儿童良性癫痫脑电图与临床追踪观察

THE OBSERVATION TRACING ON EEG AND CLINICAL PROGNOSIS OF CHILDREN BENIGN EPILEPSY

目的:探讨儿童期良性中央—颞区棘波灶性癫痫(EBCC)的临床发作形式,脑电图(EEG)不同类型的改变,追踪临床、EEG及预后情况。方法:对36例不同年龄、不同发作特点不同发作类型进行清醒自然睡眠或药物诱导睡眠行EEG描记。结果:本组36例临床发作表现多为部分型,EEG特点;其中21例(58%)局限于一侧的中央—颞区,15例(42%)呈双侧基本以一侧为主的中央—颞区为起搏点播散到额顶区,但仍以中央—颞区波幅最高。结论:本病5～10岁为多发年龄,EEG浅睡期阳性率最高。以中央—颞区为主的阵发单个间断或连续棘尖波或棘尖—慢综合波为发作特点。另外用药治疗比未治疗预后要好。

Objective:to explore the clinical attack of children benign epilepsy,the change of different types of EEC,and observe tracing the clinical manifes tation,EEG and prognosis.Methods:The EEG of thirty-six people was record under circumstances of sleep introducing by medicine,natural sleeping and waking state,The thirty-six people have different ages,characters of attack and different types of attack.Results:Most of the clinical attack manifestation is partial type.Character of EEG(58%) is confined in one side of the center-temporal areas,42% appear in both areas.Basically one area is primary.Center-temporal area was pacemaker and spread to frontal parietal area.Still the highest amplitude is center-temporal area.Couclusion:the frequent age is five on the years old,positive rate of EEG is the highest in shallow sleep period,the characters of attack out are the main paroxysm of center-temporal orea,single or continuous spike wave,cusp wave and spinal cusp-slow synthetic wave.In addition,the prognosis of patient taking medicine is better than that of patient taking no medicine.