婴幼儿轻度胃肠炎继发良性惊厥20例临床与视频脑电图分析

目的分析婴幼儿轻度胃肠炎继发良性惊厥的临床与视频脑电图情况。方法婴幼儿轻度胃肠炎继发良性惊厥20例,用免疫金标记技术进行病原学诊断,并进行实验室、影像学和视频脑电图检查。结果惊厥发生时间以急性胃肠炎后3天以内最多,占总病例之80%。惊厥发生次数以发作1～2次者最多,占总病例之95%。惊厥发作形式主要为全身强直阵挛性,发作后无烦躁不安、嗜睡、精神萎靡等。颅部CT和MRI检查结果多为正常。发作期视频脑电图检查见异常放电多起源于中央顶部和枕部,发作波节律多呈低波幅快波,发作间期均无癫痫样放电。病原学检测结果显示轮状病毒感染为主,实验室检查结果多在正常范围。结论婴幼儿轻度胃肠炎继发良性惊厥是具有独特特征的一种临床病症。

Clinical study and VEEG analysison of 20 cases mild gastroenteritis with benign infantile convulsions

Objective To analyze clinical aspects and video electroencephalogram (VEEG) of infants with mild gastroenteritis with benign infantile convulsions.Methods 20 cases of infant patients with mild gastroenteritis with benign infantile convulsions were undergone with immune etiology diagnosis gold labeling technique,and for laboratory, imaging and VEEG examination.Results Seizures occurred mostlyin 3 days after acute gastroenteritis, accounted for 80% of the cases.The number of seizures in the course ofthe disease is1 or 2 times,accounted for 95%.The convulsions manifestations generalized tonic-clonic seizures,no dysphoria,drowsiness and mental fatigue after the attack.Cranial CT and MRI Results are normal. Episodes video electroencephalogram examination have shown abnormal discharge originated in more the top and occipital, and the rhythmof attack wave showed low amplitude fast wave,without epileptiform discharges.Etiology detection Results showedmainlyrotavirus infection. Laboratory test Results werein the normal range.Conclusion Benign infantile convulsionwith mild gastroenteritis is a unique feature of a clinical disorder in infants and young children.