文档介绍：动态脑电图监测对儿童癫和非癫发作的诊断价值
作者:赵朱冉旭
【摘要】目的探讨动态脑电图在儿童癫与非癫发作性疾病诊断与鉴别诊断中价值。方法 200602~200812在我院癫专科门诊就诊的具有发作性症状儿童病例192例,其中拟诊癫112例,非癫性发作性疾病80例,全部病例做常规脑电图(EEG)和24h动态脑电图(AEEG)检查。结果拟诊癫112例,经24h动态脑电图监测,结合临床表现,确诊为癫89例;而非癫发作性疾病80例,经24h动态脑电图监测,并结合其临床变现,77例被排除癫。结论动态脑电图对儿童癫和非癫发作性疾病的诊断与鉴别诊断具有重要价值。
【关键词】动态脑电图;癫;儿童
【Abstract】 Objective To evaluate the significance of AEEG in the diagnosis and differential diagnosis of epilepsy in From February 2006 to November 2008, among 192 cases of patients with seizure symptoms from epilepsy special outpatient department, 112 cases were primarily diagnosed as epileptic stizures, 80 cases were non
epilepsy seizures. All the cases had been under monitoring of both by routine EEG and 24hour Eightynine cases of 112 children whose episodes had been preliminarily diagnosed as epileptic seizures were identified as epilepsy by 24hour AEEG and clinical manifestation, and the other 80 cases of nonepilepsy seizures,77cases were excluded from AEEG hase great significance on the diagnosis and distinguishing diagnosis of epileptic seizures and nonepilepsy seizures in childhood.
【Key words】 Ambulattory electroencephalogram; Epilepsy; Children
癫是小儿神经系统常见病,其发作形式多种多样,发作时间无法预测,临床医师难以亲眼目睹其发作时状况,临床病史主要靠目击的家长提供,由于家长对医学知识欠缺,在描述发作症状时不全面甚至偏差,使临床诊断及鉴别诊断比较困难,动态脑电图(AEEG)可长时间同步监测患儿的脑电及临床特征,为诊断提供较为可靠的资料。现将我院2