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Neonatal EEG
Learning parameters for neonatal EEG
Question | Answer |
---|---|
The state with eyes closed, irregular respiration, eye movements | active sleep |
The state with eyes closed, regular respirations, no eye movements | quiet sleep |
The discontinuity seen during quiet sleep in infants age 30 - 34 weeks is _____ | trace discontinu |
The discontinuity seen during quiet sleep in infants age 35-36 weeks is ___ | trace alternant |
Trace alternant is seen from __ to __ weeks conceptual age | 35, 36 |
Trace discontinu is seen from __ to __ weeks conceptual age | 30, 34 |
Trace discontinu is seen during this stage | quiet sleep |
Trace alternant is seen during this stage | quiet sleep |
The maximal normal interburst interval for a < 30 week CA neonate is __ seconds | 30 |
The median interburst interval for a < 30 week CA neonate is __ seconds | 10 |
The maximal normal interburst interval for a 31-33 week CA neonate is __ seconds | 20 |
The maximal normal interburst interval for a 34-36 week CA neonate is __ seconds | 10 |
The maximal normal interburst interval for a 37-40 week CA neonate is __ seconds | 6 |
THe median normal interburst interval for a 37- 40 week CA infant is __ to __ seconds | 2, 4 |
The normal amplitude for an interburst interval for a less than 35 weeks CA neonate is ___ ___ uV | < 25 |
The normal amplitude for an interburst interval for a greater than 35 week CA neonate is __ __ uV | > 25 |
Fragments of trace alternant may persist in quiet sleep up to __ weeks CA | 44 |
In neonates, abnormalities are suggested if there is an asymmetry greater than __ : __ | 2, 1 |
Bursts are defined a synchronous if they occur occur within ___ seconds of one another from left to right | 1.5 |
Normal left to right burst synchrony in __ % in < 29 week CA neonates | 100 |
Normal left to right burst synchrony in __ % in 31-32 week CA neonates | 70 |
Normal left to right burst synchrony in __ % in > 37 week CA neonates | 100 |
Voltage is considered abnormally low in full term > 43 week CA infants if it is less than __ - __ uV while awake or less than __ - __ uV in quiet sleep | 5, 10, 10, 25 |
Normal neonatal EEGs become __ (more/less) continuous with stimulation | more |
Normal neonatal EEGs become __ (higher/lower) in ampliutde with stimulation | lower |
3 EEG patterns that are normal in 24-29 week CA neonates | delta brush, monorhythmic occipital delta, rhythmic temporal and occipital delta |
There is __ (more / less) monorhythmic occipital delta at 30 - 34 weeks than there is at 24-29 weeks | less |
There is __ (more / less) rhythmic temporal theta at 30 - 34 weeks than there is at 24-29 weeks | more |
The EEG at 24-29 weeks CA is: (A) Entirely continuous (B) Somewhat continuous during wakefulness & active sleep (C) Somewhat continuous during all stages (D) Entirely discontinuous | D |
The EEG at 30-34 weeks CA is: (A) Entirely continuous (B) Somewhat continuous during wakefulness & active sleep (C) Somewhat continuous during all stages (D) Entirely discontinuous | B |
The EEG at 30 - 34 weeks is totally discontinuous during ___ (stage(s)), and more continuous during ____ (stage(s)) | quiet sleep, active sleep, wakefulness |
The name for the completely continuous pattern seen during wakefulness and active sleep in patients beyond age 35 weeks CA | Activite moyenne |
Activite moyenne is seen beyond age __ weeks CA | 35 |
The activity in neonates at 35 - 36 weeks during quiet sleep is __ (continuous / discontinuous) | discontinuous |
The name for the pattern associated with quiet sleep in 35-36 week CA neonates | trace alternant |
Beginning at week __ CA, the discontinuous activite moyenne is admixed with continuous slow wave sleep | 37 |
The pattern seen in 37 - 40 week CA neonates during wakefulness and active sleep | activite moyenne |
Continuous slow wave sleep should replace trace alternant by __ weeks CA | 44 |
Sleep spindles appear by __ - __ weeks CA | 45, 46 |
AT 30 - 34 weeks, this is the state in which the most delta brushes are seen | active sleep |
Monorhythmic occipital delta activity peaks between __ and __ weeks and disappears by __ weeks | 31, 33, 35 |
Rhythmic occipital theta activity peaks at age __ weeks and disappears by __ weeks | 30,33 |
Rhythmic temporal theta activity peaks between __ and __ weeks | 31, 33 |
Delta brushes are more prominent in active sleep up to age __ weeks, and more prominent in quiet sleep after age __ weeks CA | 33, 34 |
This pattern refers to paroxysmal brief bursts of frontally dominant semirhythmic delta activity that may be sharply contoured | anterior dysrhythmia |
Anterior dysrhythmia is more common in: (A) Wakefulness (B) Active sleep (C) Quiet sleep (D) All sleep stages | D |
Marked, persistent asymmetry in the __, __ or __ of anterior dysrhythmia may indicate abnormalities | amplitude, morphology, number |
This phrase is used to describe the reduction of complex faster polyfrequency background EEG patterns; it does not necessarily imply low voltage, although many records will be low voltage (and discontinuous and nonreactive.) | depressed and undifferentiated |
High amplitude (>150 uV) broad biphasic frontal sharp waves (negative-positive) maximal bilaterally, synchronously | encoches frontales |
Encoches frontales first appears at week __ CA | 34 |
Encoches frontales usually disappears about __ weeks after birth | 4 |
The best state(s) to evaluate sharp waves | active sleep, wakefulness |
The EEG of Ohtahara syndrome contains periodic suppression burst during: (A) Active sleep (B) Quiet sleep (C) Wakefulness (D) All stages | D |
The EEG of early myoclonic encelopathy shows suppression-burst during: (A) Active sleep (B) Quiet sleep (C) Wakefulness (D) All stages | C |
The EEG of suppression burst in Ohtahara syndrome turns into hypsarrhythmia at: (A) 1-2 months (B) 3-6 months (C) 6-12 months (D) 12 - 24 months (E) Never | B |
The EEG of EME typically transitions from suppression burst to hypsarrhythmia at: (A) 1-2 months (B) 3-6 months (C) 6-12 months (D) 12 - 24 months (E) Never | E |
The EEG of agyria | Fast rhythm |
The EEG of hemimegalencephaly in infancy | asymmetric suppression-burst |
The EEG of Aicardi syndrome in infancy | asymmetric suppression-burst |
During ___ sleep, hypsarrhythmia may be associated with grouping of multifocal spikes, resulting in a periodic pattern | NREM |
Immediately after arousal from REM or NREM sleep, the EEG of hypsarrhythmia patients often shows __ | pseudonormalization |
Sleep spindles __ (are / are not) seen in hypsarrhythmia | are |
REM sleep in hypsarrhythmia is: (A) Absent (B) Reduced (C) Excessive | B |
Cerebral maturation begins in __ regions, before extending to the __ region and later the __ region | central, occipital, frontal |