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American Clinical Neurophysiology Guideline …(美国临床神经生理学原则u2026)
American Clinical Neurophysiology
Guideline Two: Minimum Technical Standards for
Pediatric Electroencephalography
Introduction
These guidelines for clinical pediatric EEG should be considered in conjunction with the more
general Guideline 1: Minimum Technical Requirements for Performing Clinical
Electroencephalography (MTR).
The basic principles of clinical EEG outlined in the MTR also apply to the very young and are
reaffirmed. However, special considerations are pertinent to pediatric recordings and are
discussed below. The numbers in parentheses in this Guideline refer specifically to sections of
the MTR that must be modified in these special situations. Where a subject is not covered here,
the recommendations of Guideline 1 remain appropriate and should be consulted.
Emphasis here will be on EEG in neonates, infants, and young children, since recording the
EEGs of older children and adolescents differs little from recording the EEGs of adults. Because
EEG recording in the newborn presents a number of special problems, this Guideline is divided
into two parts setting forth recommendations for children and for neonates separately.
1. Children
1.1 (MTR 2.1) Because children, especially young children, have a tendency to move a good
deal during recording, electrode application should be performed with great care. Electrodes may
be applied with paste or collodion, according to the preference of the laboratory, but their
positions and impedances should be monitored carefully throughout the study. The inverted
saucer-shaped silver-silver chloride electrode with a small hole for the injection of electrolyte
solution is best. Needle electrodes are not needed and should not be used.
1.2 (MTR 2.3) All 21 electrodes of the International 10-20 System (Jasper HH, 1958) should
be used for most purposes. The standard montages used for adults should b
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