NDT 132 - EEG Procedures and Pathology I

Course Schedule

Total Points Possible

Module Assignments

Due Date

10

Module 1:  Learning Objectives

• Identify the neuroanatomical generators of the EEG and explain the physiological basis of the EEG recording.
• List the layers of the cerebral cortex.
• Explain the membrane potential of a neuron including the resting state/polarization, depolarization/action potential and repolarization.
• Describe the function of the sodium-potassium pump.
• Explain the role of neurotransmitters and synapses.

Module 1: Assignments

• Complete Links:

• ASET Handout:  Origin of the EEG Signal
• Video:  Neurophysiological Basis of EEG
• Video:  Basis of EEG Signals
• Movie:  Description of Action Potentials
• Complete Lesson 1 Quiz

10

Module 2:  Learning Objectives

• Define electrode derivation and montage. 
• Define bandwidth and identify alpha, beta, theta and delta EEG frequencies.
• Recognize normal alpha, beta, theta and delta pattern and identify the location and state of consciousness associated with each.
• Distinguish the EEG patterns in wakefulness and sleep.
• Identify waveforms associated with early stages of sleep I.e. vertex waves, sleep spindles and K-complexes.

Module 2:  Assignments

• Read Pgs 1-30 in “Practical Approach…” text
• Complete ASET Links:

• Lecture:  Explanation of Montages & EEG Display
• ASET Handout:  Lesson 2 Frequency Bands in EEG

• Complete Lesson 2 Quiz

80

Module 3:  Learning Objectives

• Recognize sleep patterns in normal adult EEG recordings.
• Describe and recognize specific patterns such as spindles, POSTS, Vertex waves and K Complexes and Hypnagogic and Hypnopompic Hypersynchrony.
• Define the following sleep stages according to the American Association of Sleep Medicine

• W = Wakefulness
      Stage N1 = NREM 1 Sleep 
      Stage N2 = NREM 2 Sleep 
      Stage N3 = NREM 3 Slow wave sleep 
      Stage R = REM Sleep (Rapid Eye Movement)  
• Describe the polysomnograhic lead placement and requirements for sleep scoring.
• List the physiologic variables needed to differentiate each stage of sleep
• EEG, EKG, EMG, EOG, Respiration

Module 3:  Assignments

• Complete Links:

• ASET Handout:  EEG in Normal Adult Sleep
• Polysomnographic Lead Placement & Technical Requirements for Sleep Scoring
• Sleep Stage Samples and Definitions

• Complete and Submit Assignment 1
• Complete Lesson 3 Quiz

80

Module 4:  Learning Objectives

• Recognize EEG waves based on electrode locations and define EEG terms related to location (focal, generalized, anterior, posterior etc.)
• Explain the relationship between frequency, duration and wavelength.
• Explain the formula used to determine frequency and duration.

Module 4:  Assignments  

• Read Pgs 31-38 in “Practical Approach…”text
• Complete Links:

• ASET Handout Lesson 4
• Lesson 4 ASET Power Point
• Table 3.1 Parameter Descriptives

• Complete Lesson 4 Quiz
• Complete and Submit Assignment 2

10

Module 5:  Learning Objectives

• Define EEG terms used to describe voltage/amplitude, gain, sensitivity, symmetry, synchrony, rhythmicity and continuity.
• Identify methods to determine paper speed/chart speed and understand the effects of this instrument change on the appearance of the EEG.
• Describe epileptiform activity and define spikes and sharp waves.

Module 5:  Assignments

• Read Pgs 39-54 in “Practical Approach…” text
• Complete Links:

• ASET Handout Lesson 5
• Lesson 5 ASET Power Point

• Complete Lesson 5 Quiz

85

Module 6:   Learning Objectives

• Define the term normal variant (aka benign variant).
• Describe the features, state of consciousness and other indicators of normal variants.
• Recognize the patterns associated with the following EEG variants; POSTS, Lambda, SSS/BETS, Mu, Wicket, 14& 6, Breach rhythm, RMTD, Phantom Spike & Wave, Posterior Slow Waves of Youth.

Module 6:  Assignments

• Read Pgs 267-287 in “Practical Approach…”
• Complete Links:

• Normal EEG Presentation
• ASET Handout:  Lesson 6 “Normal Variants”
• Journal Article:  Benign Variants in EEG

• Complete “Make Your Own PowerPoint” Assignment 3
• Complete Lesson 6 Quiz

25

Module 7:  Learning Objectives (Lesson 7)

• List brand and trade names for anti-epileptic medications and other drug classifications.
• Explain the effects certain drugs have on the EEG.  
• List other factors that influence drug effects.
• Identify typical patterns & waveforms which indicate

Learning Obectives (Lesson 8)

• Explain what type of information is necessary for proper patient identification on the EEG report.
• Describe the structure of the EEG report including the introduction, description, interpretation and clinical correlation.

Module 7:  Assignments

• Read Pgs 171-175 & 185-187 in “Practical Approach…”text
• Complete Links:

• Medication Effects Lecture Video
• Handout:  Medications Effects
• Article:  Medication & EEG Waveforms
• ASET Technical Tips Article
• Anti-Epileptic Drugs Brand and Trade Names
• Drug List A-Z
• ACNS Guideline 7
• ASET Journal Article:  What is Normal?

