同步录像脑电图对癫痫及可疑癫痫的诊断价值  

Diagnostic value of video-EEG in patients with epilepsy and suspicious epilepsy

作　　者：周升[1] 韩栋光[2] 

机构地区：[1]海南省农垦总局医院东湖门诊部功能科,海南海口570203 [2]海南省农垦总局医院东湖门诊部儿科,海南海口570203

出　　处：《中国现代医学杂志》2008年第21期3199-3201,3206,共4页China Journal of Modern Medicine

摘　　要：目的探讨同步录像脑电图(Video-EEG)对癫痫及可疑癫痫的诊断价值。方法对临床确诊为癫痫的43例患者和35例可疑癫痫患者进行Video-EEG监测,并对结果进行分析。结果癫痫组痫样放电检出率为58.1%,可疑癫痫组检出率为8.6%。差异有极显著性。96.3%的痫样放电出现在睡眠NREMⅠ、Ⅱ期。10例癫痫患者通过Video-EEG修正了发作类型。8例确诊为颞叶癫痫,4例确诊为额叶癫痫。结论Video-EEG可显著提高癫痫诊断的阳性率,区别癫痫发作与非癫痫发作,确定癫痫发作类型,有助于局灶性癫痫的定位诊断及抗癫痫药物疗效评估,提高疗效。Objective To explore the diagnostic value of Video-electroencephalogram(Video-EEG) in patients with epilepsy and those with suspicious epilepsy.MethodsThe monitoring Video-EEG was performed in 43 patients with epilepsy and 33 patients with suspicious epilepsy.ResultsThe positive rate of epileptic discharge in patients with epilepsy was 58.1% and it was 8.6% in suspicious epilepsy group.It had notable diversify.96.3% epileptiform discharges were found in the Ⅰ～Ⅱ stages of NREM.The seizure classification were...

关 键 词：癫痫 可疑癫痫 同步录像脑电图 诊断 

分 类 号：R742.1[医药卫生—神经病学与精神病学]