中国实用儿科杂志

中国实用儿科杂志

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视频脑电图诊断儿童发作性事件的临床意义

庄嘉鑫，林彩梅，王昆明，饶立德   

  1. 泉州儿童医院，福建泉州362000
  • 收稿日期:2006-02-15 修回日期:2006-05-10 出版日期:2006-09-06 发布日期:2006-09-06

Clinical value of videoEEG for the children with episodic events.

Zhuang Jiaxin,Lin Caimei,Wang Kunming,et al.   

  1. Quanzhou Children’s Hospital,Quanzhou 362000,China
  • Received:2006-02-15 Revised:2006-05-10 Online:2006-09-06 Published:2006-09-06

摘要： 目的评价视频脑电图(VideoEEG)对儿童发作性事件的临床应用价值。 方法对2005年5~12月在泉州儿童医院因发作性事件而经VideoEEG监测的163例患儿的临床资料作回顾性分析。 结果163例患儿，40例(24.5%)监测到临床发作，其中23例(14.1%)判定为癫疒间性发作事件，17例(10.4%)判定为非癫疒间性发作事件；123例(75.4%)癫疒间患儿得到了证实，其中35例(35/123,28.4%)可进一步确定癫疒间综合征。 结论VideoEEG对鉴别儿童发作性事件的性质、确定癫疒间发作类型及相关癫疒间综合征具有重要价值。

关键词: 视频脑电图, 儿童, 发作性事件

Abstract: AbstractObjectiveTo evaluate the clinical value of videoEEG for the children with episodic events. MethodsFrom May 2005 to Dec.2005,videoEEG monitoring was done in 163 children with episodic events in the Quanzhou Children’s Hospital and a retrospective analysis was carried out. ResultsAmong 163 cases,40 seizures (24.5%) were recorded,23 of whom (14.1%) were confirmed as epileptic seizures,and 17 of whom (10.4%) were confirmed as nonepileptic seizures.Totally 123 patients (75.4%) were confirmed as epilepsy,35 of whom (35/123,28.4%) were clarified as epilepsy syndrome. ConclusionVideoEEG is a direct method of differential diagnosis for the children with episodic events,and is a reliable way for the typing of childhood epilepsy and the classification of epileptic syndrome.

Key words: Episodic events , Children