儿童暴发抑制型脑电图的病因分析及预后  

The etiology analysis and prognosis of children with suppression-bursts EEG

作　　者：孙丹[1] 刘智胜[1] 江军[2] 胡家胜[1] 

机构地区：[1]武汉市儿童医院神经内科,湖北武汉430016 [2]武汉市儿童医院神经电生理室,湖北武汉430016

出　　处：《中国实用儿科杂志》2008年第7期507-509,共3页Chinese Journal of Practical Pediatrics

基　　金：湖北省卫生厅青年科技人才基金资助项目(QJX2005-22)

摘　　要：目的探讨儿童暴发抑制型脑电图的病因及预后。方法2004—2006年武汉市儿童医院通过住院观察及脑电图、头颅CT和(或)MRI等辅助检查,对40例具有暴发抑制型脑电图患儿的临床资料进行分析。结果在40例儿童暴发抑制型脑电图中,大田原综合征(OS)17例(40%),婴儿痉挛15例(36%),病毒性脑炎4例,急性脑梗死2例,异物导致缺氧缺血性脑病2例。其中36例(86%)伴有精神发育迟滞。结论儿童暴发抑制型脑电图改变并无特异性,可由诸多严重的弥漫性脑部疾病引起,是预后不良的征兆;其预后情况与不同病因关系密切。Objective To explore the etiology and prognosis of children with suppression-bursts EEG. Methods The data of 40 children with suppression-bursts EEG were analyzed by means of EEG, skull CT/MRI and clinical analysis. Resuits Of 40 cases with suppression-bursts EEG,there were 17 cases （40%） of the Ohtahara syndrome, 15 cases （36%） of the West syndrome ,4 cases of viral encephalopathy ,2 cases of acute cerebral infarct and 2 cases of hypoxic-ischemic encephalopathy. Furthermore,36 cases （ 86%） were accompanied with the mental retardation. Conclusion With no unique features and poor prognosis, suppression-bursts EEG is correlated with many severe brain diseases. At the same time, prognosis of suppression-bursts EEG may be correlated with different pathogeny.

关 键 词：脑电描记术 病因 预后 癫 

分 类 号：R72[医药卫生—儿科]