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目的评估视频脑电图对婴幼儿非癫疒间性发作的诊断价值。方法无锡市儿童医院于2004年1月至2005年1月,对152例拟诊或需排除癫疒间的患儿进行视频脑电图检查。结果非癫疒间性发作51例,其中非癫疒间性强直发作10例,良性夜间肌阵挛8例,屏气发作7例,婴幼儿擦腿综合征6例,脑瘫及运动发育迟缓肌张力增高导致异常动作强直、震颤、手足徐动5例,良性非癫疒间性婴儿痉挛5例,轻度胃肠炎伴发婴幼儿良性惊厥4例,其他疾病6例。结论视频脑电图是鉴别发作性质及类型的最有效的检查方法,也是鉴别癫疒间与非癫疒间性发作的有效方法。
Objective To evaluate the diagnostic value of video EEG in infants with non-epileptic seizures. Methods Children’s Hospital of Wuxi City from January 2004 to January 2005, 152 cases of children with or without epilepsy were examined by video-EEG. Results There were 51 cases of non-epileptic seizures, including 10 cases of non-epileptic tonic seizures, 8 cases of benign nocturnal myoclonus, 7 cases of breath-hold, 6 cases of pedicled-leg syndrome in infants and young children, cerebral palsy and delayed motor development Elevated ankylosis caused by abnormal movements, tremor, hand and foot Xu 5 cases, benign non-epileptic infantile spasms in 5 cases, mild gastroenteritis associated with benign infantile convulsions in 4 cases, 6 cases of other diseases. Conclusion Video EEG is the most effective method to identify the nature and type of seizures. It is also an effective method to distinguish seizures from non-seizures.