儿童良性癫癎动态脑电图与临床追踪观察

THE TRACING OBSERVATION ON AEEG 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，动态脑电图（AEEG）不同类型的改变，追踪临床、AEEG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AEEG描记。结果：本组36例临床发作表现多为部分型，AEEG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呕，但仍以中央-颞区波幅最高。结论：本病6-10岁为多发年龄，AEEG浅睡期阳性率最高，并以中央-颞区为主的散发、阵发单个棘、尖波或棘、尖-慢综合波间断或连续为发作特点。另外药物治疗比末治疗预后要好。

Objective： to explore the clinical attack kind of children benign epilepsy, the change of different types of AEEC, and observe tracing the clinical manifestation, AEEG and prognosis. Methods： The AEEG of thirty-six people was recorded under circumstaences of sleep introducing by medicine. natural sleeping and waking state. The thirty-six people have different ages, characteristic of attack and different types of attack. Results： Most of the clinical attack manifestation is partial type. Characteristic of AEEG （58%） is confined in one side of the center-temporal areas, 42% appear in both areas. Basically one area in primary. Center-temporal area was pacemaker and spread to frontal parietal area. Still the highest amplitude is center-temporalarea. Couclusion： The frequent age is from six to ten years old, positive rate of AEEG is the highest in shallow sleep period, the characteristic of attack are the main paroxysm of center-temporal orea, single or continuous spike wave, sharp wave and spike sharp-slow synthetic wave. In addition, the prongnosis of patient taking medicine is better than that of patrent taking no medicine.