33例儿童腹型癫痫临床观察与脑电图分析

目的分析儿童腹型癫痫脑电图特点。方法用日本光电7314F型脑电图仪检查33例儿童腹型癫痫患者。结果33例儿童腹型癫痫患者,异常波主要为:(1)出现单个棘、尖-慢复合波7例;(2)出现阵发性中至高波幅θ活动10例;(3)出现阵发性中至高波幅δ活动3例;(4)枕、颞区一侧性局限性慢活动3例。脑电图异常23例,异常率为69.6%。全部病例均使用抗癫痫药治疗,经过6个月～2年治疗观察,20例腹痛发作完全控制,9例发作次数明显减少,治愈好转率达87.8%。结论脑电图检查对儿童腹型癫痫的诊断、鉴别诊断和预后都有重要的意义。

Clinical Observation and EEG Analysis in 33 Cases of Children with Abdominal Epilepsy

Objective To analyze the EEG characteristics of children with abdomind epilepsy. Methods Examining 33 cases of children with abdominal epilepsy by Nihon Kohden 7314F type electroencephalograph. Results In 33 cases of children with abdominal epilepsy,the mainly abnormal waves were:(1) 7 cases of a single spine or spine-slow complex wave; (2) 10 cases of paroxysmal activity in the high volatility of θ; (3) 3 cases of paroxysmal activity in the high volatility of δ; (4) 3 cases of occipital,temporal side of the nature of the limitations of slow activity. There were 23 cases of EEG abnormalities,the abnormal rate was 69.6%. All patients were treated with antiepileptic drugs. Within 6 months to 2 years of observation and treatment,20 cases of abdominal pain attack were controlled completely,9 cases of seizure frequency decreased significantly,with improved cure rate of 87.8%. Conclusion EEG has important significance in diagnosis,differential diagnosis and prognosis of children with abdominal epilepsy.