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动态脑电图对癫痫诊断和鉴别诊断的意义
引用本文:丁湘,郭英,朱超英,刘培霞,陈小星.动态脑电图对癫痫诊断和鉴别诊断的意义[J].临床神经电生理学杂志,1997(2).
作者姓名:丁湘  郭英  朱超英  刘培霞  陈小星
作者单位:解放军第三○九医院三病区
摘    要:对临床诊断癫痫的53例和可疑癫痫的117例行24h动态脑电图(AEEG)监测。结果AEEG阳性率(32.9%)明显高于常规EEG(20%),AEEG痫样放电率在癫痫组为54.7%(29/53),可疑癫痫组为15.4%(18/117)。后者中有临床发作者63例,检出痫样放电10例,睡眠期出现痫样放电占89.4%(42/47)。本文对痫样放电出现与临床发作间的关系以及癫痫诊断和鉴别诊断进行了讨论。

关 键 词:癫痫  脑电图  动态脑电图  诊断  鉴别诊断

Significance of ambulatory EEG in diagnosis and differential diagnosis of epilepsy
Ding Xiang,Guo Ying,Zhu Chaoying,et al Dept of Neurology.Significance of ambulatory EEG in diagnosis and differential diagnosis of epilepsy[J].Journal of Clinical Electroneurophysiology,1997(2).
Authors:Ding Xiang  Guo Ying  Zhu Chaoying  Dept of Neurology
Abstract:Twenty four h ambulatory electroencephalography (AEEG)are performed in 170 patients with definite(53) and suspected(117) epilepsy The positivity rate of AEEG (32 9%) was higher than that of EEG(20%) A significant difference was noted ( P <0 01) The epileptiform discharge rate of AEEG wad 54 7% in 53 epileptic patients and 15 4% in 117 suspected patients Of 117 cases,63 revealed clinical seizures and 10 had epileptiform discharges The discharges mainly occurred in sleeping stage(89 4%) The relation between epileptiform discharge and clinical seizure as well as the diagnosis and differential diagnosis of epilepsy was discussed
Keywords:epilepsy    EEG    AEEG    diagnosis    differental    diagnosin
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