癫癎发作早期Video-EEG监测的临床价值  

Clinical value of Video-EEG monitoring in the early stages of epileptic seizure

作　　者：刘绍明[1] 陈新华[1] 熊志刚[1] 程江鹏[1] 樊明新[1] 李华[1] 赵霞[1] 

机构地区：[1]兰州军区乌鲁木齐总医院神经外科

出　　处：《临床神经电生理学杂志》2002年第4期220-223,226,共5页Journal of Clinical Electroneurophysiology

摘　　要：目的 :探讨Video -EEG监测癫发作早期脑电变化的临床应用价值。方法 :对 96例临床确诊的癫患者进行发作早期Video -EEG监测并分析其结果。结果 :共监测到 3 2例癫发作(3 3 % ) ,其中全身性癫 4例 ;颞叶癫 16例 ,颞外癫 12例。发作早期脑电异常主要分快活动、慢活动及快慢混合活动三大类。根据发作早期脑电变化 ,2 3例 (72 % )作出定位诊断。结论 :癫发作早期脑电图脑电变化对致灶的定位 (定侧 )Objective:To evaluate the clinical value of the early ictal EEG changes by Video-EEG monitoring in patients with epilepsy.Method:Video-EEG monitoring was done in 96 patients with epilepsy diagnosed clinically and the Video-EEG data were analyzed.Result:Clinical epileptic seizures were recorded in 32 patients(33%),including generalized seizure in 4 patients,temporal seizure in 16 and extratemporal seizure in 12 ones.The early ictal EEG pattern were mainly classified into three groups of fast activities,slow activities and mixed activities according to its frequency characteristics.Localization diagnosis was made in 23 patients,based on the early ictal EEG changes.Conclusion:The early ictal EEG abnormalities might be of important value in the localization of epileptogenic foci.

关 键 词：癫痫 发作早期 VIDEO-EEG 临床价值 致痫灶 诊断 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R741.[医药卫生—临床医学]