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探讨睡眠慢波相棘促波持续状态的临床与脑电图特点。方法通过觉醒睡眠脑电图检查,同时观察临床和脑电图变化。结果中央区颞中部棘慢波癫痫12例清醒状态下仅3例见到中央区颞中部棘慢波放电灶,当睡眠慢波相描记时12例均见中央区颞中部棘慢波放电灶。此12例睡眠慢波相呈持续性棘慢波发放,均未见明显全身强直阵挛性发作。4例Lennox-Gastaut综合征与1例获得性癫痫性失语症亦见到此现象。结论睡眠慢波状态下描记是诊断中央区颞中部棘慢波持续状态及Lennox-Gastaut综合征与获得性癫痫性失语症睡眠慢波相棘慢波持续状态的关键。
Explore the characteristics of clinical and electroencephalogram of sleep slow wave phase spike wave continuous state. Methods Through awakening sleep EEG, while observing the clinical and EEG changes. Results In the central region of the spine and spina bifida epilepsy in 12 cases, only 3 cases of central region of the spine and slow waves to see the central firing discharge stove, sleep slow wave tracing 12 cases were seen in the central temporal spike and slow wave discharge stove. The 12 cases of slow wave of sleep was spike wave sustained release, no obvious systemic tonic had clonic seizures. Four cases of Lennox-Gastaut syndrome and one case of acquired epileptic aphasia also seen this phenomenon. Conclusion Tracing in slow wave sleep state is the key to diagnose the persistent state of spine and slow wave in the middle of the temporal region and the spike and slow wave of slow-wave phase in Lennox-Gastaut syndrome and acquired epileptic aphasia.