视频脑电图监测在癫痫诊断中的应用研究

The Diagnostic Value of VEEG Monitoring in Epilepsy

目的探讨视频脑电图(V-EEG)在癫痫诊断中的应用价值。方法回顾性分析147例癫痫患者视频脑电监测结果。结果 147例癫痫患者中V-EEG出现痫性放电者121例,占82.3%(121/147),未监测到痫性放电者26例(17.7%,26/147),有临床发作者62例(51.2%,62/121)。59例诊断为癫痫综合征,其中儿童良性癫痫伴中央颞区棘波12例,儿童失神性癫痫10例,west综合征7例,额叶癫痫4例,颞叶癫痫19例,枕叶癫痫7例。62例患者确定癫痫发作类型,其中面强直阵挛性发作11例,失神发作10例,肌阵挛发作4例,强直发作9例,失张力发作5例,简单部分性发作9例,复杂部分性发作14例。发作期脑电形式多样,在各种发作表现形式中,有较明确起始部位的30例,其中额区起源6例、颞区起源11例、额颞区起源8例、枕颞后起源3例、额中央起源2例。结论视频脑电图监测在确定癫痫发作类型与癫痫综合征及评价脑电-临床关系方面可提供比较可靠的依据。

Objective To explore the diagnostic value of video electroencephalogram（EEG） in epilepsy.Methords 147 cases with epilepsy were monitored with VEEG and results were analyzed.Results Of 147 epileptics patients,121 cases（121/147） were found the discharge epileptiform and 62 cases（62/147,42.2%） were found clinical and onset seizures.59（59/147,40.1）cases were diagnosed with epilepsy syndrome including 12 cases with childhood benign epilepsy with central temporal spikes,10 cases with childhood absence epilepsy,7 cases with west syndrome,4 cases with frontal lobe epilepsy,19 patients with temporal lobe epilepsy and 7 cases with occipital lobe epilepsy.62 patients with seizure type included 11 cases with tonic clonic seizures,10 cases with absence seizures,4 cases of myoclonic seizures,tonic seizures in 9 cases,5 cases of atonic seizures,simple partial seizures in 9 cases and complex partial seizures in 14 cases.Attack of the EEG showed in various forms including a clearer starting position of 30 cases,6 cases of frontal origin,temporal origin in 11 cases,8 cases of frontotemporal area of origin,after the origin of occipitotemporal 3 cases and the amount of central origin in 2 cases.Conclusion VEEG monitoring provides accurate and reliable basis to ensure the seizure types,the epilepsy syndrome and evaluating the relationship of clinical and EEG.