中国当代儿科杂志2016，Vol.18Issue(10)：971-974,4.DOI:10.7499/j.issn.1008-8830.2016.10.010
视频脑电图在儿童癫癎诊断及定位中的作用
Role of video electroencephalogram in diagnosis and localization of epilepsy in children
杨晓燕 1龙莉莉 1肖波1
作者信息
- 1. 中南大学湘雅医院神经内科，湖南 长沙 410008
- 折叠
摘要
Abstract
ObjectiveTo study the role of video electroencephalogram (VEEG) versus regular electroencephalogram (REEG) in the diagnosis of epilepsy and localization of origin of epileptic discharge in children through a comparative analysis.MethodsA retrospective analysis was performed for the clinical data of 223 children with clinical paroxysmal symptoms in the past and suspected epilepsy. VEEG and REEG were compared from the aspects of monitoring of clinical seizures, interictal epileptiform discharge (IED), localization of the origin of IED, and identiifcation of non-epileptic seizures, and the detection rate of IED during awakening and sleep stages was also compared.ResultsCompared with REEG, VEEG had signiifcantly higher detection rates of IED and synchronous clinical seizures in children with epileptiform discharge (P<0.01). Of all children, 86 were diagnosed with epilepsy, 78 were diagnosed with epilepsy syndrome, 31 were diagnosed with non-epileptic seizures, and 81 had a deifnite location of the origin of epileptic discharge according to the VEEG. The detection rate of IED in the sleep stage was higher than that in the awakening stage (46% vs 13.2%;P<0.01), and IED was mainly detected in the NREM I-II stages according to the VEEG.ConclusionsVEEG has a signiifcantly better performance than REEG in the diagnosis and localization of epilepsy in children and has a high value in clinical practice.关键词
视频脑电图/癫癎/癎样放电/诊断/定位/儿童Key words
Video electroencephalogram/Epilepsy/Epileptiform discharge/Diagnosis/Localization/Child引用本文复制引用
杨晓燕,龙莉莉,肖波..视频脑电图在儿童癫癎诊断及定位中的作用[J].中国当代儿科杂志,2016,18(10):971-974,4.
