论文部分内容阅读
为了解视频脑电图对非癫性发作的诊断价值 ,对252例拟诊或排除癫的患儿进行视频脑电图检查。结果 :共监测到发作52例 ,非癫性发作35例 ,其中睡眠期肌阵挛10例 ,睡眠障碍6例 ,习惯性抽动5例 ,歇斯底里2例 ,非癫性发作性强直4例 ,行为异常4例 ,头痛、腹痛发作2例 ,百日咳发作、婴儿拥抱反射各1例 ;癫性发作17例 ,其中强直和阵挛性发作4例 ,强直性发作4例 ,阵挛性发作3例 ,局限运动性发作2例 ,复杂部分性发作、肌阵挛性发作、婴儿痉挛、大田原综合征各1例。结果表明 ,视频脑电图是鉴别发作性质及类型的最有效的检查方法 ,也是鉴别癫与非癫性发作的有效方法。
To understand the diagnostic value of video EEG in non-epileptic seizures, video EEG was performed in 252 children with suspected or excluded epilepsy. Results: A total of 52 seizures and 35 non-epileptic seizures were detected. Among them, 10 were myoclonic during sleep, 6 were with sleep disturbance, 5 were habitual twitch, 2 were hysterical, 4 were non-epileptic seizures , 4 cases of abnormal behavior, headache, abdominal pain attack in 2 cases, pertussis attack, infant embracing reflection in 1 case; epileptic seizures in 17 cases, of which 4 cases of tonic and clonic seizures, 4 cases of tonic seizures, clonic seizures 3 cases, 2 cases of localized motor attacks, complex partial seizures, myoclonic seizures, infant spasms, and Haotahara syndrome in 1 case. The results show that video EEG is the most effective method to identify the nature and type of seizures, and is an effective method to distinguish between epilepsy and non-epileptic seizures.