摘要
目的探讨儿童良性癫痫(BECCT)患病儿童中央-颞尖(棘)波放电灶的EEG与头痛患儿中央-颞尖(棘)波放电灶EEG的相关性。方法选择89例EEG有中央-颞区尖(棘)放电灶的儿童。其中56例符合BECCT的患儿与33例头痛标准不明的患儿进行了常规EEG及禁睡后睡眠EEG检查并进行分析。结果 56例BECCT患儿,常规EEG异常率为67.9%(38/56),而禁睡后,睡眠EEG的异常率为100%(56/56),且在浅睡期尖(棘)波放电频繁增多。33例头痛的患儿,虽然常规EEG均出现尖波放电,但尖波的形态、波幅、出现方式均有别于BECCT的放电形式,且在浅睡期无增多现象。结论儿童中央-颞尖(棘)放电,不仅仅是BECCT的EEG特征。而头痛的患儿也可见到,但放电形式有一定的差异。因此诊断上除EEG外,应注重于临床表现,更要注重睡眠EEG的检查,以资鉴别。
Objective Discuss the children＇s EEG＇s relativity of control-temporal spikes discharge in children with BECCT and headache.Methods Carry out analysis of normal EEG and sleep EEG after sleep banned inspection of 89 cases of children with central-temporal spikes discharge, among which 56 are BECCT cases and 33 are headache cases with no clear standards.Results For 56 BECCT children patients, routine EEG abnormali-ty rate was 67.9% （38/56）, while they are on sleepless, their EEG abnormal rate is 100% （56/56）, and in the light sleep phase angle （spines） wave discharge frequency increased.Among the 33 headache children patients, despite of conventional EEG sharp wave discharges, the appearance , amplitude and sequence of sharp wave are different from BECCT discharge forms, and there is no increase in the light sleep period.Conclusion Control-temporal spikes discharge of children（Brain） is the EEG characteristics of BECCT, either does the cases of headache, which only has some differences at electrical discharge form.Therefore, besides EEG, more attention should be given to sleeping＇s EEG examination.
出处
《口岸卫生控制》
2010年第3期38-40,共3页
Port Health Control
