发作间期正常癫癎患儿发作期脑电图分析  

ANALYSIS OF EEG IN STAGE OF ATTACK ON 13 CHILDREN WITH NORMAL EEG IN INTERVAL OF ATTACK

作　　者：宋葳 李思秀 胡文广 刘平 

机构地区：[1]成都市妇女儿童中心医院,610091

出　　处：《现代电生理学杂志》2012年第1期23-24,22,共3页Journal of Modern Electrophysiology

摘　　要：目的:分析13例视频脑电监测到癫癎发作而发作间期正常的患儿发作期脑电图特征。方法:收集2010至2011年两年中视频脑电监测到癫癎发作而发作间期正常的患儿13例,分析脑电图特征。结果:①13例病例占同期监测总数5.7‰。②清醒期4例、睡眠期7例、清醒及睡眠期均发作2例。睡眠期占63.2%。③部分运动性发作4例、部分运动性发作继发全面发作9例,无全面性发作。④起源部位(部分存在于两电极之间)前三位分别是颞区、中央区、顶区,占72.2%。⑤发作初期多表现为低波幅棘波、尖波或快波节律,占76.9%。结论:①睡眠诱发在癫癎诊断中意义很大。②表现为部分性发作的患儿,癫癎漏诊的风险相对较大。③起源于颞区、中央区或顶区的癫癎漏诊风险相对较大。Objective：To analyse characteristics of EEG in stage of attack of 13 children with normal EEG in interval of attack.Methods：The EEG in stage of attack of 13 children with normal EEG in interval of attack from January 1, 2010 to December 31,2011 were analyzed.Results：During Video-EEG monitoring, four children have seizures during wake time,7 cases in the sleep stage,2 cacs in both stages. The rate of seizures in sleep stage was 63.2%. The seizure types in this study were partial seizures （ 4/13 cases） and partial with generalized seizures（9/13 cases）, The first three original places were temporal lobe,central region and parietal lobe（72.2%）. In initial seizures, EEG features were mainly low-amplitude spikes, sharp wave, rapid-rhythm,accounting for 76.7%.Conclusion： 1. EEG evoked by sleep is very important in diagnosis of epilepsy. 2. The children with partial seizures have the high risk of missing epilepsy 3. The epilepsy from temporal lobe,central region,parietal lobe are of the high risks of missing epilepsy.

关 键 词：癫癎 脑电图 视频脑电监测 癫癎发作 发作间期 发作期 儿童 

分 类 号：R742.1[医药卫生—神经病学与精神病学]