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front of the group name You click the minus sign to collapse the group again This is a list of elements with a short description of the element that is currently selected Property area Enables you to define the properties for an element This area displays the properties of the element currently selected in the overview of elements Depending on the element, you can select a value from proposed values or enter your own value (a color for example) Below the property area is a short description of the property that is currently selected The lower area of the Chart Designer contains buttons that you can use to save changes and finish editing the chart (Complete), finish editing the chart without saving (Cancel), and call up and navigate in the wizard (Wizard) You can navigate and switch your view in the Chart Designer via several different approaches My favorite is to just click each of the options in the list of elements and see the different, more-detailed parameters appear in the lower property area of the screen For example, in the following illustration, Background is selected in the list of elements and its corresponding properties are shown in the property area

onstrated and EEG activity synchronized with videographically recorded seizure activity Also important clinically are EEGs recorded by small tape recorders or telemetry from freely moving ambulatory patients with suspected seizure disorders These techniques are discussed more fully in Chap 16 The standard EEG consists of 150 to 300 or more pages, each representing 10 s in time It is obtained by a technician who is primarily responsible for the entire procedure, including notation of movements or other events responsible for artifacts and successive modi cations of technique based upon what the record shows Certain precautions are necessary if electroencephalography is to be most useful The patient should not be sedated (except as noted above) and should not have been without food for a long time, for both sedative drugs and relative hypoglycemia may modify the normal EEG pattern The same may be said of mental concentration and extreme nervousness or drowsiness, all of which tend to suppress the normal alpha rhythm and increase muscle and other artifacts When dealing with patients who are suspected of having epilepsy and are already being treated for it, most physicians prefer to record the EEG while the patient continues to receive anticonvulsant drugs Under special circumstances these drugs may be omitted for a day or two in order to increase the chance of recording a seizure discharge The proper interpretation of EEGs involves the recognition of the characteristic normal and abnormal patterns and background rhythms (in accordance with the age of the patient), the detection of asymmetries and periodic changes in rhythm, and, importantly, the differentiation of artifacts from genuine abnormalities

be inferred from the nding of poor recruitment of muscle action potentials in the absence of active denervation (see further on) As mentioned, the nding of conduction block is a central feature of a number of acquired immune demyelinating neuropathies, including Guillain-Barre syndrome, chronic in ammatory demyelinating neuropathy, and multifocal conduction block associated with the GM1 antibody, all of which are discussed in Chap 46 Focal compression of nerve, as occurs in the entrapment syndromes mentioned earlier, may produce localized slowing or blocks in conduction, perhaps because of segmental demyelination at the site of compression The demonstration of such localized changes of conduction affords ready con rmation of nerve entrapment; for example, if the distal latency of the median nerve (see A, Fig 45-3) exceeds 45 ms while that of the ulnar nerve remains normal, compression of the median nerve in the carpal tunnel is likely Similar focal slowing or partial block of conduction may be recorded from the ulnar nerve at the elbow and from the peroneal nerve at the bular head

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