摘要
目的:观察早期儿童癫痫病例单光子发射计算机层体摄影(SPECT)高灌注灶与脑电图(EEG)致痫灶之间的相关性。方法:对30例儿童癫痫SPECT高灌注显像病例进行同步录像脑电图(V-EEG)进行12h长程监测,分析这两种方法结果的相关性。结果:发作间期SPECT显像高灌注灶者29例(97%),高低灌注灶者1例(3%);单灶者13例(43%)13个灶,多灶者17例(57%)41个灶,共54个灶。EEG30例均异常,有痫样放电者29例(97%),其中局限性异常18例(60%),广泛性异常11例(37%),另有慢波异常者1例。SPECT高灌注灶与EEG的致痢灶相符者7例(23%),相近者7例(23%),不相符者16例(54%)。结论:早期儿童癫痫病例SPECT的高灌注灶与EEG的致痫灶的相关性较低。
Objective:To explore the correlation between cerebrac hypertransfusion focus of SPECT and epileptogenic zones of EEG in children with epilepsy interictal. Methods- Trirty epileptic children with eerebrac hypertransfusion focus on SEPCT were examined by long-term V-EEG monitoring for 12 hours. And the position of the hypertransfusion focus as compared with that of epileptogenic zones on EEG. Resuits: Through interictal SPECT perfusion imaging, hypertransfusion showed in 29 patients (97M) ,hyperrhypotrasfusion:in one (3%) ;Including single loci in 13 cases, multifocux in 17 cases (47 focus all together). EEG abnormality in all the 30 patients,epileptiform discharge in 29 cases (97%) ,including focal discharge in 18 cases and widespread in 11 cases. CT/MRI abnormality in 4 ases(13%). In the association of SPECT hypertransfusion focus and EEG epileptiform discharge zones, the conforimity type and similarity type took up 7 cases(23% ) respectively, the dispersion type in 12 cases , the diffuse type in 3 cases,and no epileptiform dischange type in one. Conclusions: There is rather low correlation between hypertransfUSion focus of SPECT and epileptogenic zones of EEG in the children with epilepsy interietat,and most of hypertransfusion focus can not replace epileptogenic zones . The conformity is 23% in the both focus and zones.
出处
《癫痫与神经电生理学杂志》
2010年第1期18-20,共3页
Journal of Epileptology and Electroneurophysiology(China)