动态脑电图加心脏导联监测对晕厥与癫癎的鉴别诊断价值

DIAGNOSTIC VALUE ON THE MONITORING OF AEEG AND AN HEART ELECTRODE IN SYNCOPE AND EPILEPSY

目的:探讨24小时动态脑电图(AEEG)加心脏导联监测对晕厥与癫的鉴别诊断价值。方法:对92例以昏倒就诊,但常规脑电图(REEG)和心电图(ECG)均阴性的患者做24小时AEEG加心脏导联监测,并结合临床进行观察。结果:46例AEEG检测到多次阵发性棘波、尖波、棘慢波综合、尖慢波综合等样放电而诊断为癫,24例诊断为晕厥(心源性晕厥占58.3%,脑源性晕厥占25%,反射性晕厥占16.7%),6例不能定性,16例正常,总阳性率为82.6%。结论:24小时AEEG加心脏导联监测能帮助鉴别临床以昏倒发作的晕厥与癫,并能区分晕厥的类型。

Objectives：To explore the diagnostic value on the monitoring of 24 hours AEEG and an heart electrode in syncope and epilepsy. Methods：The monitoring of 24 hours AEEG and an heart electrode were performed in 92 patients with fainting seizures,and observed their clinical manifestation. Results：46 patients could show many paroxyomal spike waves ,sharp waves ,spile -and- slow wave complex, sharp -and -slow wave complex in AEEG,and epilepsy can be diagnosed, in 24 patients, syncope can be diagnosed,6 patients were not sure,16 patients were normal. The total positive rate is 82.6%. Coaclusions：The monitoring of 24 hours AEEG and an heart electrode can distinguish syncope and epilepsy, and the type of syncope could be distinguished.