视频脑电图在儿童非惊厥性疾病的应用价值  

Application of video-electroencephalogram in children with non-convulsive disorder

作　　者：李茜[1] 焦欢敏[1] 王静[2] 郭晓清[1] 蒲秀红[1] 安涛[1] 邱萌[1] 王航雁[2] 

机构地区：[1]解放军第309医院,北京100091 [2]解放军总医院

出　　处：《山东医药》2012年第8期17-19,共3页Shandong Medical Journal

基　　金：国家青年自然科学基金资助项目(308075)

摘　　要：目的探讨视频脑电图(VEEG)在儿童非惊厥性疾病(NCD)诊断中的应用价值。方法 2011年3～11月206例因发作或疑似发作事件于我院儿科门急诊就诊的患儿,在本院儿科进行VEEG检查,详细询问病史及临床表现,结合查体、头颅影像学检查、血液生化检查等,综合分析VEEG检查对儿童非惊厥性发作(NCS)的诊断价值。结果在206例患儿中,癫痫93例(45.15%),热性惊厥75例(36.41%);临床确诊儿童NCS 38例(18.4%),其中躯体性NCS 31例,心因性NCS 7例。结论 VEEG对儿童惊厥性疾病与NCS的诊断、鉴别诊断具有重要临床价值。Objective To discuss the application of video-electroencephalogram（VEEG） for the diagnosis in children with non-convulsive disorder（NCD）.Methods From Mar 2011 to Nov 2011,206 children with convulsive events were examined with VEEG.Then the confirmed diagnosis of these children would be made by VEEG,clinical symptoms,physical signs,CT or MR of the skull,and blood examination.Value of diagnosis was analyzed VEEG for children with non-convulsive seisure（NCS）.Results 93 children（45.15%） were diagnosed as epilepsy,75 children（36.41%） as febrile seizures,and 38（18.4%） children were finally diagnosed as NCD.31（81.6%） NCS children manifested physiological attacks,7（18.4%） NCS children were associated with psychogenic attacks.Conclusion VEEG is very important tool and value for clinical diagnosis and differential diagnosis of children NCS.

关 键 词：视频脑电图 非惊厥性 发作性 儿童 

分 类 号：R742.1[医药卫生—神经病学与精神病学]