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Exam (elaborations)

CLTM|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

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Heart rate during seizure Sinus tachycardia 100-120 also seen in temporal lobe epilepsy Rasmussen's Hemispherectomy Ictal spect Blood perfusion Pet scan Monitors metabolism Loss of t1 volume high t2 Hippocampal sclerosis MRS Magnetic resonance spectroscopy Measure metabolites of brain Otahara syndrome Burst suppression Febrile Up to age 5! Alzheimer's Theta increases delta and sharp waves Parkinson's Generalized theta delta sharp waves ALS Normal then later on non focal slowing Angelmans Happy puppet High amplitude slow spike wave Foramen Ovale electrodes monitor mesial temporal lobe Nasopharyngeal electrodes anteromedial frontal lobe, should not use due to irritation Crani Grid electrodes Burr Holes- Strip electrodes Sensorimotor localization Band Pass 1-30Hz to 250-1000 Hz (-3db) 50 ms, 25-50 reps, 2 trials, referential montage, use 1 or 1/2 MAC with nitrous EcoG Stimulus threshold 70 dB above normal threshold, 10/s, averages, pulse duration .5-1 ms, pulse rate 50-60, stim intensity 0-20 mA, stim length 3-8 sec Cortical Stim threshold 1-mA-15mA biphasic prevents tissue damage, 50/sec in trains of 3-5 for motor mapping and 5-10 for language until AD's produced Biphasic stimulation prevents tissue damage, reduces risk of polarization or accumulation of ions within cortex EP Grid Sensitivity 10-20 uV/div for amp EcoG sensitivity 20-70 uV/mm, 30mm/sec for amp TIVA S S E P no inhalations agents used Cortical Mapping anesthesia Propofol and remifentanil used + ketamine no muscle relaxant EcoG anesthesia low dose Propofol subarachnoid hemorrhage causes ischemia Gelastic epilepsy Hypothalamic Harmartoma Herpes Simplex pattern temporal Pleds and slowing West syndrome starts age 2-5 moths Occipital OVM post of seizures, homonymous visual field loss, Hemispherectomy or Functional may reduce Seizures

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