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In geography classes you were taught that latitude can range from 90 degrees south to 90 degrees north. The north geographic pole is at 90 degrees north, and the south geographic pole is at 90 degrees south. Both the poles lie on the Earth s axis. The equator is halfway between the poles and is assigned 0 degrees latitude. The northern hemisphere contains all the north-latitude circles, and the southern hemisphere contains all the south-latitude circles. As the latitude increases toward the north or south, the circumferences of the latitude circles get smaller and smaller. Earth is about 40,000 kilometers (25,000 miles) in circumference, so the equator measures about 40,000 kilometers around. The 45-degree-latitude circle measures about 28,000 kilometers (17,700 miles) in circumference. The

You can then click this pop-up menu and choose the application to which you want to direct the script (see Figure 3-3). This saves you from having to write a tell block around your whole script while you re working in AppleScript Editor.

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(See also Chap 2) The EEG provides con rmation of Hughlings Jackson s concept of epilepsy that it represents a recurrent, sudden, excessive discharge of cortical neurons The EEG is undoubtedly the most sensitive, indeed indispensable, tool for the diagnosis of epilepsy; but like other ancillary tests, it must be used in conjunction with clinical data In patients with idiopathic generalized seizures and in a high proportion of their relatives, interictal spike-and-wave abnormalities without any clinical seizure activity are common, especially if the EEG is repeated several times Contrariwise, a proportion of epileptic patients have a perfectly normal interictal EEG; occasionally, using standard methods of scalp recording, the EEG may even be normal during a simple or complex partial seizure.

Furthermore, a small number of healthy persons (approximately 2 to 3 percent) show paroxysmal EEG abnormalities; some of them have a family history of epilepsy (particularly of absence seizures) and may themselves later develop seizures EEG abnormalities that characterize a spreading epileptogenic focus and generalization of seizure activity, both the grand mal and absence types, have been described in the preceding section and are illustrated in Chap 2 At rst there was thought to be a characteristic EEG picture for seizures, but further studies have not con rmed this, many patterns being possible One consistent observation, however, has been that the region of earliest spike activity corresponds best to the epileptogenic focus This rule guides epilepsy surgery The postseizure or postictal state following generalized seizures also has its EEG correlate, taking the form of random generalized slow waves Following partial or focal seizures, the EEG shows focal slowing.

With clinical recovery, the EEG returns to normal or to the preseizure state A single EEG tracing obtained during the interictal state is abnormal to some degree in 30 to 50 percent of epileptic patients; this gure rises to 60 to 70 percent if patients are subjected to three or more studies utilizing standard activating measures (hyperventilation, photic stimulation, and sleep; see Chap 2) With structural lesions, focal slow and sharp activity, which is not clearly epileptiform, may be the only clue to a seizure focus A higher yield of abnormalities and a more precise de nition of seizure types can be obtained by the use of several special EEG procedures Overnight EEG recording is particularly helpful because focal abnormalities, particularly in the temporal lobes, may become prominent in stage II sleep.

Conventional chemotherapy is probably ineffective; hormonal therapy with the antiprogestin agents has been used with variable results but is still under study (McCutcheon) More re-.

Sphenoidal leads have been used to detect inferomedial temporal seizure activity, but they are uncomfortable and probably add little more information than can be obtained by the placement of additional subtemporal scalp electrodes In our experience, nasopharyngeal electrode recordings are too contaminated by artifact to be clinically useful Activating procedures such as hyperventilation, photic stroboscopic stimulation, and sleep increase the yield of EEG recordings, as detailed in Chap 2 Beyond dependably identifying artifacts in the EEG recording, one of the main challenges for the electroencephalographer is to differentiate between normal patterns that simulate seizures and true epileptic discharges These paroxysmal but ostensibly normal patterns appear mostly during sleep, each with a highly characteristic morphology These include small sharp spikes, 14 and 6 polyspike activity, lambda and posterior occipital mu rhythm, and occipital sharp transients These are pictured in most standard textbooks on the subject of EEG..

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