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EEG Montages

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Answer
show Also called arrays, montages are combinations of multiple derivations (electrode recording combinations).  
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show 1. Monopolar (Referential) 2. Bipolar  
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What are some types of referential montages that are used?   show
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show 1. Longitudinal (anterior to posterior) 2. Transverse (left to right)  
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show A series of derivations in which the same electrode is used in input 2 of each amplifier.  
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How are potentials localized on a referential montage?   show
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What is important about the placement of the reference?   show
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show This occurs when the reference is no longer neutral, meaning it has been obscured with an overriding potential, whether mechanical or biological.  
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show 1. Contamination 2. Distortion of brain signals - if the CAR becomes part of the electrical field, the electrodes nearest will cancel out and those farthest will give false localization.  
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show Equal interelectrode distances between the two hemispheres.  
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What is the advantage of a Cz reference montage?   show
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show Can't be used when the patient is asleep. Sleep potentials come from the vertex and therefore would contaminate all other leads with sleep potentials.  
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What are the advantages to an ear reference montage?   show
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show 1. Contamination with EKG potentials. 2. Cancellation (when ipsilateral) due to reference becoming a part of the electrical field.  
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show A montage that consists of an adjacent pair of electrodes of the 10-20 system of electrode placement.  
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show Phase reversal.  
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What is an advantage of a bipolar montage?   show
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What are some disadvantages of a bipolar montage?   show
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What is cancellation?   show
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show This occurs when potentials appear with greatest voltage in the last electrode in the chain of electrodes producing waveform deflections that are all in the same direction (no phase reversal).  
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What is a transverse bipolar montage?   show
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What are the advantages of a transverse montage?   show
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show This montage has derivations arranged from anterior to posterior.  
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show This montage is similar to the common average reference, but instead on refers one electrode to the nearest neighbouring electrodes. Creates a local weighted average reference.  
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What is the disadvantage of a laplacian montage?   show
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show This montage adds all the activity of all electrodes together in input 2 at every amplifier to serve as a reference for each of the individual electrodes in input 1.  
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show If one electrode has a much higher potential than the rest of the electrodes, it will contribute much more to the reference causing contamination of the EEG.  
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show More electrodes contributing to the reference.  
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show Similar to average reference montage except the electrodes in input 2 do not contribute equally to the reference and input 1 is not included in the reference. Electrodes closer to input one contribute more the reference than those further away.  
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show It reduces the possibility of a widespread activity contaminating the reference.  
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show 1. Left hemisphere derivations over the right. 2. Derivations are organized in an anatomical order (ant to post). 3. Common electrode reference montages should have long interelectrode distances.  
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