心因性非癫痫性发作的动态脑电图及临床分析  

Analysis of AEEG and clinical manifestation of psychogenic non-epileptic seizures

作　　者：闫四梅[1] 张舒凤[1] 崔莉莉[1] 马维娅[1] 

机构地区：[1]武警总医院神经内科,北京100039

出　　处：《武警医学院学报》2010年第5期374-375,393,共3页Acta Academiae Medicinae CPAPF

摘　　要：【目的】探讨心因性非癫痫性发作的临床特点与动态脑电图表现。【方法】回顾性分析23例心因性非癫痫性发作的临床资料及动态脑电图结果。【结果】23例患者均捕获"发作",表现为抽搐、肢体瘫痪、意识障碍等多种发作形式,发作时间持续3min～4h。发作期脑电图表现均相似:在肌电伪差、动作伪差间可见正常节律,或表现为全部正常节律,无癫痫样放电。随访1年,本组PNES患者在受到暗示治疗后13例未发作,6例发作次数逐渐减少,4例失访。【结论】PNES从临床症状有时很难与癫痫鉴别,动态脑电图与临床症状相结合,有助于PNES的诊断与鉴别诊断。[Objective] To study the clinical manifestation and AEEG of PNES. [Methods] The clinical data and AEEG of twenty-three cases of PNES in our hospital were analyzed retrospectively. [Results] episodes of 23 cases were observed and symptoms continued for 3 minutes to 4 hours, including convulsion, paralysis and consciousness disorder. AEEG of 23 cases were normal and had no epileptiform discharge. After one year follow-up, episodes in 13 cases disapeared ,less frequency in 6 cases and 4 cases lost. [Conclusions] AEEG is helpful to the diagnosis and differerntial diagnosis of PNES.

关 键 词：动态脑电图 心因性非癫痫性发作 癫痫样放电 

分 类 号：R741.044[医药卫生—神经病学与精神病学]