腹痛型癫痫是儿童期较为常见的癫痫之一,临床误诊率也高,笔者将长期误诊的16例报告如下。 1.临床资料 16例患儿中,男9例,女7例,年龄6～10岁,发病年龄5～8岁,平均6.9岁,5例有高热惊厥病史,全部病例神经系统检查未见异常,CT扫描为阴性,大便虫卵多次检查阴性。排除胃肠道器质性疾患,有多次按肠道寄生虫病及胃肠痉挛治疗,效果仍欠佳。大部分病例表现为饭后脐周部阵发性隐痛,3例饭前脐周部阵发性隐痛,绝大部分发作时伴面色苍白,额部冒汗、恶心、头痛、有便意,发作后乏力或嗜睡等,发作有一定的规律性,每月数次至每周数次不等,病程较长,被确诊时间多在发病半年以后,有的甚至长达2年。 脑电图 使用16导脑电图仪,参照10/20系统放置电极,均在清醒状态下进行描记,脑电图表现:阵发 Abdominal pain-based epilepsy is one of childhood common epilepsy, clinical misdiagnosis rate is high, the author will be long-term misdiagnosis of 16 cases reported as follows. 1. Clinical data 16 cases of children, 9 males and 7 females, aged 6 to 10 years old, the age of onset of 5 to 8 years, mean 6.9 years, 5 cases of history of febrile seizures, neurological examination showed no abnormalities in all cases , CT scan was negative, stool eggs repeatedly check negative. Exclude organic gastrointestinal tract disorders, there are many times by intestinal parasitic diseases and gastrointestinal spasm treatment, the effect is still poor. Most cases showed post-natal umbilicus paroxysmal crypt, 3 cases of umbilical anterior paroxysmal cryptorrhea, most of the time with pale complexion, forehead sweating, nausea, headache, there is meaning, after the attack Fatigue or drowsiness, seizures have a certain regularity, several times a month to several times a week, longer duration, more than half a year after being diagnosed, and some even up to 2 years. EEG using 16-lead electroencephalograph, reference to the 10/20 system to place the electrodes, were sober in the tracing, EEG performance: burst