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目的 探讨视频脑电图 (video EEG)诊断儿童非癫疒间 发作 (NES)的意义和影响其诊断的因素。方法 对 5 7例经video EEG监测后诊断为NES患儿的临床资料作回顾性分析。结果 5 7例NES中生理性发作 36例 (6 3 2 % ) ,其中头痛病例 15例 (41 7% 15 / 36 ) ;心因性发作 2 1例 (36 8% ,2 1/ 5 7)。其中NES合并癫疒间 者 7例 ,单纯NES癫疒间样波检出 2例 ;9例中脑部有器质性病变者 5例 ,包括NES合并癫疒间2例、单纯NES 3例。结论 video EEG对鉴别NES与癫疒间 发作具有重要价值。NES合并癫疒间 、单纯NES合并亚临床发作、脑部器质性病变是影响NES诊断的因素。
Objective To explore the significance of video EEG in the diagnosis of children with non-epileptic seizures (NES) and its influencing factors. Methods The clinical data of 57 children with NES diagnosed by video EEG monitoring were retrospectively analyzed. Results Fifty-six patients (36.2%) had physiologic seizures in 57 NES patients, including 15 cases of headache (41 7% 15/36), 21 cases of psychogenic attack (36 8%, 2 1/57) . There were 7 cases of NES complicated with epilepsy and 2 cases of simple NES epilepsy. Among the 9 cases, there were 5 cases of organic disease in midbrain, including 2 cases of NES complicated with epilepsy and 3 cases of simple NES. Conclusion video EEG has important value in differentiating NES from epilepsy. NES combined with epilepsy, simple NES with subclinical seizures, organic brain lesions are the factors that affect the diagnosis of NES.