动态脑电图监测在诊断癫痫和某些发作性疾病中的应用  

On the Value of AEEG Monitoring in Diagnosing Paroxysmal Disease

作　　者：刘南平[1] 杨丽[1] 周宜蓉[1] 孙海峰[1] 

机构地区：[1]宁夏医学院附属医院功能科脑电图室,银川750004

出　　处：《宁夏医学院学报》2005年第1期30-32,共3页Journal of Ningxia Medical College

摘　　要：目的探讨动态脑电图(AEEG)对发作性疾病的诊断及鉴别诊断价值。方法采用MB8000/MB8500(8道/16道)动态脑电图监测系统对812例发作性疾病患者行24hAEEG监测的资料作回顾性分析。结果812例发作性疾病患者中,AEEG异常者496例(6108%),其中有痫样放电344例(6935%),睡眠期痫样放电率8488%(292例);496例AEEG异常者中在确诊癫痫及怀疑癫痫组为458例(9234%),其它组异常者为38例(766%)。结论AEEG可提高痫样放电的检出率,对发作性疾病的诊断和鉴别诊断有重要的临床价值。Objective To explore the value of Ambulatory Electroencephalogram(AEEG) monitoring in the diagnosis and differential diagnosis of paroxysmal diseases. Methods MB8000/MB8500(8channels/16 channels)AEEG was carried out in 812 patients with paroxysmal diseases and the findings were analyzed retrospectively. Results Out of 812 patients with paroxysmal diseases, AEEG abnormalities were noted in 496 patients(61.08%),among them 344 patients (69.35%) showed epileptiform discharges. The detection rate of epileptiform discharges was 84.88%(292 patients) during sleep. In the 496 patients with AEEG abnormalities, 458 (92.34%) patients contracted definite epilepsy or suspected epilepsy and 38 (7.66%) suffered other diseases. Conclusion AEEG might increase the detection rate of epileptiform discharges. It might be of important clinical value in the diagnosis and differential diagnosis of paroxysmal diseases.

关 键 词：发作性疾病 痫样放电 动态脑电图监测 

分 类 号：R742.1[医药卫生—神经病学与精神病学]