DIPLOMA IN EEG & CLINICAL NEUROPHYSIOLOGY TECHNOLOGY (2 YEAR)

DIPLOMA IN EEG & CLINICAL NEUROPHYSIOLOGY TECHNOLOGY (2 YEARS)

 FIRST YEAR

1. Human Anatomy & Physiology (With Special Emphasis on Nervous System)

A. General Anatomy

• Cell structure & function
• Tissue types (epithelial, connective, muscular, nervous)
• Skeletal system
• Muscular system
• Cardiovascular system
• Respiratory system
• Digestive system
• Endocrine system

B. Neuroanatomy (Detailed Study)

• Development of nervous system
• Brain:
  • Cerebral hemispheres & lobes
  • Functional areas of cortex
  • Basal ganglia
  • Thalamus & hypothalamus
  • Limbic system
• Brainstem (midbrain, pons, medulla)
• Cerebellum
• Ventricular system & CSF circulation
• Spinal cord (ascending & descending tracts)
• Cranial nerves (I–XII)
• Peripheral nervous system
• Autonomic nervous system (sympathetic & parasympathetic)

C. Neurophysiology

• Neuron & synapse
• Resting membrane potential
• Action potential
• Neurotransmitters
• Motor pathways
• Sensory pathways
• Reflexes
• EEG wave generation mechanism
• Sleep physiology basics

2. Basic Electronics & Biomedical Instrumentation

• Basic electricity (current, voltage, resistance)
• Ohm’s law
• AC vs DC
• Electrical circuits
• Amplifiers & filters
• Digital vs analog recording systems
• Electrodes:
  • Types (cup, needle, disc)
  • Electrode impedance
• Signal processing
• Artifact prevention
• Safety precautions in EEG lab
• Biomedical equipment maintenance

3. Introduction to Electroencephalography (EEG)

A. History & Principles

• Discovery of EEG (Hans Berger)
• Physiological basis of EEG
• EEG frequency bands:
  • Delta
  • Theta
  • Alpha
  • Beta
  • Gamma

B. EEG Equipment & Setup

• Components of EEG machine
• Electrode application
• 10–20 International System of electrode placement
• Impedance checking
• Calibration
• Montages (referential, bipolar)

C. Routine EEG Recording

• Patient preparation
• Activation procedures:
  • Hyperventilation
  • Photic stimulation
  • Sleep induction
• Pediatric EEG basics
• Neonatal EEG basics

D. Artifacts & Troubleshooting

• Physiological artifacts:
  • Eye blink
  • Muscle activity
  • ECG artifact
• Technical artifacts
• Electrical interference
• Correction techniques

4. Basic Clinical Neurology

• Introduction to nervous system disorders
• Seizure classification
• Epilepsy syndromes
• Stroke
• Brain tumors
• Head injury
• CNS infections
• Metabolic encephalopathy
• Movement disorders
• Emergency management in EEG lab

5. Patient Care & Hospital Practice

• Communication skills
• Patient positioning
• Infection control
• Biomedical waste management
• Consent procedures
• Medical ethics
• Record keeping & documentation

SECOND YEAR

1. Advanced Electroencephalography

• Long-term Video EEG monitoring
• Ambulatory EEG
• ICU EEG monitoring
• Continuous EEG (cEEG)
• EEG in coma
• Brain death protocol
• Status epilepticus monitoring
• Epileptiform discharges:
  • Spikes
  • Sharp waves
  • Spike-wave complexes
• Basic EEG interpretation principles

2. Nerve Conduction Studies (NCS / NCV)

A. Motor Nerve Conduction

• Latency
• Amplitude
• Conduction velocity

B. Sensory Nerve Conduction

• Sensory nerve action potential (SNAP)

C. Late Responses

• F-wave
• H-reflex

D. Clinical Applications

• Peripheral neuropathy
• Radiculopathy
• Entrapment neuropathy
• Diabetic neuropathy
• Guillain-Barre Syndrome
• Carpal tunnel syndrome

3. Electromyography (EMG)

• Motor unit potential
• Recruitment patterns
• Myopathic vs neuropathic patterns
• Neuromuscular junction disorders
• Role of technologist during EMG

4. Evoked Potentials (EP)

A. Visual Evoked Potential (VEP)

• Pattern VEP
• Flash VEP

B. Brainstem Auditory Evoked Response (BAER/ABR)

C. Somatosensory Evoked Potential (SSEP)

Clinical Importance

• Multiple Sclerosis
• Optic neuritis
• Brainstem lesions
• Spinal cord disorders

5. Polysomnography (Sleep Study)

• Sleep stages (NREM I–III, REM)
• Sleep architecture
• Obstructive sleep apnea
• Central sleep apnea
• Narcolepsy
• Insomnia
• CPAP titration
• PSG montage setup

6. Intraoperative Neurophysiological Monitoring (IONM)

• Basics of surgical monitoring
• SSEP monitoring
• Motor Evoked Potentials (MEP)
• EEG in neurosurgery
• Role of technologist in OT
• Documentation standards

7. Neurocritical Care Monitoring

• Continuous EEG in ICU
• Monitoring raised intracranial pressure
• Post-cardiac arrest EEG
• Brain death confirmation protocol