儿童非癫痫性发作

目的 :探讨儿童非癫痫性发作的各种临床表现形式。方法 :对 35例非癫痫性发作患儿的临床结合脑电图监测进行分析。结果 :35例儿童非癫痫发作中 ,生理性发作占 5 1% ,且平均年龄最小 ,全部患儿经 2 4小时脑电图或录相监测脑电图检查发作间期和 /或发作期均无异常放电 ;本组误诊 2 1例 ,其中癫痫 10例。结论 :儿童的非癫痫性发作表现形式多样 ,以生理性发作最多。儿童非癫痫性发作易误诊为癫痫及其它疾病 ,应用动态脑电图监测对其诊断及鉴别诊断有重要意义。

Non-epileptic seizures of children

Objective:To study the clinical manifestation of the children's non epileptic seizures(NES).Methods:The clinical manifestation and EEG monitoring of 35 cases were analysed.Results:Of all the 35 cases of children's NES, physiologic seizures,which occupied 51 percent. It's average age was minimum.No abnormalities electric activating was observed with 24-hour EEG or video monitoring EEG at the interictal and/or ictal period.21 cases were erroneous diagnosed of which 10 cases were epilepsy.Conclusion:There were a lot of styles clinical manifestation of children's NES.The maximum was physiologic seizures;because NES were usually erroneous diagnosed as epilepsy or other diseases,it was important to use ambulatory monitoring EEG to the diagnosis and distinguish diagnosis.