影响儿童非癫痫发作性障碍诊断的因素

探讨儿童非癫痫发性作诊断及其影响因素，方法：根据２４ｈ动态脑电图监测，综合分析病史，体格检查，神经系统检查及影像学资料。结果ＮＥＳ合并癫痫者占所有病例的２８％；单纯ＮＥＳ癫痫样脑波检出率为１０％，有脑器质性损害者，ＮＥＳ合并癫痫占３２％，单纯ＥＮＳ占１１％；单纯ＮＥＳ使用抗癫痫药者占１８％，合并癫痫而加用抗癫痫药者达５０％。结论ＡＥＥＧ是鉴别ＮＥＳ与癫痫发作的较好方法，ＮＥＳ发作形式，ＮＥＳ与癫痫

Influence factors on correct diagnosis of non-epileptic paroxysmal disorders in childhood]

To investigate the influence factors on correct diagnosis of non-epileptic seizures(NES) in childhood, we analyzed 24 h ambulatory electroencephalography(AEEG) and clinical features of the attacks in 159 children with NES. The results showed that 28% of all patients were identified as NES plus epileptic seizures. Epileptiform EEG discharges were observed in 10% of pure NES children. Abnormal findings on neurodiagnostic evaluation were obtained in 32% of NES plus epileptic seizure groups, in 11% of pure NES groups. Unnecessary anti-epileptic drugs were received in 18% of pure NES children and the kind or doses of the medicines were increased in 50% of NES plus epileptic seizure children who had been mistaken for refractory epilepsy. The influence factors on correct diagnosis of NES are mainly; variability of non-epileptic seizure expression, interictal epileptiform EEG discharges, neurologic abnormal findings, and anti-convulsant abuse.