45例婴儿痉挛症脑电图与随访观察

目的：探讨婴儿痉挛症脑电图(EEG)表现以及在随访过程中EEG变化与治疗的关系。方法：对45例婴儿痉挛症患进行脑电图时事监测与随访中复查EEG并对比观察。结果：首次EEG检查典型高度失律34例(75．5％)，不典型高度失律11例(24．4％)。随访；5年内对45例进行不同年份的随访观察，其治疗好转率EEG大致正常8例(17．7％)，好转无发作波11例(24．4％)，转型或仍有不同程度异常16例(35．5％)。结论：临床以短暂急剧强烈的强直性收缩为主要症状，智能障碍和EEG高度失律为特征，随访过程中可根据EEG变化的情况来指导治疗判定疗效及预后是非常有必要的。

OBSERVATION OF FOLLOW - UP SURVEY ON EEG IN 45 PATIENTS WITH INFANTILE SPASM

Objective: To investigate the manifestation of EEC and the relationship between EEG and treatment in the course of follow - up survey in patient with infantile spasm. Methods: To detect EEG, checd it, and contrast it in 45 patient with infantile spasm. Results: Typical and atypical hypsarrhythmia were 34 cases (75.5%) and 11 case (24.4%) respectively. In 5 years , normal EEG was 8 case (17.2%), improving attack wave was 11 cases (24.4%), various abnormality was 16 case (35.5%) after observation of follow- up sarvey. Conclusion: clinical sign was transient, severe, rigid contraction. Dysnoesia and EEG hypsarrhythmia was main characteristic. It was essential that treatment was guided and curative effect was judged according to EEG.