摘要
目的对脑性瘫痪合并癫痫及发作性疾病患儿进行24h动态脑电图(AEEG)监测,了解其对二者的诊断价值。方法50例脑瘫合并癫痫患儿,做常规脑电图及AEEG监测,30例脑瘫伴发作性疾病患儿为对照组,比较两组患儿同步脑电图监测符合率。探讨其临床意义。结果癫痫组,痫样放电45例(90%),40例为同步放电,符合率80%。临床下电发作发放、非癫痫性事件各5例。发作性疾病组30例,痫样放电16例(53.3%),4例(13.3%)为同步放电,避免了癫痫的漏诊。12例为发作性疾病与临床下电发作发放并存。14例背景波为落后于生理年龄的慢波,与发作无关。两组比较,癫痫组同步放电率(80%),明显高于发作性疾病组(13.3%),χ2=33.66Р<0.005。结论AEEG监测,可提高脑瘫合并癫痫及发作性疾病患儿痫样放电检出率。还可监测到发作时同步动态特征性改变,对脑瘫合并癫痫及发作性疾病的诊断、鉴别诊断,有着重要的临床价值。两组脑电图全部异常,可能与患儿多伴有脑皮层广泛病变有关。
Objective： To explore the clinic value of AEEG monitoring in the diagnosis and differential diagnosis of epilepsy and proxysmal disease suffering from cerebral pralysis. Methods ： AEEG and routine EEG was carried out in 80 children with cerebral pralysis （divided into epilepsy group in 50 patients and proxysmal disease group in 30 patients）. Results： The positive rate of epileptiform discharges in epilepsy group was 80%, and the proxysmal disease group was 13.3%, two groups have significant differences Χ^2 = 33. 66 P 〈0.005, Conclusion： AEEG might increase the detection rate of epileptiform discharges. It might be important to clinic value in the diagnosis of epilepsy and proxysmal disease with cerebral pralysis.
出处
《中国优生与遗传杂志》
2007年第6期120-121,共2页
Chinese Journal of Birth Health & Heredity
关键词
脑瘫
癫痫
动态脑电图监测
Epilepsy
Cerebral pralysis
Ambulatory electroencephalography
