Resources for Clinical Neurophysiology


ANS documents on state registration in clinical neurophysiology

Clinical Physiology: Statutory Regulation Of Practice

Registration Council for Clinical Physiologists
The Registration Council for Clinical Physiologists is compiling the Voluntary Register for individuals practising in the disciplines of Clinical Physiology.


UK sources of Evidence Based Clinical Neurophysiology

I know of no UK sites offering online access to Evidence Based Medicine in Clinical Neurophysiology. The General EBM links below refer to several sites in the UK offering EBM to the generalist.

General EBM links

The Cochrane Collaboration

The Cochrane Collaboration is an international organization that aims to help people make well informed decisions about health care by preparing, maintaining and ensuring the accessibility of systematic reviews of the effects of health care interventions. Access to Cochrane on CD-ROM and online is by subscription. Many medical libraries and websites (eg provide access. Brief synopses of the reviews are available through the main Cochrane web page.

Individual articles



There are as yet very few online or traditionally published standards, guidelines and protocols in Clinical Neurophysiology from UK sources. 

AANEM American Association of NeuroMuscular and Electrodiagnostic Medicine
Minimonographs - published in Muscle and Nerve.
Practice Parameters:,
Technology Reviews:,
Practice Guidelines:

American Academy of Neurology



American Epilepsy Society



British Society for Clinical Neurophysiology

CNS Child Neurology Society
EPTA The Electrophysiological Technologist's Association
IFCN International Federation of Clinical Neurophysiology
ISCEV International Society for the Clinical Electrophysiology of Vision
NGC National  Guideline  Clearinghouse (US)
The National Guideline Clearinghouse™ (NGC) is a comprehensive database of evidence-based clinical practice guidelines and related documents produced by the Agency for Healthcare Research and Quality (AHRQ) (formerly the Agency for Health Care Policy and Research [AHCPR]), in partnership with the American Medical Association (AMA) and the American Association of Health Plans (AAHP). The NGC mission is to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use.
NIH National Institutes of Health
There are on and offline versions of the Consensus Statements.Web:
Consensus Development Program:
HPA Health Protection Agency (replaced the Public Health laboratory Service)
Resus Resuscitation Council (UK)


I have included some areas where I have specifically sought guidelines and not found them.


Publisher Peer
IFCN Y Marc R. Nuwer (USA), Giancarlo Comi (Italy), Ronald Emerson (USA), Anders Fuglsand-Fredericksen (Denmark), Jean-Michel Guerit (Belgium), Herman Hinrichs( Germany), Akio Ikeda (Japan), Francisco Jose Luccas (Brazil), Peter Rapplesberger (Austria). IFCN Standards for digital recording of clinical EEG. EEG & CN 106 (1998) 259-261. Web:
NGC   No guidelines published for presurgical evaluation of epilepsy or for telemetry in general. (Search on NGC, 4 March 2001)
NIH   Surgery for Epilepsy. NIH Consens Statement Online 1990 Mar 19-21 [cited year month day];8(2):1-20. Web:
AAN   Digital EEG, Quantitative EEG and EEG Brain Mapping. Web : (July 1997)
AAN   EEG/Video Monitoring for Epilepsy. (August 1989) No longer on website
EPTA   Digital EEG Check/Calibration Guidelines Web:

