动态脑电图在癫诊断及鉴别诊断中的价值  

Value of ambulatory EEG monitoring in diagnosis and differential diagnosis of epilepsy

作　　者：刘照[1] 刘卫平[1] 肖波[1] 严新翔[1] 李国良[1] 姜海燕[1] 尹蓉[1] 李蜀渝[1] 

机构地区：[1]中南大学湘雅医院神经内科,长沙410008

出　　处：《临床神经病学杂志》2005年第2期105-107,共3页Journal of Clinical Neurology

基　　金：卫生部临床重点资助项目(96 058)

摘　　要：目的　研究24h动态脑电图(AEEG)在癫的诊断及鉴别诊断中的价值。方法　对761例临床拟诊为癫及1 327例可疑癫疒间患者的AEEG资料进行回顾性分析。结果　两组AEEG与常规脑电图检查疒间样放电检出率比较差异有极显著性(均P<0 .005)。230例患者通过AEEG监测证实为癫发作。93例患者AEEG监测后发作类型得到了修正。结论　AEEG有助于癫疒间的诊断及鉴别诊断。Objective To explore the value of ambulatory electroencephalography (AEEG) monitoring in diagnosis and differential diagnosis of epilepsy.Methods 24-hour AEEG in 761 patients with epilepsy and 1327 patients with paroxysmal disorder was analyzed retrospectively.Results The positive finding of epileptiform discharge by AEEG was obviously higher than routine EEG (all P<0.005). 230 patients were confirmed as epilepsy via AEEG. Classification was different from the origin in 93 patients who had been regarded as epilepsy. Conclusion AEEG is an effective method both in diagnosis and differential diagnosis of epilepsy.

关 键 词：癫痫 脑电图 动态脑电图 

分 类 号：R742.1[医药卫生—神经病学与精神病学]