癫痫与睡眠障碍相互误诊分析

ANALYSIS ON DIAGNOSTIC ERROR BETWEEN EPILEPSY AND SLEEP OBSTACLE SYNDOROME

目的:减少癫痫与睡眠障碍相互误诊率。方法:本文使用 MB800型8导 AEEG 仪,对1998年8月至2002年8月监测到的癫痫与睡眠障碍相互误诊的9例进行分析。结果:癫痫误诊为睡眠障碍4例,睡眠障碍误诊为癫痫3例,误诊为儿童多动症1例,误诊为抽动—秽语综合症1例。结论:睡眠障碍在临床上常与癫痫相混淆,而睡眠障碍和癫痫的重要鉴别在于前者 EEG 正常,后者EEG 伴有典型的癫样放电。

Objective:To reduce the rate of diagnostic-error between epilepsy and sleep obstacle syndrome.Method:9 diagnogtic-error cases about epilepsy and sleep obstade syndorome were examined by AEEG(MB800,lead 8)and analysed from 1998.8 to 2002.8 Results:4cases with epilepsy were mis-di- agnosed sleep abstacle syndrome,3cases with sleep abstacle syndrome were mis-diagnosed epilepsy;One case with sleep abstacle syndrome was mis-diagnosed minimal brain dysfunction syndrome and another case was diag- nosed Gilles de la Tourette's syndrome.Conclusion:Sleep obstacle syndorome was confused with epilepsy of- ten.However,the most important difference between them was that EEG of sleep obstade syndorome is normal and the EEG of epilepsy appeartd epileptiform discharges.