30例BECT的临床分析及疗效观察

Clinical Analysis and Curative Efficacy Observation of 30 BECT Cases

目的对小儿良性癫痫(BECT)患儿进行诊断、治疗及疗效监测。方法对30例BECT患儿的临床资料和视频脑电图进行分析,给予得理多治疗及血药浓度监测。结果30例患儿发病均与睡眠密切相关。发作间期脑电图均有一侧或双侧中央、顶区和(或)中、后颞区棘波或棘慢复合波发放,其中有19例用得理多可控制临床发作。结论伴有中央颞区棘波的小儿良性癫痫临床发作和睡眠密切相关,以学龄儿为多见。95%病例对得理多反应良好,单药即可控制发作。

Objective The diagnosis, treatment and monitoring efficacy were done with BECT. Methods 30 BECT cases were collected with the clinical data and video EEG analysis. Carbamazepine was given to control seizure and to monitor blood concentration. Results 30 cases are closely related with sleep. 30 cases of interictal EEG have unilateral or bilateral central and parietal and （or）, temporal spikes or spike-wave of slow release. Of 19 in 20 cases use carbamazepine that can control clinical attack. Conclusions BECT epileptic seizure is closely related with sleep and school-age children are common. 95% cases have a favourable response to carbamazepine and monotherapy can control seizures.