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Marc R. Nuwer, MD, PhD
UCLA Neuropsychiatric Institute Reed Neurological Research Center 710 Westwood Plaza Los Angeles, CA 90024

Arch Gen Psychiatry. 1989;46(2):192-194.

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In Reply.—

I see four issues here: (1) quality control; (2) certification and privileging; (3) the scientific basis for specific clinical tests; and (4) conflicts of interest. I hope and believe that these issues can be discussed openly, calmly, and objectively. I wish to reply to these issues here, but I am doing so as an individual rather than as a representative of the AEEGS.

These tests are EEG tests run through a computer. Quality control here involves many of the same problems as are found in routine EEG testing. Substantial amounts of artifact are present in the raw records fed into the computer, artifacts that arise from eye movements, blinks, tongue movement, swallowing, head movement, jaw and face muscle tenseness, electrocardiography, and dozens of other sources; computer processing can even cause new artifacts.^1,2 Dr Cancro believes that these artifacts can be automatically removed precisely and replicably by computer. However, . . . [Full Text PDF of this Article]

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