• Complete Lesson 7 Quiz
• Complete Lesson 8 Quiz

200

Final Evaluation

500

Total Points

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 

Course Schedule

Total Points Possible

Module Assignments

Due Date

10

Module 1:  Learning Objectives

• Identify the neuroanatomical generators of the EEG and explain the physiological basis of the EEG recording.
• List the layers of the cerebral cortex.
• Explain the membrane potential of a neuron including the resting state/polarization, depolarization/action potential and repolarization.
• Describe the function of the sodium-potassium pump.
• Explain the role of neurotransmitters and synapses.

Module 1: Assignments

• Complete Links:

• ASET Handout:  Origin of the EEG Signal
• Video:  Neurophysiological Basis of EEG
• Video:  Basis of EEG Signals
• Movie:  Description of Action Potentials
• Complete Lesson 1 Quiz

10

Module 2:  Learning Objectives

• Define electrode derivation and montage. 
• Define bandwidth and identify alpha, beta, theta and delta EEG frequencies.
• Recognize normal alpha, beta, theta and delta pattern and identify the location and state of consciousness associated with each.
• Distinguish the EEG patterns in wakefulness and sleep.
• Identify waveforms associated with early stages of sleep I.e. vertex waves, sleep spindles and K-complexes.

Module 2:  Assignments

• Read Pgs 1-30 in “Practical Approach…” text
• Complete ASET Links:

• Lecture:  Explanation of Montages & EEG Display
• ASET Handout:  Lesson 2 Frequency Bands in EEG

• Complete Lesson 2 Quiz

80

Module 3:  Learning Objectives

• Recognize sleep patterns in normal adult EEG recordings.
• Describe and recognize specific patterns such as spindles, POSTS, Vertex waves and K Complexes and Hypnagogic and Hypnopompic Hypersynchrony.
• Define the following sleep stages according to the American Association of Sleep Medicine

• W = Wakefulness
      Stage N1 = NREM 1 Sleep 
      Stage N2 = NREM 2 Sleep 
      Stage N3 = NREM 3 Slow wave sleep 
      Stage R = REM Sleep (Rapid Eye Movement)  
• Describe the polysomnograhic lead placement and requirements for sleep scoring.
• List the physiologic variables needed to differentiate each stage of sleep
• EEG, EKG, EMG, EOG, Respiration

Module 3:  Assignments

• Complete Links:

• ASET Handout:  EEG in Normal Adult Sleep
• Polysomnographic Lead Placement & Technical Requirements for Sleep Scoring
• Sleep Stage Samples and Definitions

• Complete and Submit Assignment 1
• Complete Lesson 3 Quiz

80

Module 4:  Learning Objectives

• Recognize EEG waves based on electrode locations and define EEG terms related to location (focal, generalized, anterior, posterior etc.)
• Explain the relationship between frequency, duration and wavelength.
• Explain the formula used to determine frequency and duration.

Module 4:  Assignments  

• Read Pgs 31-38 in “Practical Approach…”text
• Complete Links:

• ASET Handout Lesson 4
• Lesson 4 ASET Power Point
• Table 3.1 Parameter Descriptives

• Complete Lesson 4 Quiz
• Complete and Submit Assignment 2

10

Module 5:  Learning Objectives

• Define EEG terms used to describe voltage/amplitude, gain, sensitivity, symmetry, synchrony, rhythmicity and continuity.
• Identify methods to determine paper speed/chart speed and understand the effects of this instrument change on the appearance of the EEG.
• Describe epileptiform activity and define spikes and sharp waves.

Module 5:  Assignments

• Read Pgs 39-54 in “Practical Approach…” text
• Complete Links:

• ASET Handout Lesson 5
• Lesson 5 ASET Power Point

• Complete Lesson 5 Quiz

85

Module 6:   Learning Objectives

• Define the term normal variant (aka benign variant).
• Describe the features, state of consciousness and other indicators of normal variants.
• Recognize the patterns associated with the following EEG variants; POSTS, Lambda, SSS/BETS, Mu, Wicket, 14& 6, Breach rhythm, RMTD, Phantom Spike & Wave, Posterior Slow Waves of Youth.

Module 6:  Assignments

• Read Pgs 267-287 in “Practical Approach…”
• Complete Links:

• Normal EEG Presentation
• ASET Handout:  Lesson 6 “Normal Variants”
• Journal Article:  Benign Variants in EEG

• Complete “Make Your Own PowerPoint” Assignment 3
• Complete Lesson 6 Quiz

25

Module 7:  Learning Objectives (Lesson 7)

• List brand and trade names for anti-epileptic medications and other drug classifications.
• Explain the effects certain drugs have on the EEG.  
• List other factors that influence drug effects.
• Identify typical patterns & waveforms which indicate

Learning Obectives (Lesson 8)

• Explain what type of information is necessary for proper patient identification on the EEG report.
• Describe the structure of the EEG report including the introduction, description, interpretation and clinical correlation.

Module 7:  Assignments

• Read Pgs 171-175 & 185-187 in “Practical Approach…”text
• Complete Links:

• Medication Effects Lecture Video
• Handout:  Medications Effects
• Article:  Medication & EEG Waveforms
• ASET Technical Tips Article
• Anti-Epileptic Drugs Brand and Trade Names
• Drug List A-Z
• ACNS Guideline 7
• ASET Journal Article:  What is Normal?

• Complete Lesson 7 Quiz
• Complete Lesson 8 Quiz

200

Final Evaluation

500

Total Points