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Meeting Description

The 2020 Fall Courses are designed around new and rapidly-evolving areas of clinical neurophysiology. Educational activities will cover both basic methodologies, and innovative techniques.

Target Audience

The Society’s educational activities are directed to clinical neurophysiologists, neurologists, psychiatrists, physiatrists, neurosurgeons, trainees in these disciplines and other physicians and researchers who utilize clinical neurophysiologic techniques and knowledge in the diagnosis and management of patients with disorders of the peripheral and central nervous system.

Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the sponsorship of ACNS. ACNS is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

ACNS designates the Fall Courses for the maximum number of AMA PRA Category 1 Credit(s)™ indicated below:

  • Intensive Care Unit EEG Monitoring (ICU EEG) — Part I: 4 AMA PRA Category 1 Credits™
  • Intensive Care Unit EEG Monitoring (ICU EEG) — Part II: 4 AMA PRA Category 1 Credits™
  • Basic Neurologic Intraoperative Monitoring (NIOM) — Part I: 3.50 AMA PRA Category 1 Credits™
  • Basic Neurologic Intraoperative Monitoring (NIOM) — Part II: 3.50 AMA PRA Category 1 Credits™
  • Advanced Neurologic Intraoperative Monitoring (NIOM) — Part I: 3.50 AMA PRA Category 1 Credits™
  • Advanced Neurologic Intraoperative Monitoring (NIOM) — Part II: 3.50 AMA PRA Category 1 Credits™
  • Stereo-Electroencephalography (Stereo EEG) — Part I: 3.75 AMA PRA Category 1 Credits™
  • Stereo-Electroencephalography (Stereo EEG) — Part II: 3.75 AMA PRA Category 1 Credits™
  • Basic EEG — Part I: 3.75 AMA PRA Category 1 Credits™
  • Basic EEG — Part II: 3.75 AMA PRA Category 1 Credits™
  • Evoked Potentials: 2 AMA PRA Category 1 Credits™
  • PSG Scoring Rules Review: 3.75 AMA PRA Category 1 Credits™
  • Neonatal EEG: 2 AMA PRA Category 1 Credits™
  • Billing and Coding Town Hall: 2 AMA PRA Category 1 Credits™

The number of credits above also constitutes the estimated time to complete each activity.

ASET CEUs

ASET - The Neurodiagnostic Society has granted ASET Continuing Education Units [ASET CEUs] for this program. Such crediting, however, should not be construed by program participants as an endorsement of any type of instruments or supplies mentioned or involved in these presentations.

Learning Objectives

Intensive Care Unit EEG Monitoring (ICU EEG) — Parts I and II
At the conclusion of this course, participants should be able to:

  1. Recognize common indications for CEEG in the ICU setting in neonates, children, and adults;
  2. Interpret EEG patterns encountered in the ICU, including seizures, periodic patterns and other background patterns important for prognosis and management;
  3. Select appropriately-dosed treatment options for seizures and status epilepticus, and recognize the nuances in approach to treatment based on EEG findings in nonconvulsive SE, or with rhythmic/periodic patterns that lie on the ictal interictal continuum;
  4. Utilize quantitative EEG methods to see long-term trends, screen for seizures rapidly, and to detect signs of ischemia;
  5. Describe the value and limitations of EEG monitoring to predict neurologic outcomes in hypoxic ischemic encephalopathy;
  6. Recognize the specific EEG patterns induced by different anesthetics used in general anesthesia and in the ICU;
  7. Select appropriate equipment for ICU-EEG monitoring, including networking and data storage options; and
  8. Determine optimal staffing, data review, and reporting practices.

Basic Neurophysiologic Intraoperative Monitoring (NIOM) — Parts I and II
At the conclusion of this course, participants should be able to:

  1. Describe basic modalities used in NIOM;
  2. Recognize the appropriate methods and indications for the different NIOM techniques;
  3. Recognize some of the technical challenges and limitations of performing and interpreting NIOM studies;
  4. Explain the effects of anesthesia on NIOM; and
  5. Describe relevant billing concerns in the field of NIOM.

Advanced Neurophysiologic Intraoperative Monitoring (NIOM) — Parts I and II
At the conclusion of this course, participants should be able to:

  1. Recognize differences in NIOM of adult and pediatric cases;
  2. Explain how to interpret NIOM changes in a variety of different clinical case scenarios;
  3. Recognize relevant medicolegal concerns in the field of NIOM;
  4. Describe the implications of the COVID-19 pandemic on NIOM; and
  5. Discuss the pathophysiologic rationale and utility of NIOM in cerebrovascular and brain tumor procedures.

Stereo-Encephalography (Stereo EEG) — Parts I and II
At the conclusion of this course, participants should be able to:

  1. Identify the principles of SEEG;
  2. Discuss the approach to various epilepsy syndromes with SEEG; and
  3. Describe the limitations of SEEG and surgical risk.

Evoked Potentials
At the conclusion of this course, participants should be able to:

  1. Discuss the basics of Evoked Potentials (EPs);
  2. Identify the fundamental tenets of signal generation and localization, technical considerations of stimulation and recording;
  3. Explain interpretation and reporting guidelines of various types of EPs and
  4. Identify normal and abnormal examples presented to demonstrate the utility of EPs in clinical practice.

Neonatal EEG
At the conclusion of this course, participants should be able to:

  1. Identify EEG and aEEG background patterns predictive of outcome after hypoxic ischemic injury;
  2. Discuss neonatal clinical seizure types and potential etiologic associations;
  3. Identify electrographic neonatal seizures;
  4. Describe common neonatal seizure management strategies; and
  5. Identify normal preterm infant background patterns.

Basic EEG — Parts I and II
At the conclusion of this course, participants should be able to:

  1. Explain the basics in electroencephalography (EEG);
  2. Identify the fundamental tenets of signal generation, technical considerations of signal acquisition, types of EEG recordings and reporting standards;
  3. Recognize normal EEG examples and their variants across various age groups that are presented and contrasted with artifacts; and
  4. Discuss both non-epileptiform and epileptiform abnormalities that are demonstrated and their relationship with underlying neurologic disorders.

Billing & Coding Town Hall
At the conclusion of this course, participants should be able to:

  1. Identify the new 2020 CPT codes for EMU video-EEG monitoring;
  2.  Identify the new 2020 CPT codes for ICU EEG monitoring;
  3. Identify the new 2020 CPT codes for ambulatory EEG monitoring;
  4. Identify the new 2020 CPT codes VNS, RNS, and DBS;
  5. Explain the associated coding instructions for using those codes; and
  6. Describe how to apply those codes to their typical services.

PSG Scoring Rules Review
At the conclusion of this course, participants should be able to:

  1. Explain how to record video-polysomnography and score sleep/wake states in children and adults;
  2. Discuss how and why respiratory events are scored differently in children and adults; and
  3. Recognize the video-polysomnographic features of NREM arousal parasomnias, REM sleep behavior disorder, and sleep-related hypermotor epilepsies.
Last updated: October 17, 2020