视频脑电图对婴幼儿非癫癎性发作的诊断价值

Diagnostic value of video-EEG in infants with non-epileptic seizures

目的评估视频脑电图对婴幼儿非癫疒间性发作的诊断价值。方法无锡市儿童医院于2004年1月至2005年1月,对152例拟诊或需排除癫疒间的患儿进行视频脑电图检查。结果非癫疒间性发作51例,其中非癫疒间性强直发作10例,良性夜间肌阵挛8例,屏气发作7例,婴幼儿擦腿综合征6例,脑瘫及运动发育迟缓肌张力增高导致异常动作强直、震颤、手足徐动5例,良性非癫疒间性婴儿痉挛5例,轻度胃肠炎伴发婴幼儿良性惊厥4例,其他疾病6例。结论视频脑电图是鉴别发作性质及类型的最有效的检查方法,也是鉴别癫疒间与非癫疒间性发作的有效方法。

Objective To evaluate the diagnostic value of video-EEG in infants with non-epileptic seizure. Methods From Jan. 2004 to Jan. 2005,152 infants suspected to have or need to weep out the possibility of epilepsy were examined with video-EEG in our clinics. Results Non-epileptic seizures 51 ：including non-epileptic tonic seizures 10 ;benign nocturnal myoclonus 8 ; breath-holding spell 7 ; mashturbstion-like episodes 6 ; cerebral palsy 5 ; benign myoclonus of early infancy 5;benign infantile convulsions associated with mild gastroenteritis 4;other nonepileptic episodes 6. Conclusion The results indicate that the video-EEG is not only the most sensitive way to differentiate the seizure characteristics and patterns, but also the most effective way in differenting epileptic seizures from the non-epileptic seizures.