SEEG监测对癫痫的诊断及鉴别诊断的价值  

Value of sleep-EEG in diagnosis and differential diagnosis of epilepsy

作　　者：喻廉[1] 黄天虹[1] 殷晓梅[1] 赵燕[1] 徐莉[1] 刘向[1] 施勤[1] 刘会林[1] 赵磊 

机构地区：[1]安徽省立医院,安徽省立体定向神经外科研究所神经电生理室,合肥230001 [2]芜湖市经济开发区社区服务站

出　　处：《立体定向和功能性神经外科杂志》2008年第4期227-230,共4页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的探讨睡眠脑电图（SEEG）监测对癫痫及可疑癫痫患者诊断和鉴别诊断的临床价值。方法对2006年3月-2007年6月间，在本院常规进行视频脑电图描记，其中清醒期脑电图（EEG）无痫样放电的183例临床诊断为癫痫、及52例可疑癫痫患者的SEEG资料进行回顾性分析。结果癫痫组SEEG痫样放电检出率为84．7％（155／183），可疑癫痫组痫样放电检出率为34．6％（18／52）。82．1％的痫样放电出现在睡眠Ⅰ和Ⅱ期。结论SEEG监测可显著提高痫样放电的检出率，为癫痫的诊断及鉴别诊断提供重要依据，并有助于癫痫发作类型的分型。Objective To explore the value of sleep-electroencephalo-gram （SEEG） in diagnosis and differential diagnosis of epilepsy. Methods The monitoring Of VEEG was performed in 183 epileptics and 52 suspicious epileptics during Mar. 2006-Dec. 2007. The EEGs of all the patients during awake were no epileptiform discharges, and the SEEGs were analyzed retrospectively. Results SEEGs with epileptiform discharges were about 84.7% in epileptics group and 34.6% in suspicious epileptic group, and 82.1% epileptiform discharges appeared in primary and second sleep. Conclusion The monitoring of VEEG could increase obviously the detectable rate of epileptiform discharges and the reliability of epileptic diagnosis and differential diagnosis, and help to typing of epileptic attack forms.

关 键 词：癫痫 可疑癫痫 睡眠脑电图 诊断 鉴别诊断 

分 类 号：R749.1[医药卫生—神经病学与精神病学]