视频脑电图在小儿癫诊断中的应用  

Application of video-EEG in diagnosis of epilepsy in children

作　　者：王广州[1] 祝伟[1] 马素丽[1] 

机构地区：[1]河南漯河市中心医院儿科,漯河462000

出　　处：《中国实用神经疾病杂志》2008年第6期10-12,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的评价视频脑电图(video-EEG)在小儿癫诊断中的应用价值。方法对126例具有发作性症状的患儿进行连续8h的包括清醒、睡眠、诱发试验及必要的认知测验的视频脑电图监测。结果经发作期视频脑电图证实,39例初诊为癫性发作的患儿中14例(35%)为非癫性发作;15例其他症状发作中13例(86%)为非癫性发作。64例样放电患儿中51例(80%)确定发作类型,22例(34%)确定癫类型。视频脑电图可发现短暂轻微的癫发作及样放电引起的一过性认知损伤。结论视频脑电图在排除非癫性发作、确定癫性发作的类型、评价脑电-临床关系方面可提供准确可靠的证据,进一步提高癫的临床诊断水平。Objective To evaluate the significance of video-EEG in diagnosis of epilepsy in child. Methods Video-EEG monitoring under the state of awaking and sleeping and with evoked tests and cognitive tests, was performed continuously for 6 hours in 126 children with episodic symptoms. Results Fourteen of 39 children （35.0%） diagnosed as epileptic seizures were identified as nonepileptic attacks by video-EEG. Thirteen of 15 cases （86%） with other seizures were identified as non-epileptic attacks. Seizure types were defined in 51 of 64 children （80 %） with epileptic discharges, and epilepsy or epileptic syndromes were defined in 22 （34%）. Some of slight seizures or transient cognitive impairment caused by discharges could be identified by video-EEG reviewing. Conclusion Video-EEG can provide accurate and reliable information in diagnosis and classification of epilepsy and also improve the level of diagnosis of epilepsy.

关 键 词：视频脑电图 癫痫 小儿 

分 类 号：R741.044[医药卫生—神经病学与精神病学]