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    satish84l
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    Delta brushes, temporal theta and alpha bursts, and frontal sharps are developmental landmarks seen on EEGs of premature infants. Delta brushes appear between 32-34 weeks and disappear by 44 weeks. Temporal theta bursts first appear at 26 weeks and temporal alpha bursts at 33 weeks, disappearing after 34 weeks. Frontal sharps are blunt isolated sharp waves seen in the frontal region between 33-46 weeks, often during transitional sleep stages. Various artifacts can affect EEG interpretation, including sucking, sweat, eye and limb movements, medical devices, and multiple artifacts like EKG and IV drips that must be considered.

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    Delta brushes, temporal theta and alpha bursts, and frontal sharps are developmental landmarks seen on EEGs of premature infants. Delta brushes appear between 32-34 weeks and disappear by 44 weeks. Temporal theta bursts first appear at 26 weeks and temporal alpha bursts at 33 weeks, disappearing after 34 weeks. Frontal sharps are blunt isolated sharp waves seen in the frontal region between 33-46 weeks, often during transitional sleep stages. Various artifacts can affect EEG interpretation, including sucking, sweat, eye and limb movements, medical devices, and multiple artifacts like EKG and IV drips that must be considered.

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    9 views17 pages

    Eeg 3

    Uploaded by

    satish84l
    Delta brushes, temporal theta and alpha bursts, and frontal sharps are developmental landmarks seen on EEGs of premature infants. Delta brushes appear between 32-34 weeks and disappear by 44 weeks. Temporal theta bursts first appear at 26 weeks and temporal alpha bursts at 33 weeks, disappearing after 34 weeks. Frontal sharps are blunt isolated sharp waves seen in the frontal region between 33-46 weeks, often during transitional sleep stages. Various artifacts can affect EEG interpretation, including sucking, sweat, eye and limb movements, medical devices, and multiple artifacts like EKG and IV drips that must be considered.

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    of 17

    EEG Development &

    Artifacts

    Delta Brushes
    Prime landmark - Prematurity :

    0.3 to 1.5 hz delta slowing superimposed with fast activity


    18-22 hz

    central ! temporal ! occipital

    Peak age: 32 - 34 weeks

    Active sleep ! awake ! quiet sleep (37 weeks) ! disappear

    44 weeks - completely disappear

    Temporal Theta and Alpha


    Bursts
    Developmental marker

    First appears: 26 weeks -


    temporal theta burst

    33 weeks - temporal alpha burst

    Disappear after 34 weeks

    Frontal Sharps
    Blunt isolated sharp waves in the frontal region

    Initial Negative (200 msec) --> Positive phase (longer)

    Frequently seen: Transitional stage of Sleep

    33 weeks - 46 weeks

    Symmetric and synchronous

    Sometimes seen with mixed rhythmic bi-frontal delta

    Developmental LandMarks

    Artifacts

    Various artifacts - affects interpretation NEEG

    Simultaneous occurrence of unusual appearing activity in the extra cerebral


    electrodes

    Peculiar morphology

    Sucking Artifact

    Sweat Artifact

    Head Movements asso with Sobbing

    Eye Movement Artifact

    Limb clonic Movement -Artifact

    Ventilator - Artifact

    Hiccup - Artifact

    Multiple - Artifacts

    EKG

    IV
    Drip

    Mechanical device -Artifact

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