头皮脑电图波型预测动脉瘤性蛛网膜下腔出血患者继发癫痫发作的价值  

Value of scalp electroencephalogram wave pattern in predicting secondary seizures in patients with aneurysmal subarachnoid hemorrhage

作　　者：赵超 陈召东 杨静 Zhao Chao;Chen Zhaodong;Yang Jing(Department of Neurology,Shangluo Central Hospital,Shangluo 726000,China;Department of Laboratory,Shangluo Central Hospital,Shangluo 726000,China)

机构地区：[1]商洛市中心医院神经内科,商洛726000 [2]商洛市中心医院检验科,商洛726000

出　　处：《中国实用医刊》2024年第6期30-32,共3页Chinese Journal of Practical Medicine

摘　　要：目的分析头皮脑电图波型预测动脉瘤性蛛网膜下腔出血(aSAH)患者继发癫痫发作的价值。方法回顾性分析商洛市中心医院2021年4月至2023年4月收治的146例aSAH患者的脑电图资料。全部患者出院后均获6年随访,按其是否存在癫痫发作分成发作组和未发作组,同时根据癫痫发生时间分成早期组和晚期组,比较不同亚组之间头皮脑电图波形。结果146例aSAH患者中,41例发生癫痫(28.08%,41/146),其中早期癫痫25例(60.98%,25/41),晚期癫痫16例(39.02%,16/41)。发作组的Ⅲ、Ⅳ型脑电图波形占比分别为46.34%(19/41)、43.90%(18/41),高于未发作组的11.43%(12/105)、9.52%(10/105),P<0.05;发作组Ⅱ型脑电图波形占比为4.88%(2/41),低于未发作组的79.05%(83/105),P<0.05;发作组中早期组的Ⅲ型脑电图波形占比为68.00%(17/25),高于晚期组的18.75%(3/16),P<0.05;早期组Ⅳ型脑电图波形占比为16.00%(4/25),低于晚期组的62.50%(10/16),P<0.05。结论头皮脑电图波型能够在一定程度上预测aSAH患者继发性癫痫发作。Objective To analyze the value of scalp electroencephalogram wave patterns in predicting secondary seizures in patients with aneurysmal subarachnoid hemorrhage(aSAH).Methods The electroencephalogram data of 146 patients with aSAH admitted to Shangluo Central Hospital from April 2021 to April 2023 were retrospectively analyzed.All patients were followed up for 6 years after discharge.According to the onset of seizures,they were divided into the seizure group and the non-seizure group.At the same time,they were divided into the early group and the late group according to the onset time of seizures.The scalp electroencephalogram wave patterns were compared between different subgroups.Results Among the 146 aSAH patients,41 patients developed seizure(28.08%,41/146),including 25 patients with early epilepsy(60.98%,25/41)and 16 patients with late epilepsy(39.02%,16/41).The proportions of typeⅢandⅣelectroencephalogram wave pattern in the seizure group were 46.34%(19/41)and 43.90%(18/41),respectively,which were higher than the 11.43%(12/105)and 9.52%(10/105)in the non-seizure group(P<0.05);while the proportion of typeⅡelectroencephalogram wave pattern in the seizure group(4.88%,2/41)was lower than that in the non-seizure group(79.05%,83/105),P<0.05.In the onset group,the proportion of typeⅢelectroencephalogram wave pattern in the early group(68.00%,17/25)was higher than that in the late group(18.75%,3/16),and the proportion of type IV electroencephalogram wave pattern in the early group(16.00%,4/25)was lower than that in the late group(62.50%,10/16),P<0.05.Conclusions Scalp electroencephalogram wave pattern can predict secondary seizures in aSAH patients to a certain extent.

关 键 词：癫痫 动脉瘤性蛛网膜下腔出血 预测 

分 类 号：R743.35[医药卫生—神经病学与精神病学] R742.1[医药卫生—临床医学]