视频脑电图在脑梗死继发癫痫早期诊断及预后评估中的应用  

Application of Video EEG in Early Diagnosis and Prognosis Evaluation of Epilepsy Secondary to Cerebral Infarction

作　　者：魏海涌 张银珠[1] 杜欢[1] Wei Haiyong;Zhang Yinzhu;Du Huan(Neurological Disease Testing Center of Sanmenxia Central Hospital,Henan Sanmenxia 472000)

机构地区：[1]三门峡市中心医院神经疾病检测中心,河南三门峡472000

出　　处：《哈尔滨医药》2024年第3期89-92,共4页Harbin Medical Journal

摘　　要：目的分析视频脑电图对脑梗死继发癫痫的早期诊断效能及对疾病预后评估价值。方法我院110例脑梗死继发癫痫患者为研究对象,并对其随访1年,均行常规脑电图检查及视频脑电图检查,比较两种检查方法对异常脑电图的检出率,统计不同部位梗死灶的癫痫灶检出率;随后以复发与否分组,观察两组初次视频脑电图信号及用药情况。结果视频脑电图对异常脑电图的检出率高于常规脑电图,且对非大脑皮层梗死的癫痫异常脑电图检出率高于常规脑电图;癫痫复发组视频脑电图中弥漫性慢波检出率低于未复发组,且癫痫样放电异常波形检出率高于未复发组,差异有统计学意义(P<0.05)。结论脑梗死继发癫痫应用视频脑电图检查进行诊断是可行的,尤其是能有效检出大脑深层梗死后形成的癫痫灶,且能依据癫痫样放电进行疾病预后评估。Objective To analyze the efficacy of video EEG in the early diagnosis of epilepsy secondary to cerebral infarction and its prognostic value.Methods 110 patients with epilepsy secondary to cerebral infarction were studied,and they were followed up for one year.Routine electroencephalogram and video electroencephalogram were performed.The detection rate of abnormal electroencephalogram was compared between the two methods,and the detection rate of epileptic focus in different infarcts was counted;Then the patients were divided into groups according to whether they had relapse or not,and the initial video EEG signals and medication were observed in the two groups.Results The detection rate of abnormal EEG in video EEG was higher than that in routine EEG,and the detection rate of abnormal EEG in epilepsy without cerebral cortex infarction was higher than that in routine EEG;The detection rate of diffuse slow waves in video EEG in the epilepsy recurrence group was lower than that in the non recurrence group,and the detection rate of abnormal epileptiform discharge waveform was higher than that in the non recurrence group,with statistical significance(P<0.05).Conclusion It is feasible to use video EEG to diagnose epilepsy secondary to cerebral infarction,especially to effectively detect the epilepsy focus formed after deep cerebral infarction,and to evaluate the prognosis of the disease according to epileptic discharges.

关 键 词：脑梗死继发癫痫 视频脑电图 诊断 预后评估 

分 类 号：R743.3[医药卫生—神经病学与精神病学]