EEG Artifacts
Introduction
• “Signals that appear to be of cerebral origin, but, in fact, are derived from
other sources.”
• Types:-
– Non-cerebral biological potentials
– Electrode-related noise and potentials
– Electrical Device and Power supply
– Patient movement and physical artifacts
Electrode –related noise
• “Pops”-
– Sudden disconnects or breaks form baseline, which drifts back to
baseline, usually inv a single electrode.
– Absence of field (ie, absence of involvement of other leads)
– Mirror image
– Information from that electrode should be interpreted with caution
Electrode –related noise
• Salt bridge
– Undulating potentials due to low impedance connections
• High impedance
– Prevents supression of extraneous noises, therefore AC humm or EKG
are picked up.
– Therefore, impedance of all electrodes should be less than 5000 ohms.
• Photoelectric response-
– High impedance electrodes sometimes generate electrochemical
response in response to light (Photoelectric potential)
– Seen in Fp
– Lack of latency differentiates it from photomyoclonic response due to
reflex blink activity
Non-Cerebral Biological Artifacts
• Due to high amplification reqd to pick up electrocerebral activity, other
biological potentials are also picked up.
• ECG-
– Spike like appearance
– More near skull-base or left sided electrodes
– More with LVH
– Independent of cerebral potentials, doesn’t alter the EEG activity
– Concurrent single channel ECG helps diagnose, also helps differentate
seizure vs syncope
• Pulse Artifact-
– Fixed delay after QRS complex, but same rate
– Due to placement over superficial arteries
– Prominent after craniotomy
– Sinusoidal
• Eye movements
– Electrical potential of eye (DC)
– Doesn’t affect Eeg when eyes are still, but causes artifacts with eye
movements
– Also a/w rectus muscle spikes
– Depends on the rapidity of eye movements
• Blinking-
– Normally, while closing eyes, they roll upwards (bell’s phenomenon)
– Therefore, positive at Fp1, Fp2.
– A/w rectus spike
– D/D- FIRDA- diffrentiated by inv of only most anterior electrode
– Tying a loose cloth over it may help
• Glossokinetic artifact (Tongue movt)-
– Tongue tip is negative compared to base
– Symmetrical Test “la la la”
– In Fp
• Muscle artifact-
– Temporalis and frontalis
– Anxiety, tooth grinding
– Brief, high amplitude DC shifts, resemble theta or delta
– Frontalis- Fp1 and Fp2, F7, F8
– Temporalis Broad area, incl central leads
• Chewing-
– Fequency 1 hz
– Temporal
– Seen in long term monitoring
Electrical and Device Artefact
• AC power supply-
– 60 hz humm
– Difficult to eliminate
– Good grounding and single electric connection
– Else, 60 hz notch filter
• Patient Care Artefacts-
– Ventilator, LVAD, IABP, infusion pumps, VNS, DBS
– Should be switched off when possible
Movements and Physical Artifacts
• Head and movements-
– Tremor
– Shiver
– Patting, rocking, sucking and sobbing
– External physical artifacts- eg, startle, walking in the vicinity
– May resemble seizure
Thank You..!!