眩晕型癫痫14例脑电图分析  

EEG Analysis of 14 Cases with Vertigo Epilepsy

作　　者：巩月江[1,2,3] 王中华[1,2,3] 侯锐 徐晶[1,2,3] 魏腾凡 

机构地区：[1]大连市解放军210医院 [2]大连市甘井子区人民医院 [3]大连市81065部队门诊部

出　　处：《解放军医学高等专科学校学报》1996年第4期37-39,共3页Clinical Journal of Medical Officer

摘　　要：对１４例眩晕型癫痫分析发现，常规脑电图检查阳性３人，占２１．４％，而睡眠诱发试验检查１１人，阳性７人，占６３．６％，后者阳性率明显高于前者。结果提示，对于长期反复发作性眩晕，做睡眠诱发脑电图检查，可提高脑电图的诊断率。本组有４例脑电图慢节律增多，未见癫痫放电波型，临床眩晕反复发作症状明显者，疑为眩晕型癫痫，给于抗癫痫治疗，半年后复查脑电图，慢活动减少，波幅减低，眩晕次数减少，程度减轻。说明对个别脑电图高幅慢节律者，结合临床病史，可考虑为眩晕型癫痫。Children with vertigo epilepsy are majority of the patients.Due to the chief complaint of the patients with vertigo, misdiagnosis and mistherapy frequently crop up.In this article we analysed 14 cases with vertigo epilepsy from 84 cases with autonomic epilepsy.Routine EEG: positive in 3 cases (21 4%).Sleep evoked EEG: positive in 7 from 11 cases (63 6%).Thepositive rate of the sleep evoked EEG is higher than that of the routine EEG examination.The sleep evoked EEG has simple, painless, intact, easy accepted procedure by children and may be a potentially effective means in the diagnosis of patients with long term recurrent paroxysmal vertigo. Arti epilepsy therapy was performed on 4 cases in the group with increased slow rhythm waves in EEG, no epilepsy electric discharge wave in EEG, obvious clinical symptom of recurrent paroxysmal vertigo and suspected diagnosis of vertigo epilepsy.The EEG shows induced slow rhythm wave in EEG and vertigo frequency decrease and the vertigo degree lightens after 6 months treatment of anti epilepsy.Very few cases with high amplitude slow rhythm wave in EEG, in accordance with patients′ history and clinical examination, may be diagnosed as vertigo epilepsy.

关 键 词：癫痫 眩晕型癫痫 脑电图 

分 类 号：R742.104[医药卫生—神经病学与精神病学]