24h动态脑电图对晕厥与癫痫的诊断价值  

The Value of 24-hour Active Electroencephalograph Monitoring to Diagnose Syncope and Epilepsy

作　　者：李继华[1] 刘宝军[1] 杨娜[2] 袁建新[2] 倪立新[2] 王静[1] 赵焕燕[1] 

机构地区：[1]河北联合大学附属开滦总医院神经外科,唐山063000 [2]河北联合大学附属开滦总医院神经内科,唐山063000

出　　处：《四川解剖学杂志》2013年第3期23-25,共3页Sichuan Journal of Anatomy

摘　　要：目的探讨24h动态脑电图（AEEG）对晕厥与癫痫的诊断价值。方法回顾性分析2008年1月～2013年8月，在河北联合大学开滦总医院神经外科及神经内科住院的发作性意识丧失患者52例。结合病史、临床表现、查体、血尿生化检查、直立倾斜试验、头颅影像学等，分析常规脑电图（REEG）、AEEG监测结果，进行诊断与鉴别诊断。结果52例患者27例（27／52，51．9％）诊断为癫痫，19例（19／52，36．5％）诊断为晕厥，6例（6／52，11．5％）无法明确诊断。27例癫痫患者中AEEG监测发现特异性癫痫样放电。19例晕厥患者中5例（5／19，26．3％）诊断为心源性晕厥，12例（12／19，63．2％）诊断为血管迷走性晕厥。2例（2／19，10．5％）为体位性低血压性晕厥。结论AEEG对于晕厥与癫痫有较高的诊断及鉴别诊断价值。晕厥发作期脑电图显示弥漫性低波幅慢波的患者应警惕心源性晕厥的可能。Objective This survey was made to explore the value of 24-hour active electroencephalograph （ AEEG） to diagnose syncope and epilepsy. Methods A total of 52 patients with paroxysmal loss of consciousness were re- viewed in Kailuan General Hospital from January, 2008 to August, 2013. Combined with clinical characteristics, the record of routine electroencephalograph （REEG） and AEEG were made diagnose and differential diagnose of syncope and epilepsy. Results Among the 52 cases, 27（27/52,51.9%） were confirmed as epilepsy, 19 （19/52,36.5%） as non-epileptic seizures,616/52,11.5 %} were uncertain. A total of 27 patients with epilepsy diagnose records presen- ted epileptiform discharges. A number of 5C5/19,26.30%） were confirmed as cardiac origin of syncope, 12（12/19, 63.2 % } as vasovagal syncope, 2（2/19,10.5%）as postural hypotension syncope of the 19 cases with syncope. Con- clusion It is better worth of 24-hour active electroencephalograph in differential diagnose of diagnose syncope and epilepsy.

关 键 词：晕厥 癫痫 24 h动态脑电图 

分 类 号：R742.1[医药卫生—神经病学与精神病学]