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目的:本文通过分析头痛患儿脑电图变化,并结合临床,旨在对头痛型癫痫的诊断有进一步认识。方法:对62例发作性头痛患儿进行脑电图检查,睡眠记录者口服10%的水合氯醛。结果:62例患儿共计4例见脑电图痫样放电(6.5%)。其中1例为T_3尖波,两半球不同步的尖一慢波、棘波;2例为T_3C_3局灶性单尖波;另1例为阵发性棘一慢波发放,H、V时明显。结论:在临床对发作性头痛患儿,应考虑到头痛型癫痫这一少见特殊类型的癫痫,应及时作脑电图检查。
Objective: In this paper, through analysis of EEG changes in children with headache, combined with clinical, aimed at the diagnosis of headache-type epilepsy have a better understanding. Methods: EEG was performed in 62 children with paroxysmal headache and 10% chloral hydrate orally. Results: A total of 62 children (4 cases) had EEG epileptiform discharges (6.5%). One case was T_3 spike, the other two were not synchronized sharp-a-wave, spike; two cases of T_3C_3 focal single-tip wave; the other one case of sporadic spasm a slow wave, H, V significantly . Conclusion: In clinical children with episodic headache, headache-type epilepsy should be considered a rare special type of epilepsy, EEG should be timely examination.