摘要
目的对儿童非癫痫性发作疾病(NES)中的视频脑电图(VEEG)监测进行分析并探讨其临床应用价值。方法对2010年10月-2012年11月VEEG监测确诊的58例NES患儿临床资料进行回顾性分析。结果58例患儿中有50例在监测过程中出现NES临床发作事件,而VEEG监测未发现有同步的痫样放电;5例为NES合并癫痫,临床发作时无同步的VEEG痫样放电;还有3例患儿无发作时痫样放电,既往亦无癫痫病史,但通过VEEG监测发现有与临床不同步的非发作期痫样放电。结论 VEEG是诊断儿童NES及与癫痫发作鉴别的客观有效的检查方法,可视为NES诊断的金标准。
Objective To explore the clinical value of video-electroencephalograph （VEEG） for non-epileptic seizures disease in children. Methods The clinical data of 58 children with non-epileptic seizures （NES） diagnosed by VEEG from October 2010 to November 2012 were retrospectively analyzed. Results In 50 out of 58 patients in the process of monitoring, the NES clinical onset was found while no synchronized epileptiform discharges was observed; in five patients with NES combined with epilepsy, no epileptiform discharges was found by VEEG at the clinical onset of NES; there were 3 patients with epileptiform discharges without seizures, who had no history of epilepsy, but non-synchronized clinical nonparoxysmal epileptiform discharges was found by VEEG monitoring. Conclusions VEEG is an effective diagnosis method for NES and seizures in children, which could be regarded as the gold standard for NES diagnosis.
出处
《华西医学》
CAS
2014年第2期226-228,共3页
West China Medical Journal
关键词
视频脑电图
非癫痫性发作
儿童
Video-electroencephalogram
Non-epileptic seizures
Children
