By Joseph I. Sirven, Barbara L. Malamut
Now in its moment version, this article is the main updated reference at the overview and therapy of neurologic difficulties in older adults. The ebook is equipped in order that clinicians can fast search for both a patient's symptom(s) or a illness, and comprises drugs charts and diagnostic algorithms. Psychosocial concerns corresponding to riding and long term care ideas also are addressed.
This version has additional info on EMG, evoked potentials, different medical neurophysiologic systems, mind imaging, puppy scans for dementia screening, and sensible imaging in sufferers with cognitive adjustments. up to date info on new antiparkinsonian brokers and paraneoplastic syndromes is usually included.
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Additional info for Clinical Neurology of the Older Adult
Hyperventilation and photic stimulation are known to provoke seizures and abnormal epileptiform activity in prone individuals. Characteristic EEG features in the EEG background determine the various stages of non–rapid eye movement (REM) and REM sleep. qxd 26 12/21/07 12:46 PM Page 26 Section I • Introduction: What Makes the Older Adult Unique? Figure 3-15. Well-regulated, symmetric, 8- to 9-Hz alpha activity in a normal 89-year-old man. sleep-deprived and sleep EEGs may activate abnormalities and improve the diagnostic yield of the test.
Patients maintain a diary of their activities and any events that occur during the recording session. Especially in the elderly with a high incidence of cardiac abnormalities, a dedicated ECG rhythm strip is important to monitor in addition to the EEG during ambulatory recordings. AEEG recording devices have improved significantly in recent years and are comfortable for the patient to wear and usually well tolerated for several days. Some ambulatory equipment now allows for the use of concurrent video recording.
Vermersch P, Leys D, Pruvo JP, et al. Parkinson’s disease and basal ganglia calcifications: prevalence and clinico-radiological correlations. Clin Neurol Neurosurg. 1992;94:213–217. qxd 12/21/07 12:46 PM Page 25 C H A P T E R 3 . 2 Diagnostic Tests in the Older Adult: EEG Joseph F. Drazkowski E lectroencephalography (EEG) is a diagnostic procedure that measures temporal changes in summated postsynaptic potentials from the superficial layers of the cerebral cortex. Currently, EEG is used principally in two major areas of clinical practice: seizure disorders and alterations in mental status.