摘要
目的分析癫痫患儿应用视频脑电图监测(VEEG)的诊断效果及定位准确性。方法我院收治的癫痫及疑似癫痫患儿120例,分为癫痫组(已确诊)、可疑癫痫组(有癫痫发作病史但未监测到发作期痫样放电者)各60例,分别使用视频脑电图组(VEEG)和单纯脑电图组(EEG)检测,对比两组的癫痫检出率、放电特点以及临床发作表现、癫痫发作类型、痫性放电起始部位。结果 VEEG在癫痫组(93.33%vs68.22%)和可疑癫痫组(82.22%vs51.11%)的痫性放电检出率高于EEG组,痫样放电同步临床发作率高于EEG组(65.59%vs48.44%),VEEG确定放电起始部位47例,EEG组35例,VEEG组鉴别顶叶区癫痫率低于EEG组,(P均<0.005)。痫样放电与同步临床发作患儿确诊为癫痫,共61名,包括失神发作15例(24.59%);强直阵挛性发作24例(39.34%);肌阵挛发作11例(18.03%);复杂性发作2例(3.28%);单纯性发作7例(11.48%);部分继发全身性发作1例(1.64%),其他发作类型1例(1.64%)。结论癫痫患儿应用VEEG检测,检出率高,定位准确,操作简单,价格低廉,不良反应少,值得临床推广。
Objective To analyze the diagnostic effect and localization accuracy of video EEG monitoring(VEEG)in children with epilepsy.Methods 120 children with epilepsy and suspected epilepsy were divided into epilepsy group(confirmed)and suspected epilepsy group(60 children with history of epilepsy but without epileptiform discharge)and video EEG group(VEEG)and EEG group(EEG)were used respectively.The detection rate,discharge characteristics,clinical manifestation and epilepsy of the two groups were compared Type and starting site of epileptiform discharge.Results the detection rate of epileptic discharge of VEEG in epileptic group(93.33%vs 68.22%)and suspicious epileptic group(82.22% vs 51.11%)was higher than that of EEG group(65.59%vs48.44%).47 cases of VEEG identified the initial site of discharge,35 cases of EEG group,and the rate of discrimination of epilepsy in the parietal lobe of VEEG group was lower than that of EEG group(P<0.005).Epilepsy was diagnosed in 61 children with epileptiform discharge and synchronous clinical attack,including 15 cases of aphasia(24.59%);24 cases of tonic clonic attack(39.34%);11 cases of myoclonic attack(18.03%);2 cases of complex attack(3.28%);7 cases of simple attack(11.48%);1 case of partial secondary systemic attack(1.64%),and 1 case of other types of attack(1.64%).Conclusion the application of VEEG detection in children with epilepsy has the advantages of high detection rate,accurate location,simple operation,low price and less adverse reactions,which is worthy of clinical promotion.
作者
邱锐琴
QIU Rui-qin(Department of Neonatology of Qinhuangdao First Hospital,Qinhuangdao,Hebei 066000,China)
出处
《中国实验诊断学》
2020年第2期205-207,共3页
Chinese Journal of Laboratory Diagnosis
关键词
视频脑电图监测
癫痫
诊断
定位
作用
video EEG monitoring
epilepsy
diagnosis
location
role
