Standard Electroencephalography in Clinical Psychiatry: A Practical Handbook
With the basic information in hand, the reader progresses to an account of the role of EEG in the diagnostic work up in psychiatry, covering nonconvulsive status epilepticus, frontal lobe seizures and non-epileptic seizures. The clinical application of EEG in both childhood and adult disorders follows, including many case vignettes. The effects of psychotropic drugs on EEG are highlighted.
The book closes with a discussion of currently available certification venues for Clinical Neurophysiology along with limitations of each venue. It calls for the development of training guidelines and certification processes specific to Psychiatric Electrophysiology.
The material is clearly presented throughout, with plenty of figures, tables with summaries of relevant findings, flow diagrams for diagnostic work-up, boxes with learning points, and short lists of key references.
We fully expect the book will become the standard teaching source for psychiatry residents and fellows, as well as a useful resource for practising psychiatrists and clinical psychologists.
Praise for the book:
"This distinguished group of editors has put together chapters that represent an excellent practical handbook on electroencephalography in clinical psychiatry, now a very important topic. I highly recommend it not only to psychiatrists, but also to anyone interested in neuroscience."
John R. Hughes, DM (Oxon), MD, PhD, Professor of Neurology, University of Illinois Medical Center, at Chicago, Illinois, USA
1 Historical Review of Electroencephalography in Psychiatry (Nash Boutros).
The early pre-clinical era.
Early history of human electroencephalography.
Electroencephalography in psychiatry today.
2 Physiologic Basis of the EEG Signal (Paola Bucci and Silvana Galderisi).
Excitatory and inhibitory postsynaptic potentials.
Nonsynaptic intercellular events contributing to the EEG signal.
Factors determining polarity and other characteristics of the surface EEG waveforms.
Brain structures involved in the genesis of EEG rhythms.
3 EEG Recording and Analysis (Oliver Pogarell).
Techniques and technical background.
4 Normal EEG Patterns and Waveforms (Paola Bucci, Armida Mucci and Silvana Galderisi).
Normal EEG patterns in the waking adult.
5 Abnormal Patterns (Oliver Pogarell).
Detection of artefacts.
6 The Role of EEG in the Diagnostic Work Up in Psychiatry: Nonconvulsive Status Epilepticus, Frontal Lobe Seizures, Non-Epileptic Seizures (Silvana Riggio).
Psychogenic non-epileptic seizures.
Frontal lobe seizures.
7 EEG in Childhood Psychiatric Disorders (Mary W. Roberts and Nash Boutros).
Attention deficit disorder.
Autistic spectrum disorders.
8 EEG in Psychoses, Mood Disorders and Catatonia (Nash Boutros, Silvana Galderisi, Oliver Pogarell and Felix Segmiller).
EEG in psychoses.
EEG in mood disorders.
EEG findings in catatonia.
9 Standard EEG in Personality and Anxiety Disorders (Nash Boutros).
EEG in aggression and impulse dyscontrol.
Borderline personality disorder.
10 EEG in Delirium and Dementia (Sophia Wang and Silvana Riggio).
Introduction: Epidemiology of delirium and dementia.
Clinical diagnosis in delirium.
EEG work up in delirium.
Metabolic causes of delirium.
Infectious causes of delirium.
Clinical diagnosis and EEG work up in dementia.
11 Effects of Psychotropic Drugs on EEG (Silvana Galderisi and Armida Mucci).
The role of EEG assessment of drug-induced CNS toxicity in psychiatric patients.
Other mood stabilisers.
12 Certification and Training in EEG and Clinical Neurophysiology (Nash Boutros and Silvana Galderisi).
Clinical neurophysiology board certification.
