视频脑电图对小儿发作性疾病的诊断价值  

Diagnostic significance of video-electroencephlogram for infantile paroxysmal diseases

作　　者：张利容[1] 潘辉[1] 毛细云[1] 

机构地区：[1]安徽中医学院第一附属医院肌电图室,合肥市230031

出　　处：《河北医药》2007年第11期1168-1169,共2页Hebei Medical Journal

摘　　要：目的探讨视频脑电图（Video-Electroencephlogram，Video-EEG）对小儿发作性疾病的诊断及鉴别诊断价值。方法对拟诊为癫痫性发作（epileptic seizures，ES）的98例患儿（Ⅰ组）和拟诊为非癫痫性发作（non-epileptic seizures，NES）的136例患儿（Ⅱ组），进行3～8h的Video-EEG动态监测。监测结果与原诊断作对比。结果（1）Ⅰ组平均记录时间5．9h，监测到发作49例，其中ES41例，NES6例；癫痫合并NES2例。另未监测到临床发作49例，其中记录到癫痫样放电23例。（2）Ⅱ组患儿平均记录时间6．7h，监测到发作99例，其中证实为NES87例，ES12例。未监测到发作37例，其中记录到癫痫样放电2例。结论Video-EEG是鉴别诊断ES和NES的可靠检查方法。Objective To evaluate the clinical significance of video-eleetroencephlogram （video-EEG） monitoring in the differential diagnosis for epileptic seizure（ES） and non-epileptic seizures（NES）. Methods Video-EEG monitoringwas performed continuously for 3 - 6 h in 98 patients diagnosed clinically as ES （ES group） and136 patients with NES（NES group）. Video-EEG monitoring results were analyzed and compared with those of primarydiagnoses retrospectively. Results （ 1 ） In ES group, the mean recording time was 5.9 h, and the characteristic events were captured in49 patients（50%,49/98）. Among these patients 41 cases（83.7% ,41/49）were identified as ES;6 cases（6.12%, 6/98）were confirmed as NES,and 2 eases（2 %, 2/98） were identified as epilepsy complicated with NES. Seizures were not found in 49 cases（50%, 49/98）, but epileptiform discharges were recorded in 23 cases of whom. （2） The mean recording time in 136 patients with NES was 6.7 h,and the clinical eventswere captured in 99 cases（72.8% ,99/136）. 87 cases of whom （87.9% ,87/99）were identified asNES, 12 cases（12.1%, 12/99） were confirmed as ES. Seizures were not found in 37 patients （27.2%, 37/136）, but 2 cases（5.4%, 2/37） had epileptiform discharges. Conclusion Video-EEG is a reliable detective way for the differential diagnosis between ES and NES.

关 键 词：发作 非癫痫性 癫痫 VIDEO-EEG 

分 类 号：R741.044[医药卫生—神经病学与精神病学]