发作性疾病临床发作与24小时脑电图异常脑电发放的关系  

CORRELATION OF CLINICAL ATTACKS WITH 24-HOUR AMBULATORY ELECTROENCEPHALOGRAM RECORDINGS IN PAROXYSMAL DISEASES

作　　者：李国良 尹蓉 姜海燕 章蓓 

出　　处：《湖南医科大学学报》1996年第6期567-569,共3页Bulletin of Hunan Medical University

摘　　要：分析了１８０例发作性疾病患者临床发作与２４ｈ动态脑电图异常脑电发放的时相关系，存在三种情况：异常放电与临床发作时相一致；时相不一致及发作与发作间期均无异常放电。９３．３％的患者明确了诊断类别；９３％的癫痫确定了发作类型。讨论了动态脑电图对发作性疾病的诊断价值及异常放电、癫痫及非癫痫之间的相互关系。n order to investigate the relationships between the time of clinical attacks and electroen-cephalogram(EEG)abnormal discharge.We analyzed the simultaneous recordings of the clinicalevents and the 24-hour ambulatory EEG(AEEG)of 180 patients with paroxysmal disorders whohad one or more attacks during the 24～hour recording session.The results showed that accordingto clinicaI EEG correlation,these patients could be divided into three groups:1)clinical eventswith the synchronous EEG epileptiform activity;2)clinical events with the asynchronous EEGepileptiform activity,3)clinical events without the EEG epileptiform activity.Then,93.3% ofthe total patients were established with epileptic or nonepileptic seizure. Ninety-three percent ofthe epileptic patients were determined to the classification of seizure types.In addition to diagnos-tic values of AEEG,the relationships between EEG abnormal discharge,epilepsy,and nonepilep-tic diseases were also discussed.

关 键 词：癫痫 发作 脑电图 鉴别诊断 

分 类 号：R742.104[医药卫生—神经病学与精神病学] R741.044[医药卫生—临床医学]