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120例癫痫及可疑癫痫患者临床与动态脑电图分析 被引量:3

Analysis of ambulatory EEG in 120 patients with epilepsy or atypical epilepsy
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摘要 目的探讨动态脑电图对癫痫及可疑癫痫患者临床诊断价值。方法对67例癫痫患者和53例可疑癫痫患者行24h动态脑电图监测,结合临床进行分析。结果癫痫组痫样放电阳性率65.7%,可疑癫痫组痫样放电阳性率34.0%。85.5%的痫样放电出现在睡眠期,睡眠中又以非快速眼球运动(NREM)期明显。痫样放电以尖波为主,部位以多灶为主。结论动态脑电图监测可对癫痫及可疑癫痫的诊断提供重要依据,但对癫痫发作的分型、癫痫源的定位作用有限。 Objective To explore the clinical diagnostic value of ambulatory EEG (AEEG) in epilepsyandatypical epilepsy. Methods The monitoring of 24-hour AEEG were performed in 67 epileptic and 53 atypical epileptic. Results 65.7% of epileptic cases presented abnormality, and 34.0% of atypical epilepsy. The 85.5% of epileptic form discharges were found in the stage of sleep, especially in the Ⅰ or Ⅱ stage of NREM. The main epileptic form discharges was sharp waves. Conclusion The monitoring of 24-hour AEEG may play important role in the diagnosis of epilepsy or atypical epilepsy, but can do little in the classification and detecting the focus of epilepsy.
出处 《中国康复理论与实践》 CSCD 2005年第7期574-574,共1页 Chinese Journal of Rehabilitation Theory and Practice
关键词 癫痫 诊断 动态脑电图 epilepsy diagnosis ambulatory electroencephalogram
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  • 1[1] 福山幸夫.小儿实用脑电图学.北京:人民卫生出版社,1984.88~115
  • 2[2] 史玉泉.实用神经病学.上海:上海科学技术出版社,1994.798~799
  • 3[3] John K,Hughes.临床实用脑电图学.北京:人民卫生出版社,1997.186
  • 4王宝婵,王华燕,许国英,李智文.动态脑电图监测对癫痫诊断和鉴别癫痫的意义[J].临床神经病学杂志,2001,14(4):238-239. 被引量:13

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