脑瘫合并非癫痫发作性事件的脑电图随访分析  

Follow-up EEG analysis of paroxysmal nonepileptic events with cerebral palsy

作　　者：王宝田[1] 吴德[1] 张功纯[1] 杨李[1] 许晓燕[1] 朱静[1] 袁金晶[1] 刘美霞 唐久来[1] WANG Baotian;WU De;ZHANG Gongchun;YANG Li;XU Xiaoyan;ZHU Jing;YUAN Jinjing;LIU Meixia;TANG Jiulai(Department of Pediatric,the First Affiliated Hospital to Anhui Medical University, Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院儿科,安徽合肥230022

出　　处：《西北国防医学杂志》2020年第9期541-544,共4页Medical Journal of National Defending Forces in Northwest China

基　　金：国家自然科学基金资助项目(81472167)。

摘　　要：目的:探讨脑瘫合并非癫痫发作性事件(paroxysmal nonepileptic events,PNEs)的临床特点。方法:选取行视频脑电图的112例脑瘫患儿,根据年龄分为学龄前组(<6岁)、学龄组(6~12岁)及青少年组(>12岁),对3组发病情况进行分析比较。结果:112例脑瘫患儿中25例诊断为PNEs(22.3%),且多见于<6岁脑瘫患儿,其常见的发作类型依次为睡眠障碍、痉挛、抖动及运动障碍。本研究中有3例PNEs患儿合并癫痫,同时发现癫痫发作与PNEs的发作类型无关。结论:脑瘫患儿合并PNEs时,应完善视频脑电图检查协助诊治,避免不必要的抗癫痫药物治疗。Objective:To discuss the clinical characteristics of paroxysmal nonepileptic events(PNEs)with cerebral palsy(CP).Methods:A total of 112 children with CP were selected,and were divided into preschool group(<6 years old),school age group(6~12 years old)and youth group(>12 years old),the incidence of PNEs among the three groups were analyzed and compared.Results:Among the 112 children with CP,25 children with PNEs(22.3%).Most commonly seen in children under 6 years old,the common types of attacks of PNEs were parasomnias,postures of spasticity,shuddering and movements disorder.Three children with CP were identified to have PNEs.However,there was no significant correlation between epilepsy and the type of PNEs.Conclusion:CP child with PNEs should be given long-term electroencephalography monitoring,and avoid unnecessary antiepileptic drug therapy.

关 键 词：癫痫 非癫痫发作性事件 脑瘫 脑电图 

分 类 号：R742.1[医药卫生—神经病学与精神病学]