中国实用儿科杂志

• 论著 • 上一篇    下一篇

视频脑电图对婴幼儿非癫疒间性发作的诊断价值

沈南平,华颖   

  1. 无锡市儿童医院,江苏无锡 214002
  • 收稿日期:2005-11-15 修回日期:2005-12-10 出版日期:2005-03-06 发布日期:2005-03-06

  • Received:2005-11-15 Revised:2005-12-10 Online:2005-03-06 Published:2005-03-06

摘要: 目的评估视频脑电图对婴幼儿非癫疒间性发作的诊断价值。 方法无锡市儿童医院于2004年1月至2005年1月,对152例拟诊或需排除癫疒间的患儿进行视频脑电图检查。 结果非癫疒间性发作51例,其中非癫疒间性强直发作10例,良性夜间肌阵挛8例,屏气发作7例,婴幼儿擦腿综合征6例,脑瘫及运动发育迟缓肌张力增高导致异常动作强直、震颤、手足徐动5例,良性非癫疒间性婴儿痉挛5例,轻度胃肠炎伴发婴幼儿良性惊厥4例,其他疾病6例。 结论视频脑电图是鉴别发作性质及类型的最有效的检查方法,也是鉴别癫疒间与非癫疒间性发作的有效方法。

关键词: 视频脑电图, 非癫疒间性发作, 鉴别诊断

Abstract: Diagnostic value of videoEEG in infants with nonepileptic seizures. Shen Nanping,Hua Ying.Wuxi Children’s Hospital,Wuxi 214002,China AbstractObjectiveTo evaluate the diagnostic value of videoEEG in infants with nonepileptic seizure. MethodsFrom Jan.2004 to Jan.2005,152 infants suspected to have or need to weep out the possibility of epilepsy were examined with videoEEG in our clinics. ResultsNonepileptic seizures 51:including nonepileptic tonic seizures 10 ;benign nocturnal myoclonus 8; breathholding spell 7;mashturbstionlike episodes 6;cerebral palsy 5;benign myoclonus of early infancy 5;benign infantile convulsions associated with mild gastroenteritis 4;other nonepileptic episodes 6. ConclusionThe results indicate that the videoEEG is not only the most sensitive way to differentiate the seizure characteristics and patterns,but also the most effective way in differenting epileptic seizures from the nonepileptic seizures.

Key words: Nonepileptic seizures, Differential diagnosis