山东医药Issue(23)：16-19,110,5.DOI:10.3969/j.issn.1002-266X.2014.23.005
128导长程视频脑电图系统在耐药性癫痫治疗中的应用
Clinical application of 128-channel long-term video EEG in treatment of drug-resistant epilepsy
摘要
Abstract
Objective To explore the role of 128-channel long-term video electroencephalograph ( VEEG) in locating epileptogenic focus of drug-resistant epilepsy , selecting operational way and valuing efficiency of operation .Methods A total of 22 patients with drug-resistant epilepsy were analyzed with 128-channel long-term video EEG ( EEG9200K), and we compared the results with outcomes of magnetic resonance (MR) and PET.Results ①The results of scalp EEG, MR and PET fit epileptogenic foci in 9 cases well, they all underwent operation and were followed up for 3-36 months.Nine ca-ses were found that they had no seizures in three months after operation , and no seizures were found in follow-up.②Epi-leptic foci of 13 cases could not be located by scalp EEG , MR and PET, but conld be located by intracranial EEG (IEEG) with 128-channel long-term video EEG and 13 cases underwent operation .They were followed up for 3-32 months.Thirteen cases were found that they had no seizures in 3-6 months after operation .After operation for 6-36 months, 11 cases were found no seizures , and 2 cases suffered from seizures in 6 months after operation and seizure was stopped by the increased dose of AEDs .Conclusions Patients should be actively operated with fitting phase I assessment of epileptogenic foci by scalp EEG, MR and PET.Patients who couldn't be located on phase I assessment should undergo IEEG by using 128-chan-nel long-term video EEG and be operated after function orientation .IEEG can be used as gold standard for locating epilep-togenic focus and selecting the operation mode .关键词
耐药性癫痫/致痫灶/视频脑电/颅内电极脑电图Key words
drug-resistant epilepsy/epileptogenic foci/video electroencephalograph/intracranial electroencephalo-graph分类
医药卫生引用本文复制引用
魏洪涛,贺建勋..128导长程视频脑电图系统在耐药性癫痫治疗中的应用[J].山东医药,2014,(23):16-19,110,5.基金项目
甘肃省卫生行业科研计划资助项目（ GSWST2012-07）。 （）
