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视频脑电图在诊断小儿非癫癎性发作中的价值

Diagnostic value of Video-EEG in children's non-epileptic seizures
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摘要 目的:评价视频脑电图在诊断小儿非癫癎性发作中的实用价值。方法:对临床上拟诊为非癫癎性发作的314例患儿,进行20min~3h的视频脑电图动态监测,监测中对各种状态及事件进行标记,结束后将记录的EEG与临床录像资料同步回放分析。结果:314例患儿中,196例(62.4%)监测到发作,302例(96.2%)结合脑电图检查证实为非癫癎性发作。结论:视频脑电图是明确小儿非癫癎性发作的种类、鉴别非癫癎性与癫癎发作的可靠的检查方法。 Objective:To evaluate the practical value of Video-EEG in children with non-epileptic seizures.Methods:314children clinically diagnosed as having non-epileptic seizures,were monitored with Video-EEG instrument (WEISI VEEG1161B)for20minutes~3h awake or in sleep.The clinical signs and EEG were recorded and marked at the same time.Afterwards,both were analyzed digitally.Results:Of the314cases,seizures were recorded in196(62.4%)and302(96.2%)were fur-ther confirmed as non-epileptic seizures according to EEGs.Conclusion:Video-EEG is a credible way to confirm the clinical diagnosis of non-epileptic seizures and to differentiate from epilepsy.
出处 《山东大学学报(医学版)》 CAS 2003年第5期545-546,共2页 Journal of Shandong University:Health Sciences
关键词 发作 非癫痫性 癫痫 视频脑电图 Seizure,non-epileptic Epilepsy Video-EEG
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参考文献4

  • 1瞿志平 俞丽云.实用癫痫学[M].上海:上海医科大学出版社,1997.149.
  • 2Chen IS, Mitchell WG, Horton E J, et al. Chnical utility of video-EEG monitoring[J]. Pediatr Neurol, 1995,12(3): 220.
  • 3Krumbolz A. Nonepileptic seizures: diagnosis and management[J]. Neurology, 1999,53(suppl 2): 76.
  • 4Dericioglu N, Saygi S, Ciger A. The value of provocation methods in patients suspected of having nonepileptic seizures[J]. Seizure, 1999,8:152.

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