婴儿痉挛症(附41例临床及脑电图分析)  

Analysis of 41 Cases of Infantile Spasm

作　　者：徐燕平[1] 柯岫恩[1] 卢平[1] 古波[1] 

机构地区：[1]大理医学院玉溪教学医院脑电图室,云南玉溪653100

出　　处：《大理医学院学报》2001年第2期23-24,共2页Journal of Dali Medical College

摘　　要：目的：探讨婴儿痉挛症的临床及脑电图改变。方法：记录 41例婴儿痉挛症的脑电图。结果： 41例脑电图全部异常，其中 28例 (68.3％ )显示特有的高峰节律紊乱及变异性高峰失律。其余均出现较一致的慢波或棘波、局灶性棘波、多相棘波和其它类型异常脑电图。结论：婴儿痉挛症是由许多不同的发病因素引起的一种最严重的阵挛发作，治疗困难，对小儿健康影响很大，本组病例中 85.3％智力落后于同龄儿。脑电图起到协助临床诊断指导治疗的作用。Objective： To explore the EEG and clinical changes in infantile spasm. Methods： To record and analyze 41 cases of infantile spasm. Results： All the EEGs of the 41 cases were abnormal. Among them， 28 cases(68. 3％ )appeared peak arrhythmia and variant hyperarrhythmia. While the other 13 cases(31. 7％ )appeared unanimous slow wave or spike wave. Conclusion： Infantile spasm is one of the most serious spasm attacks. It is hard to treat and is harmful to infant health. In this study， 85. 3％ of the cases were hypophrenia comparing with the same ages of the healthy infants. However， EEGs may help to make diagnosis and to direct the treatment on infantile spasm.

关 键 词：婴儿痉挛 脑电图 高峰失律 智力低下 IS 婴儿癫痫 

分 类 号：R742.1[医药卫生—神经病学与精神病学]