Silvana Galderisi is Professor of Psychiatry and Director of the training school in Psychiatry at the University of Naples SUN. She is Director of the Emergency Unit of the Department of Mental Health of the same University. She is also Chairperson of the WPA Psychophysiology Section, President of the EEG & Clinical Neuroscience Society, co-Chair of the International Society for Brain Electromagnetic Topography. She has authored more than 150 publications, in national and international journals and books, and is member of the Editorial Board of Psychiatry Research Neuroimaging, European Journal of Psychiatry, Brain Topography, International Journal of Psychophysiology, Neuropsychobiology,Clinical EEG and Neuroscience and European Psychiatric Review. Her main contribution to the international literature in the field of Electrophysiology includes EEG and ERP abnormalities of major psychiatric disorders, especially schizophrenia, and the identification of early drug-induced EEG changes predictive of treatment response in schizophrenia patients.
Oliver Pogarell MD, PhD, is neurologist, psychiatrist and Head of the Dept. of Clinical Neurophysiology and Functional Neuroimaging at the Clinic for Psychiatry and Psychotherapy, University of Munich, Germany. He is member of national and international neurophysiology societies and host of annual scientific training courses in clinical neurophysiology in Germany. His lab offers the entire spectrum of neurophysiological diagnostics for the Dept. of Psychiatry with about 3500 EEG recordings per year. In addition to visual EEGs within the clinical routine, he has expertise in quantitative EEG techniques including dipole source analysis or low resolution electromagnetic tomography both in resting state and under stimulation with cognitive paradigms. His research has focused on neurophysiology as well as functional and molecular neuroimaging in neuropsychiatric disorders.
Silvana Riggio, MD, Professor of Neurology and Psychiatry at the Mount Sinai School of Medicine (MSSM). Dr.Riggio trained in Neurology at Georgetown University. She is fellowship trained in neuro-electrophysiology at John Hopkins and in Clinical Epilepsy at the Medical College of Pennsylvania (MCP). She served as the Co-Director of the Mid- Epilepsy Center from 1989 – 1991 and the Director of the Epilepsy Program at Mayo Clinic Jacksonville, 1992-1995. Dr. Riggio developed a strong interest in disorders of the frontal lobe and their behavioral manifestations. She trained in Psychiatry at Cornell Weill Medical Center after which she came to Mount Sinai in 1998. She has lectured nationally and internationally and has participated on National Committees related to traumatic brain injury (TBI). Dr. Riggio participated on the ACEP-CDC guidelines task force on mild TBI which was published in December 2008 and is currently finishing a CDC project on discharge instructions for patients with mild TBI. Dr. Riggio has expertise in understanding the interface between neurologic, behavioral, and physical health. She has authored over 50 articles and book chapters and has edited 8 books and journal supplements. Most recently she edited a theme issue of the Mount Sinai Journal of Medicine, "Traumatic Brain Injury, from Bench to Bedside to Home". She is currently editing an issue for the Psychiatric Clinics of North America on Traumatic Brain Injury. Dr. Riggio is a member of the advisory board for the Indian Head Injury Foundation and also for the Foundation for Education and Research in Neurologic Emergencies (FERNE).She has been the primary investigator or co-investigator on 22 grants. She has been recognized for excellence in teaching having received many awards including the MSSM Institute of Medical Education Teaching Achievement Award; she was honored the title of Commendatore OSSI by the Italian government in 2009. Dr. Riggio is the Medical Director for the NFL Neurological Care Program at Mount Sinai which was established in 2010.
"Whether such a curriculum is defined in your country or not the book is recommended to all psychiatrists and clinical psychologists working with diagnosis of patients. For psychiatric residents it is an easily accessible, handy yet sufficiently exhaustive introduction to EEG." (Acta Neuropsychiatrica, 2011)
"In summary, this book will most certainly be included in psychiatry curricula and will be a milestone of which Hans Berger will be proud." (Epilepsy & Behavior, 7 May 2011)
"The guide is readable and is useful for medical students, psychiatric residents and clinicians seeking to augment their clinical skills in managing complex psychiatric treatments. The book fills a need and is a reminder that brain physiology is the core component in understanding and treating the aberrant behaviors that fill psychiatric clinics." (Acta, 1 May 2011)