QEEG as a Useful Tool for the Evaluation of Early Cognitive Changes in Dementia and Traumatic Brain Injury

Quantitative electroencephalography (QEEG)-electrical neuroimaging has been underutilized in general neurology practice. Recent advances in computer technology have made this electrophysiological testing relatively inexpensive as well as precise in identifying brain areas with electrical dysfunction related to either traumatic injury or neurodegenerative process. In this article, the author presents 2 cases that can be frequently encountered in every general neurological practice: case of early dementia and traumatic brain injury. The clinical usefulness of QEEG is demonstrated by showing evidence of electrical abnormalities and networks dysfunctions (including an elevation of frontal/temporal delta and theta powers as well as abnormalities in functional connectivity). In addition, the correlation of QEEG and findings from structural imaging technique-magnetic resonance imaging diffusion tensor imaging and another functional imaging-positron emission tomography is presented.