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发作期脑电图未记录到癫(癎)样放电的疑似癫(癎)发作诊断方法探讨
引用本文:苏静,尹剑,姜长斌. 发作期脑电图未记录到癫(癎)样放电的疑似癫(癎)发作诊断方法探讨[J]. 中国医药, 2011, 6(7): 793-794. DOI: 10.3760/cma.j.issn.1673-4777.2011.07.012
作者姓名:苏静  尹剑  姜长斌
作者单位:1. 116023,大连医科大学附属第二医院癫痫中心
2. 大连医科大学附属第一医院神经内科
摘    要:
目的 探讨如何对疑似癫(癎)发作但在发作过程中无明确癫(癎)样放电(棘波、尖波、棘慢波、尖慢波)的病例进行明确诊断.方法 对36例临床上疑似癫痫发作,但常规脑电图和影像学检查(包括头颅cT及MRI)均未见异常的患者做24 h视频脑电图(VEEG)监测.结果 36例患者中30例24 h VEEG记录到至少1次发作,6例无发作.间歇期记录到典型癫瘸样放电20例(尖波、棘波、尖慢波、棘慢波),有不典型异常脑电改变者5例(慢波或电压改变).全部患者中26例(72.2%)诊断为癫痫,3例(8.3%)诊为晕厥,2例(5.6%)诊为假性发作,2例(5.6%)诊为儿童抽动秽语综合征,3例(8.3%)不能明确.结论 针对疑似癫痢样发作但发作过程中无明确癫痼样放电的病例,可以通过做24 h VEEG结合间歇期脑电特点、视频记录到的临床表现、脑电图的参数调节和病史帮助明确诊断.
Abstract:
Objective To explore the diagnosis of patients who suffered from epileptiform attack without epileptic waves(sharp wave,spike wave,sharp-slow complex wave,spike-slow complex wave)in electroenchaphlogram (EEG)during attack.Methods The monitoring of 24 hours video-electroencephalography(VEEG)with a heart electrode were performed in 36 patients who had epileptiform attack but regular EEG and CT or MRI for brain were normal.Results Totally 26 patients were diagnosed of epilepsy,3 patients were diagnosed of syncope,2 patients were diagnosed of false epileptic attack and 2 patients were diagnosed of tic disorders.3 patients had no confirmed diagonisis. Conclusion The monitoring of 24 hours video-electroencephalography(VEEG)with a heart electrode,EEG,VEEG,detailed history and electroencephalography can be helpful to make a diagnosis of patients who have epileptiform attack without epileptic waves.

关 键 词:视频脑电图  癫(癎)  诊断

Diagnosis of epileptiform attack without epileptic waves in electroencephalogram during attack
SU Jing,YIN Jian,JIANG Chang-bin. Diagnosis of epileptiform attack without epileptic waves in electroencephalogram during attack[J]. China Medicine, 2011, 6(7): 793-794. DOI: 10.3760/cma.j.issn.1673-4777.2011.07.012
Authors:SU Jing  YIN Jian  JIANG Chang-bin
Affiliation:1.Epilepsy Center,Second Affiliated d Hospital of Dalian Medical University,Dalian 116023,China;)
Abstract:
Objective To explore the diagnosis of patients who suffered from epileptiform attack without epileptic waves(sharp wave,spike wave,sharp-slow complex wave,spike-slow complex wave)in electroenchaphlogram (EEG)during attack.Methods The monitoring of 24 hours video-electroencephalography(VEEG)with a heart electrode were performed in 36 patients who had epileptiform attack but regular EEG and CT or MRI for brain were normal.Results Totally 26 patients were diagnosed of epilepsy,3 patients were diagnosed of syncope,2 patients were diagnosed of false epileptic attack and 2 patients were diagnosed of tic disorders.3 patients had no confirmed diagonisis. Conclusion The monitoring of 24 hours video-electroencephalography(VEEG)with a heart electrode,EEG,VEEG,detailed history and electroencephalography can be helpful to make a diagnosis of patients who have epileptiform attack without epileptic waves.
Keywords:Video-electroencephalography  Epilepsy  Diagnosis
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