小儿癫痫的AEEG和MRI检查结果的对照及意义  

The significance and comparison of results examined by ambulatory electroencephalogram and MRI in wean epilepsy

作　　者：秦效彩[1] 韩金燕[1] 

机构地区：[1]山东省立医院儿科,山东济南250021

出　　处：《医学影像学杂志》2008年第5期470-472,共3页Journal of Medical Imaging

摘　　要：目的:观察动态脑电图监测(ambulatory electroencephalogram,AEEG)和磁共振成像(MRI)对小儿癫痫诊断及治疗的作用。方法:对168例癫痫患儿作AEEG和MRI检查,并对结果进行对比分析。结果:AEEG正常33例(19.6%),异常135例(80.4%);MRI正常105例(62.5%),异常63例(37.5%)。结论:AEEG通过长时程的脑电监测,大大提高了小儿癫痫脑电图的阳性率,为癫痫诊断、分类必要的检查手段;MRI为癫痫病因研究的重要手段,它能寻找小儿癫痫最可能和最重要的病因,使脑部疾患引起的小儿癫痫的阳性率大为提高,降低了原发性癫痫的诊断率。AEEG和MRI二者结合在小儿癫痫的诊治中起到相辅相成的作用。Objective： To observe the different effects with AEEG and MRI in the diagnosis and treatment of wean epilepsy.Methods： AEEG and MRI were examined in 168 wean epilepsy. The results were compared and analysed.Results：Normal AEEG was noted in 33 cases（ 19.6% ）, abnormal in 135 cases（80.4% ） .Normal MRI was noted in 105 cases（62.5% ）, abnormal in 63 cases（37.5% ）. Condusion： By long-term monitoring of EEG, AEEG could improve masculine ratio of electroencephalogram of wean epilepsy. It is a nessesarry tool to diagnose and classify epilepsy. MRI is an important tool on analyzing the cause of epilepsy. It can find out the most possible cause of wean epilepsy and, also, has greatly improved the positive rate of wean epilepsy caused by brain cause, decreased the diagnostic rate of primary epilepsy. AEEG and MRI are complementary to each other in the diagnosis and treatment of wean epilepsy.

关 键 词：小儿癫痫 动态脑电图 磁共振成像 

分 类 号：R748[医药卫生—神经病学与精神病学] R445.2[医药卫生—临床医学]