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目的回顾性分析癫痫患儿视频脑电图特点及发作性事件的特征。方法收集2011年11月-2012年12月在青岛市妇女儿童医院视频脑电图监测的125例癫痫患儿,对其临床资料及脑电图结果进行分析。结果 1.35例(28%)癫痫患儿在视频脑电图监测中出现癫痫性发作,其中全面性发作15例,痉挛发作11例,部分性发作8例。2.17例(13.6%)癫痫患儿监测中出现非癫痫性事件。3.99例(79.2%)癫痫患儿视频脑电图异常,其中以局灶性痫样放电最多。结论儿童癫痫患儿在视频脑电图监测中,28%患儿出现癫痫性发作,其中以全面性发作最多,全面性发作中60%是肌阵挛发作;其次为痉挛发作及部分性发作。13.6%患儿监测中出现非癫痫性发作,以睡眠肌阵挛最多;79.2%患儿视频脑电图出现异常,其中最多见的是局灶性痫样放电。
Objective To retrospectively analyze the characteristics of video EEG and the characteristics of seizure events in children with epilepsy. Methods A total of 125 cases of epilepsy were monitored by video-EEG in Qingdao Children’s Hospital from November 2011 to December 2012. The clinical data and EEG results were analyzed. Results 1.35 cases (28%) of epilepsy children in the video EEG monitoring epileptic seizures, including 15 cases of comprehensive attacks, seizures in 11 cases, partial seizures in 8 cases. Non-epileptic events occurred in 2.17 (13.6%) children with epilepsy. 3.99 cases (79.2%) of children with epilepsy video EEG abnormalities, including focal epileptic discharge. Conclusion 28% of children with epilepsy in children have epileptic seizures in video EEG monitoring, and most of them have full-blown seizures. 60% of full-blown seizures are myoclonic seizures, followed by seizures and partial seizures. Non-epileptic seizures occurred in 13.6% of the children, and most of them were sleep myoclonus. 79.2% of the children had abnormalities in the video EEG, the most common was focal epileptiform discharge.