EMG and motor control

Publisher Peer
AAEM ? Guidelines for Establishing a Quality Assurance Program in an Electrodiagnostic Laboratory. Web:
AAEM ? Guidelines for Ethical Behavior Relating to Clinical Practice Issues in Electrodiagnostic Medicine. Web:
AAEM ? Electrodiagnostic Testing of Pregnant Women. Web:
AAEM ? Practice Parameter for Electrodiagnostic Studies in Carpal Tunnel Syndrome: Summary Statement. Web:
AAEM ? Practice Parameter for Needle Electromyographic Evaluation of Patients With Suspected Cervical Radiculopathy: Summary Statement. Web:
AAEM ? Practice Parameter For Electrodiagnostic Studies in Ulnar Neuropathy at the Elbow: Summary Statement. Web:
AAN   Quantitative sensory testing Web:
IFCN Y J. Kimura (Japan), J. Daube (USA), D. Burke (Australia), M. Hallett (USA), G. Cruccu (Italy), B. Ongerboer de Visser (The Netherlands), N. Yanagisawa (Japan), M. Shimamura (Japan), J. Rothwell (UK). Human reflexes and late responses. EEG & CN 90 (1994) 393-403. Web:
IFCN Y M. Hallett (USA), A. Berardelli (Italy), P. Delwaide (Belgium), H. Freund (Germany), J. Kimura (Japan), C. Lücking (Germany), J. Rothwell (UK), B. Shahani (USA), N. Yanagisawa (Japan). Central EMG and tests of motor control. EEG & CN 90 (1994) 404-432. Web:
IFCN Y P. Rossini (Italy), A.T. Barker (UK), A. Berardelli (Italy), M. Caramia (Italy), G. Caruso (Italy), R. Cracco (USA), M. Dimitrijevic (USA), M. Hallett (USA), C. Lucking (Germany), A. Maertens de Noordhout (Belgium), C. Marsden (UK), N. Murray (UK), J. Rothwell (UK), M. Swash (UK), C. Tomberg (Belgium). Non-invasive electrical and magnetic stimulation of the brain spinal cord and roots) basic principles and procedures for routine clinical application. EEG & CN 91 (1994) 79-92. Web:
AAN   Surface EMG, Clinical Utility of. Web : (July 2000)
EPTA   Digital EMG/EP Check/Calibration Guidelines
BSCN   Recommendations for Common Peripheral Neurophysiological procedures   Guidelines:
See also: Guidelines for Common Peripheral Neurophysiological procedures

Evoked Potentials

Publisher Peer
AAN ? Evoked Potentials in Identifying Clinically Silent Lesions in Patients with Suspected MS, The Usefulness of (May 2000). :

Visual system

Publisher Peer
ISCEV Y Marmor MF, Zrenner E. Standard for clinical electroretinography (1999 update). Doc Ophthalmol 1998;97:143-156. Web:
ISCEV Y Marmor MF, Zrenner E. Standard for clinical electro-oculography. Doc Ophthalmol 1993;85:115-124. Web:
ISCEV Y Marmor MF. Standardization notice: EOG standard reapproved. Doc Ophthalmol 1998;95:92-92.
ISCEV Y Bach M, Hawlina M, Holder GE, Marmor M, Meigen T, Vaegan, Miyake Y. Standard for Pattern Electroretinography. Doc Ophthalmol Doc Ophthalmol 2000;101:11-18. Web:
ISCEV Y Harding GFA, Odom JV, Spileers W, Spekreijse H. Standard for visual evoked potentials. Vision Res 1996;36:3567-3572.
ISCEV Y Visual Electrodiagnostics: A Guide To Procedures. Commissioned by the International Society for Clinical Electrophysiology of Vision (ISCEV), to assist practitioners and administrators. Web:
IFCN Y G. Celesia (USA), I. Bodis-Wollner (USA), G. Chatrian (USA), G. Harding (UK), S. Sokol (USA), H. Spekreijse (The Netherlands). Recommended standards for electroretinograms and visual evoked potentials. EEG & CN 87 (1993) 421-436. Web:
ISCEV Y Brigell M, Bach M, Barber C, Kawasaki K, Kooijman A. Guidelines for calibration of stimulus and recording parameters used in clinical electrophysiology of vision. Doc Ophthalmol 1998;95:1-14. Web:
AAN   Electronystagmography. Web : (June 1996)

Somato-Sensory system

Publisher Peer
AAEM ? Guidelines for Somatosensory Evoked Potentials. Web:
AAEM ? Somatosensory Evoked Potentials: Clinical Uses. Web:
IFCN Y M. Nuwer (USA), M. Aminoff (USA), J. Desmedt (Belgium), A. Eisen (Canada), D. Goodin (USA), S. Matsuoka (Japan), F. Maugiere (France), H. Shibasaki (Japan), W. Sutherling (USA), J.-F. Vilbert (France). IFCN recommended standards for short latency somatosensory evoked potentials. EEG & CN 91 (1994) 6-11. Web:
AAN   Dermatomal Somatosensory Evoked Potentials. Web : (October 1997)

Auditory System

Publisher Peer
IFCN Y M. Nuwer (USA), M. Aminoff (USA), D. Goodin (USA), S. Matsuoka (Japan), F. Maugiere (France), A. Starr (USA), J.-F. Vibert (France). IFCN recommended standards for brainstem auditory evoked potentials. EEG & CN 91 (1994) 12-17. Web:
IFCN Y D. Goodin (USA), J. Desmedt (Belgium), K. Maurer (Germany), M. Nuwer (USA). IFCN recommended standards for long-latency auditory event related potentials. EEG & CN 91 (1994) 18-20. Web:

Paediatric Practice

Publisher Peer
AAN, AES, CNS   D. Hirtz; S. Ashwal; A. Berg; D. Bettis; C. Camfield; P. Camfield; P. Crumrine; R. Elterman; S. Schneider; and S. Shinnar
Evaluating a first nonfebrile seizure in children.
NEUROLOGY 2000;55:616–623

Basic Mechanisms

Publisher Peer
IFCN Y M. Sato (USA), R. Racine (Canada), D. McIntyre (Canada). Kindling: basic mechanisms and clinical validity. EEG & CN 76 (1990) 459-472. Web:
IFCN Y M. Steriade (Canada), P. Gloor (Canada), R.R. Llinas (USA), F. Lopes da Silva (The Netherlands), M. Mesulam (USA.). Basic mechanisms of cerebral rhythmic activities. EEG & CN 76 (1990) 481-408. Web:


Publisher Peer
IFCN Y M. Nuwer (USA), J. Daube (USA), C. Fischer (France), J. Schramm (Germany), C. Yingling (USA). Neuromonitoring during surgery. EEG & CN 87 (1993) 263-276. Web:
IFCN Y G.-E. Chatrian (USA), B. Bergamasco (Italy), A. Bricolo (Italy), J. Frost (USA), P. Prior (UK). IFCN recommended standards for electrophysiologic monitoring in comatose and other unresponsive states. EEG & CN 99 (1996) 103-126. Web:
IFCN Y J. Engel (USA), J. Burchfield (USA), J. Ebersole (USA), J. Gates (Canada), J. Gotman (Canada), R. Homan (USA), J. Ives (USA), D. King (USA), J. Lieb (USA), S. Sato (USA), R. Wilkus (USA). Long-term monitoring for epilepsy. EEG & CN 87 (1993) 437-458. Web:
AAN   Intraoperative Neurophysiology. Web: (November 1990)

Signal Analysis

Publisher Peer
IFCN Y M. Nuwer (USA), D. Lehmann (Switzerland), F.H. Lopes da Silva (The Netherlands), S. Matsuoka (Japan), W. Sutherling (USA), J.-F. Vilbert (France). IFCN guidelines for topographic and frequency analysis of EEGs and EPs. EEG & CN 91 (1994) 1-5. Web:

Other Neurophysiology

Publisher Peer
AAN   Clinical Autonomic Testing. Web: (March 1996)
AAN   Vestibular Testing Techniques in Adults and Children. Web (November 2000)
AAN   Magnetoencephalography. Web: (January 1992)
AAN   Positron Emission Tomography. (February 1991) No longer on website
AAN   SPECT. (January 1996) No longer on website
AAN   Sleep Disorders, Techniques in the Diagnosis and Management of. Web : (February 1992)
NIH   Infantile Apnea and Home Monitoring. NIH Consens Statement Online 1986 Sep 29-Oct 1 [cited year month day];6(6):1-10. Web:
NIH   Differential Diagnosis of Dementing Diseases. NIH Consens Statement Online 1987 Jul 6-8 [cited year month day];6(11):1-27. Web:
NIH   The Treatment of Sleep Disorders of Older People. NIH Consens Statement Online 1990 Mar 26-28 [cited year month day];8(3):1-22. Web:
NIH   Clinical Use of Botulinum Toxin. NIH Consens Statement Online 1990 Nov 12-14 [cited year month day];8(8):1-20. Web:
NIH   Early Identification of Hearing Impairment in Infants and Young Children. NIH Consens Statement Online 1993 Mar 1-3 [cited year month day];11(1):1-24. Web:
NIH   Rehabilitation of Persons With Traumatic Brain Injury. NIH Consens Statement Online 1998 Oct 26-28; [cited year, month, day]; 16(1): 1-41. Web:
NIH   Diagnosis and Treatment of Attention Deficit Hyperactivity Disorder. NIH Consens Statement Online 1998 Nov 16-18; [cited year, month, day]; 16(2): 1-37. Web:

Medical Practice

Publisher Peer
Resus   Standards for training and retaining staff, as well as resuscitaiton procedures. Web:
HPA   Deliberate Releases (of chemical and biological agents)Limited references to EMG
    "Safer Needle Now" Compalgn