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目的探讨24h动态脑电图在儿童癫痫与非癫痫发作性疾病诊断与鉴别诊断中的价值。方法2004年11月~2007年9月在我院癫痫专科门诊就诊的具有发作性症状儿童病例845例,其中拟诊癫痫554例,非癫痫性发作性疾病291例,全部病例均作常规脑电图(EEG)和24h动态脑电图(AEEG)检查。结果拟诊癫痫554例,经24h动态脑电图检查,结合其临床表现,确诊为癫痫491例;而拟诊非癫痫性发作性疾病291例,经24h动态脑电图检查,结合其临床表现,276例被除外癫痫。结论24hAEEG是鉴别诊断儿童癫痫与非癫痫发作性疾病的可靠检查方法。
Objective To investigate the value of 24h dynamic electroencephalogram in the diagnosis and differential diagnosis of children with epilepsy and non-seizure disease. Methods From November 2004 to September 2007, 845 children with seizure symptoms were treated in epilepsy specialist clinics of our hospital. Among them, 554 were diagnosed epilepsy and 291 were non-epileptic seizures. All cases were treated with conventional electroencephalogram Figure (EEG) and 24h dynamic electroencephalogram (AEEG) examination. Results 554 cases were diagnosed as epilepsy, and 491 cases were diagnosed as epilepsy by dynamic electroencephalogram (EEG) 24 hours later. 291 cases were diagnosed as non-epileptic seizures. After 24h dynamic electroencephalogram and clinical manifestations , 276 cases were excluded epilepsy. Conclusion 24hAEEG is a reliable method for the differential diagnosis of children with epilepsy and non-seizure disease.