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视频脑电图监测在癫痫诊断中的应用研究
引用本文:李伟旺,刘南平,陈景云. 视频脑电图监测在癫痫诊断中的应用研究[J]. 宁夏医科大学学报, 2011, 0(4): 338-340
作者姓名:李伟旺  刘南平  陈景云
作者单位:宁夏医科大学;宁夏医科大学神经电生理科;
摘    要:目的探讨视频脑电图(V-EEG)在癫痫诊断中的应用价值。方法回顾性分析147例癫痫患者视频脑电监测结果。结果 147例癫痫患者中V-EEG出现痫性放电者121例,占82.3%(121/147),未监测到痫性放电者26例(17.7%,26/147),有临床发作者62例(51.2%,62/121)。59例诊断为癫痫综合征,其中儿童良性癫痫伴中央颞区棘波12例,儿童失神性癫痫10例,west综合征7例,额叶癫痫4例,颞叶癫痫19例,枕叶癫痫7例。62例患者确定癫痫发作类型,其中面强直阵挛性发作11例,失神发作10例,肌阵挛发作4例,强直发作9例,失张力发作5例,简单部分性发作9例,复杂部分性发作14例。发作期脑电形式多样,在各种发作表现形式中,有较明确起始部位的30例,其中额区起源6例、颞区起源11例、额颞区起源8例、枕颞后起源3例、额中央起源2例。结论视频脑电图监测在确定癫痫发作类型与癫痫综合征及评价脑电-临床关系方面可提供比较可靠的依据。

关 键 词:视频脑电图  癫痫  痫性放电  癫痫发作  诊断

The Diagnostic Value of VEEG Monitoring in Epilepsy
LI Wei-wang,LIU Nan-ping,CHEN Jing-yun. The Diagnostic Value of VEEG Monitoring in Epilepsy[J]. Journal of Ningxia Medical College, 2011, 0(4): 338-340
Authors:LI Wei-wang  LIU Nan-ping  CHEN Jing-yun
Affiliation:LI Wei-wang1,LIU Nan-ping2,CHEN Jing-yun2(1.Ningxia Med.Univ.,Yinchuan 750004,2.Dept.of Neural Physiological,the Affiliated Hospital of Ningxia Med.Univ.,Yinchuan 750004)
Abstract:Objective To explore the diagnostic value of video electroencephalogram(EEG) in epilepsy.Methords 147 cases with epilepsy were monitored with VEEG and results were analyzed.Results Of 147 epileptics patients,121 cases(121/147) were found the discharge epileptiform and 62 cases(62/147,42.2%) were found clinical and onset seizures.59(59/147,40.1)cases were diagnosed with epilepsy syndrome including 12 cases with childhood benign epilepsy with central temporal spikes,10 cases with childhood absence epilepsy,7 ...
Keywords:video electroencephalogram  epilepsy  epileptiform discharge  seisure  diagnosis  
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