视频脑电监测在小儿发作性疾病诊断中价值的研究  

VIDEO-EEG MONITORING IN DIAGNOSIS OF PAROXYMAL EVENTS OF CHILDREN

作　　者：徐丽云 徐淑娟 

机构地区：[1]山东医专,山东临沂276002 [2]临沂市计划生育技术指导所

出　　处：《山东医学高等专科学校学报》2007年第6期451-453,共3页Journal of Shandong Medical College

基　　金：临沂市科技发展计划项目(No.0713065)

摘　　要：目的探讨电视录像（视频）脑电图（VEEG）监测在小儿发作性疾病临床诊断中的价值。方法对984例具有发作性症状的患儿进行3～4h包括清醒、睡眠及诱发试验的VEEG监测。结果984例患者中，198例（20．12％）监测到临床发作，其中129例（65．15％）伴有发作期癎样放电，证实为癫癎性发作；69例（34．84％）发作期无癎样放电，为非癫癎性发作。984例患者中共监测到癎样放电597例，检出率60．67％。330例（55．27％）确定了癫癎发作类型，111例监测后发作分类得到修正。癎样放电多见于NREMI～Ⅱ期。结论VEEG监测可提高癎样放电的检出率，有助于癫癎发作与非癫癎发作的鉴别及癫癎的分型。Objective A retrospective study was conducted to evaluate the clinical significance of video-EEG monitoring in the diagnosis of paroxysmal events of children. Methods Video-EEG monitoring under the state of awaking and sleeping and evoked tests were performed for 3-4 hours in 984 patients with paroxymal events. Results The characteristic events were captured in 198 （20.12%） of the 984 patients. And out of the 198 patients, 129（65.15% ） patients with epileptiform discharge were identified as epileptic attacks. 69 （34.84%） patients without epileptiform discharge in ictal period were identified as non-epileptic attacks. Seizure types were defined in 330 （55.27 % ） of 398 patients. 111 seizure types were amended. The epileptiform discharges were mainly found during NREM I - Ⅱ phase. Conclusion Video-EEG can record much more epileptiform discharge than routine EEG. It should be used as an effective method in both diagnosis and classfication of epilepsy.

关 键 词：疾病 发作性 儿童 视频脑电图 

分 类 号：R741[医药卫生—神经病学与精神病学]