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抽动障碍儿童EEG痫样放电的临床意义
引用本文:陈毅华,区少萍,李智华,周艳霞,杨思达,胡景鑫.抽动障碍儿童EEG痫样放电的临床意义[J].临床神经电生理学杂志,2012(5):280-284.
作者姓名:陈毅华  区少萍  李智华  周艳霞  杨思达  胡景鑫
作者单位:[1]广州医学院附属广州市妇女儿童医疗中心神经电生理室,广东广州510623 [2]广州医学院生理学教研室,广东广州510623
摘    要:目的:探讨抽动障碍的视频脑电图(V—EEG)异常率及痫样放电的临床意义。方法:对588例抽动障碍患者进行V—EEG检查并分析其波形特征。结果:该组抽动障碍患儿V-EEG中,正常范围EEG575例,占97.8%,异常EEG(棘尖波发放)13例,占2.2%。结论:抽动障碍患儿的V-EEG异常率并不高,而其中明确与癫痫相关的痫样放电更是少数;抽动障碍患儿中的痫样放电很可能属于正常非癫痫人群中极少数人所具有的临床下放电的情况。

关 键 词:儿童抽动障碍  视频脑电图(V-EEG)  痫样放电

The significance .of EEG epileptiform discharge in children with tic disorder
Institution:CHEN Yihua , OU Shaoping , LI Zhihua ,ZHOU Yanxia , YANG Sida , HU Jinxin 1. Department of Electroneurophysiology , Guangzhou Women and Children ' s Medical Center, Guang- zhou(510623) ,Guangdong China 2. Physiological department of Guangzhou Medical College.
Abstract:Objective:To study the features of epileptiform discharge on abnormal electroencephalo- grams (EEGs) in children with tic disorder. Methods:The V-EEG monitorings were performed and ana- lyzed in 588 children with tic disorder. Results: EEGs in 575 cases (97.80%) were normal and 13 cases (2.2%)were abnormal. Conclusion:The abnormality rate of EEG in children with tic disorder is not high. And the discharges related to epilepsy are even fewer. The epileptiform discharges in children with tic disorder may be sub-clinical ones in nornal children without Epilepsy.
Keywords:Tic disorder  Electroencephalogram(EEG)  Epilcptiform discharge
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