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目的总结伴有中央颞区棘波的小儿良性癫痫(BECT)临床治疗的效果。方法分析65例BECT患儿抗癫治疗后的预后和脑电图变化。结果本组发病年龄为:2~12岁60例,占总数的92%,13~14岁5例,占总数的8%。65例发病与睡眠相关。剥夺睡眠后视频脑电(V EEG)描记发现:发作间期视频脑电图有一侧或双侧中央颞区棘(尖)波。65例患儿经过治疗后临床和脑电图有三种结局:有39例临床症状消失,VEEG正常,智力正常;有17例临床症状消失,VEEG异常,智力稍微下降;9例临床症状存在,VEEG异常,智力明显下降,3例自行停药诱导发作。结论 BECT患儿正规的抗癫痫治疗反应良好,预后良好。
Objective To summarize the clinical effect of pediatric benign epilepsy (BECT) with central temporal spikes. Methods The prognosis and EEG changes of 65 patients with BECT after antiepileptic treatment were analyzed. Results The incidence of this group: 2 to 12 years old 60 cases, accounting for 92% of the total, 13 to 14 years in 5 cases, accounting for 8% of the total. 65 cases of onset and sleep related. Deprivation of sleep after the video EEG (EEG) trace found: Interictal video EEG with one or both sides of the central temporal spine (spike) wave. There were three clinical and electroencephalographic outcomes in 65 children after treatment: 39 cases of clinical symptoms disappeared, VEEG normal, normal intelligence; 17 cases of clinical symptoms disappeared, VEEG abnormality, intelligence decreased slightly; 9 cases of clinical symptoms exist, VEEG Abnormalities, mental decline significantly, 3 cases of self-induced withdrawal seizures. Conclusions Regular anti-epileptic treatment in children with BECT responded well and the prognosis was good.