ARTIFACTS

ARTIFACTS Artifacts are waves or groups of waves which are produced by

technical or other disturbances which are not due to brain activity.

The Massive amplification magnifies all manner of disturbances such as

EKG and Pulse artifacts, electrode and movement, and IV and 60 Hz artifacts and

Sweat artifacts

,

which represent salt solution between electrodes shorting them out.

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EKG AND PULSE ARTIFACTS

Both artifacts are illustrated and are recognized by their periodicity.

The EKG shows periodic QRS complexes

as the EKG is a much larger electrical signal than EEG.

Pulse artifact is caused by a pulse under an electrode moving that electrode

periodically. Both are easily recognized usually but can be a problem.

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ELECTRODE AND OTHER MOVEMENT ARTIFACTS

Patient movement artifacts are abrupt with a rapid upstroke in almost all instances.

They are large in amplitude and last a long time by EEG standards.

A 'POP' is a brief electrode shift which can be mistaken for a spike by the

naive but it is seen usually in only two adjascent channels and not three as.

occurs with epileptic spikes.

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INTRAVENOUS ARTIFACT and 60 Hz ARTIFACTS

These artefacts are seen commonly in ICU recordings and both are electrical

interference. The 'drip' artifact is shown in red; it is periodic and small in

amplitude and easily recognized. Sixty Hz is seen where the electrode

contacts are poor, grounding is inadequate and electrical contrivances

are in use close by. This causes spikes at 60 per second - an inkblot at

at usual paper speeds.

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