3

200

Final Exam

500

Total Points