小儿非癫痫性发作临床分析

目的　对小儿时期的各种非癫痫性发作进行分析。方法　对 3 2例疑似非癫痫性发作的患儿进行临床分析 ,同时进行录像脑电图或 2 4h动态脑电图监测。结果　 3 2例患儿发作期及发作间期脑电图均无异常放电 ,证实为非癫痫性发作 ,以生理性发作最多 (16例 ,占 5 0 % ) ,其平均年龄最小 (3 .5岁 )。结论　儿童时期存在多种形式的非癫痫性发作 ,以生理性发作最多 ,且非癫痫性发作易被误诊为癫痫及其他疾病 ,采用动态脑电图监测对诊断及鉴别诊断均有指导意义

Clinical analysis of non-epileptic seizures in childhood

Objective To analyze clinical manifestation of the children′s non epileptic seizures (NES).Methods Clinical manifestation of 32 children suspected to have or already weed out the possibility of epilepsy was analyzed,and the video monitoring EEG or 24 hour EEG was made at the same time.Results No paradoxical discharge was observed with EEG at the period and/or the interval of all the 32 cases of children′s NES.They were diagnosed as non epileptic seizures,most of which was physiologic seizures (16 cases,50%).The youngest case aged 3.5 years.Conclusion There are various styles of NES in childhood.The most are physiologic seizures;NES are often misdiagnosed as epilepsy or other diseases,so it is very important to use ambulatory monitoring EEG in diagnosis and differential diagnosis.