部分性癫痫患者的视频脑电图及头颅磁共振成像分析  

Analysis of Patients with Partial Epilepsy Video-EEG and Head Magnetic Resonance Imaging

作　　者：柯友洋[1] 徐世英[1] 罗文婷[1] 

机构地区：[1]解放军第171医院,江西九江332000

出　　处：《九江学院学报（自然科学版）》2012年第1期67-69,共3页Journal of Jiujiang University：Natural Science Edition

摘　　要：目的根据长程同步录像脑电监测(Video—EEG,VEEG)和头颅磁共振成像(MRI)的检查结果,探讨部分性发作癫痫患者的发作起源与磁共振(MR)结构异常之间的关系。方法分析78例VEEG检查中确诊的部分性发作癫痫患者的VEEG及MRI检查结果,以探索两者间关系。结果部分性发作的癫痫患者,以颞叶病变最多。其中海马硬化的发病率最高,占55%。78例患者中,46例仅在清醒状态下发作,25例仅在睡眠状态下发作,清醒和睡眠状态均发作的有7例;39例发作期VEEG能确定起源,其中24例与MR符合。发作间期VEEG78例,30例与MR符合。发作期能确定起源的脑电图与MRI符合率明显高于发作间期能确定起源的脑电图与MRI的符合率(p<0.05)。结论部分性发作的癫痫中,影像学检查示颞叶病变最多。部分性癫痫的发作期似乎更多发生在清醒状态。发作期能确定起源的VEEG对癫痫灶的定位更准确。Objective To investigate the relation between Video - EEG （VEEG） and MRI in patients with partial epilepsies. Method VEEG and MRI of 78 patients were examined to explore the relation VEEG and MRI in patients with partial epilepsies. Results In 78 partial epilepsies, most of them showed temporal lesions and 55% of them showed hippocampus sclerosis. Forty - three patients experienced seizures of the disease in consciousness, 25 patients in dormancy, while 7 patients in both consciousness and dormancy. Epileptic loci of the brain may be determined by VEEG in 39 patients in period of onset, in which 24 cases were in consistent with MR.I; and for 78 patients in interphase of onset, 30 cases were in consistent with MRI. The differences in consistence rate between the two groups were significant （P 〈 0. 05）. Conclusions Temporal lesions are most commonly seen in patients with partial epilepsies. The onset of partial epilepsies is prone to be seen in patients in consciousness. VEEG of patients in the period of onset is beneficial to accurate determination of the epileptic loci in the brain.

关 键 词：部分性癫痫 VEEG MRI 

分 类 号：R742.1[医药卫生—神经病学与精神病学]