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目的:对小儿发作性疾病进行24 h脑电监测,提高癫痫的诊断。方法:对发作性疾病患儿170例进行24 h动态脑电分析。结果:170例发作性疾病患儿中,140例为初诊癫痫性发作患儿,常规脑电图(REEG)检查仅有52例捕捉到痫性放电(37.1%),非特异性异常4例(2.8%),经监测动态脑电图(AEEG)102例出现痫性放电(72.9%),非特异性异常10例(7.1%)。30例初诊为非癫痫性患儿中,经REEG检查均未捕捉到痫性放电,经AEEG监测,3例捕捉到痫性放电,临床确诊为癫痫。提示AEEG监测提高了癫痫的诊断。同时AEEG可观察临床发作的全过程及发作时脑电图演变过程,是癫痫诊断、分型及定位的重要依据。
OBJECTIVE: To monitor 24 h EEG in pediatric seizures to improve the diagnosis of epilepsy. Methods: 170 cases of children with seizures disease dynamic electroencephalogram 24 h. Results: Of the 170 children with seizures, 140 were newly diagnosed epileptic seizures. Only 52 of 37 children with epileptic seizures were found by conventional electroencephalogram (REEG) %). 102 cases of epileptic discharge (72.9%) and 10 cases (7.1%) of non-specific abnormality were detected in 102 cases of AEEG. Among 30 newly diagnosed children with non-epileptic condition, no epileptiform discharges were captured by REEG examination. After AEEG monitoring, 3 cases caught epileptic discharge, and epilepsy was clinically diagnosed. Tip AEEG monitoring improves the diagnosis of epilepsy. At the same time, AEEG can observe the whole process of clinical seizure and the evolution of EEG at the time of attack, which is an important basis for the diagnosis, classification and localization of epilepsy.