中国当代儿科杂志Issue(12)：1338-1341,4.DOI:10.7499/j.issn.1008-8830.2015.12.016
痉挛型偏瘫脑电图癫癎样放电危险因素分析
Risk factors for interictal epileptiform discharges on electroencephalogram in children with spastic hemiplegic cerebral palsy
李素云 1钱旭光 1赵伊黎 1符文杰 1谭晓如 1刘振寰2
作者信息
- 1. 佛山市南海区妇幼保健院小儿神经康复科，广东 佛山 528200
- 2. 佛山市南海区妇幼保健院脑瘫康复中心，广东 佛山 528200
- 折叠
摘要
Abstract
ObjectiveTo investigate the clinical symptoms and features of interictal epileptiform discharges (IED) on electroencephalogram (EEG) in children with spastic hemiplegic cerebral palsy (CP) and to analyze the risk factors for IED.MethodsEighty-three children with spastic hemiplegic CP were recruited, and their clinical data, results of video-electroencephalogram, imaging ifndings, and cognitive levels were collected. The inlfuencing factors for IED were determined by multiple logistic regression analysis.ResultsThe incidence of epilepsy was 13% in children with spastic hemiplegic CP; 34% of these cases had IED. The incidence of epilepsy in children with IED (32%) was signiifcantly higher than that in those without IED (4%) (P<0.01). The incidence of IED in children with complications and brain cortex impairment increased signiifcantly (P<0.01). The incidence of IED varied signiifcantly between patients with different cognitive levels (P<0.01). Brain cortex impairment (OR=11.521) and low cognitive level (OR=2.238) were risk factors for IED in children with spastic hemiplegic CP (P<0.05).ConclusionsSpastic hemiplegic CP is often found with IED on EEG, and the incidence of epilepsy is higher in children with IED than in those without IED. Brain cortex impairment and low cognitive level have predictive values for IED in children with spastic hemiplegic CP.关键词
脑性瘫痪/痉挛型偏瘫/癫癎/癫癎样放电/危险因素/儿童Key words
Cerebral palsy/Spastic hemiplegia/Epilepsy/Interictal epileptiform discharges/Risk factor/Child引用本文复制引用
李素云,钱旭光,赵伊黎,符文杰,谭晓如,刘振寰..痉挛型偏瘫脑电图癫癎样放电危险因素分析[J].中国当代儿科杂志,2015,(12):1338-1341,4.
