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目的探讨视频脑电图(VEEG)在儿童发作性疾病鉴别诊断中的作用。方法对常规脑电图检查为正常或边缘状态及轻度异常不能确诊的发作性疾病患儿共164例进行VEEG监测。结果 164例患儿检出痫样放电63例,检出率为38.41%,NREMⅠ~Ⅱ期检出率明显高于其他睡眠期,确诊癫痫81例,62例癫痫的发作类型得到确定。结论视频脑电图可显著提高痫样放电的检出率,有助于儿童发作性疾病鉴别诊断及癫痫的分型。
Objective To explore the role of video electroencephalography (VEEG) in differential diagnosis of seizures in children. Methods A total of 164 children with seizures who could not be diagnosed with normal or marginal state and mild abnormalities by EEG were monitored by VEEG. Results 164 cases of children were detected in 63 cases of epileptiform discharge, the detection rate was 38.41%, NREMⅠ ~ Ⅱ detection rate was significantly higher than other sleep stages, diagnosed 81 cases of epilepsy, 62 cases of epilepsy seizure types were identified. Conclusion Video EEG can significantly improve the detection rate of epileptiform discharge and contribute to the differential diagnosis of children’s seizure disease and the classification of epilepsy.