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动态脑电图对癫痫的诊断价值
引用本文:陈荣芳,张利容.动态脑电图对癫痫的诊断价值[J].立体定向和功能性神经外科杂志,2006,19(2):103-105.
作者姓名:陈荣芳  张利容
作者单位:1. 230022,合肥,安徽医科大学第一附属医院神经电生理室
2. 安徽中医学院第一附属医院神经内科
摘    要:目的探讨动态脑电图(ambulatory electroencephalogram,AEEG)对癫痫(epilepsy,EP)的诊断价值。方法应用奥地利EMS16道脑电记录仪对54例临床诊断为癫痫(常规脑电图均未发现痫样放电)的患者,进行动态脑电图监测。结果①经AEEG检查有痫样放电者44例,阳性率81.5%;②有临床发作者37例(68.5%),其中30例(55.6%)同时出现痫性放电;3例(5.6%)发作期无痫样放电,发作间期脑电图显示痫样放电;4例(7.4%)发作期和发作间期均没有痫样放电;③17例(31.5%)未监测到临床发作,其中11例(20.3%)有痫样放电;6例(1.1%)无痫样放电。结论AEEG监测对癫痫的诊断具有重要价值。

关 键 词:癫痫  动态脑电图  发作  非癫痫发作
文章编号:1008-2425(2006)02-0103-03
收稿时间:2005-08-09
修稿时间:2005年8月9日

The importance of AEEG in the diagnosis of epilepsy
Chen Rongfang,Zhang Lirong.The importance of AEEG in the diagnosis of epilepsy[J].Chinese Journal of Stereotactic and Functional Neurosurgery,2006,19(2):103-105.
Authors:Chen Rongfang  Zhang Lirong
Institution:The department of Neurosurgery , Anhui Medical University, Anhui , 230001
Abstract:Objective To evaluated the diagnostic value of AEEG in patients with epilepsy.Methods 54 patients with epilepsy underwent AEEG monitoring for 24 hour,which have normal EEGs.Results 44 of these 54 patients(81.5%) showed epileptiform discharges.Only 37 patients(68.5%)experienced tipical clinical episodes during their recordings,30 cases(55.6%)had ES at the time of their seizures among those patients,3 cases(5.6%) had no ES during their seizures,but had during their nonseizures.4 cases(7.4%)showed no electrical chang in the AEEG recording.17 of 54 patients(31.5%) who not found any clinic events,11 cases(20.3%) had ES and 6 cases(1.1%) had no ES among those.Conclusion AEEG have important clinic application in the diagnosis of epilepsy.
Keywords:Epilepsy  AEEG  Seizure  Non-epileptic
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