Syllabus of Diploma in E.E.G. Technology

FIRST YEAR PAPER FIRST 1. Study of General Anatomy and physiology of Human Body PAPER SECOND 1. CLINICAL: (A) Seizure disorder and its differential diagnosis (B) i) Normal EEG pattern in children and adult, awake and sleep. (ii) Neonatal EEG (iii) Normal variants (iv) Artifacts: Eye movements, muscle pulse (v) Activation methods: Hyperventilation, photic stimulation, sleep deprivation, others (vi) Abnormal EEG records, definition-spike, sharp, slow waves, other abnormalities (vii) Abnormal EEG in neurological diseases viii) Brain death 2. TECHNICAL ASPECTS: (i) Different parts of EEG machine and its functions, i.e. montage, electrodes, filter, calibration, sphenoidal electrode, depth electrodes. (ii) Electroencephalographic monitoring (in patients and ambulatory). Video Electroencephalography. Intraoperative records, quantitative electroencephalography, Brain mapping and others (in brief). (iii) Electroencephalographer's reporting (iv) Record keeping. SECOND YEAR PAPER FIRST 1. NEURO-ANATOMY: Muscle: Origin, insertion, nerve supply, structure Nerve: Course-cranial and peripheral, structure 2. NEURO-PHYSIOLOGY: Muscle: i) Functions of muscles ii) Muscle contractions iii) Electrical properties of muscles Nerve: i) Functions of nerve ii) Electrical properties of nerve. Near filed potential and Far field potential iii) Nerve conduction iv) Neuromuscular junction and neurotransmitters 3. NEURO-PATHOLOGY: Muscle: Pathological changes in muscles i) Primary muscle disease ii) Injury iii) Metabolic iv) Inflammatory v) Others vi) Neurogenic muscle involvement vii) Neuromuscular junction abnormalities Nerve: i) Demyelination ii) Axonopathy PAPER SECOND CLINICAL: 1 Nerve: (a) Disease affecting cranial and peripherals (i) Bells play (ii) Peripheral neuropathy (iii) Entrapment neuropathy (b) Basic principles of nerve conduction study (NCS) (i) Motor NCS (ii) Sensory NCS (iii) F-wave (iv) H-reflex (v) Blink reflex and others (vi) Repetitive nerve stimulation (vii) Abnormalities in disease (viii) Central motor conduction 2 Muscle: (a) Disease of muscle and neuromuscular junctions (b) Normal EMG recording-Resting/Insertional activity/Volitional recruitment pattern, Interference pattern. (c) Abnormal EMG - (i) Myopathies (ii) Neurogenic muscle involvement (iii) Involuntary muscle contractions (iv) Neuromuscular transmission disorder (d) Needle EMG - Conventional, Macro EMG, Surface EMG, Single fibre EMG 3 Evoked potential studies: (i) Visual evoked potential (ii) Brainstem auditory evoked potential (iii) Somatosensory evoked potential 4 Instruments: (i) Basic knowledge about the machines (ii) Electrodes (iii) Electrode impedance (iv) Identification of wave pattern (v) Artifacts (vi) Normal laboratory values (vii) Electromyography reporting (viii) Record keeping 5. Polysomnographic studies - Normal sleep and sleep disorder (in brief)