具有中央-颞部棘波的良性儿童期癫痫36例临床分析  

36 clinical analysis of benign childhood epilepsy with centrotemporal spikes

作　　者：吕晓民[1] 吕洋[1] 吕晓萍[2] 

机构地区：[1]吉林大学第一医院,吉林长春130021 [2]吉林大学中日联谊医院检验科,吉林长春130031

出　　处：《中风与神经疾病杂志》2008年第1期93-94,共2页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探讨具有中央．颞部棘波的良性儿童期癫痫（BECT）的临床特点。方法分析36例BECT患者的临床及脑电图资料。结果本组发病年龄为6～14岁，平均10．5岁，全部病例均于睡眠时发作，其中3例睡眠及清醒时均有发作。20例表现为局灶性发作，16例为局灶性发作继发全身性发作。发作间期脑电图均有一侧或双侧中央或颞区尖波和棘波，7例清醒时脑电描记正常，睡眠状态下监测均出现癫痫样放电。有1对孪生患儿先后患病发作。结论了解BECT特征性的临床表现与典型的脑电图改变，是诊断的主要依据。Objective To investigate clinical characteristics of benign childhood epilepsy with centrotemporal spikes （BECT）. Methods To analyze clinical and electroencephalographic data of 36 BECT patients. Results The age of these BECT children ranged from 6 to 14,average age was 10.5. EEG shows all chidren were actived at sleep,3 children were actived both at sleep and at awake. 20 children were only partial actived, 16 children were partial actived followed activiting at every pore. During activating, EEG showed unilateral or both sides sharp waves or spikes in center and or in centrotemporal. 7 children＇ s EEG was normal at awake, but showed epileptic discharge at asleep. Two twins were actived one after another. Conclusion Understanding BECT＇s distinctive clinical manifestation and its typical electroencephalographic change is the mainstay of diagnosis.

关 键 词：临床分析 儿童良性癫痫 中央颞区棘波 

分 类 号：R742.1[医药卫生—神经病学与精神病学]