视频脑电图监测在小儿癫痫诊断中的应用

Application of video-electroencephalography monitoring in the diagnosis of pediatric epilepsy

目的探讨视频脑电图（VEEG）监测在小儿癫痫诊断中的意义。方法选取120例未确诊癫痫患儿分别进行VEEG和常规脑电图（EEG）监测，对监测结果进行比较分析，同时应用VEEG监测对确诊患儿的发作类型进行判定。结果常规EEG监测到临床发作21例（17．5％，21／120），痫样放电30例（25．0％，30/120）；VEEG监测到临床发作55例（45．8％，55／120），痫样放电89例（74．2％，8W120）；两种方法监测结果比较差异有统计学意义（P〈0．05）。120例行VEEG监测患儿，最终确诊87例癫痫患儿，进一步进行发作类型判定强直和（或）阵挛发作25例，简单部分发作13例，屏气发作9例，失神小发作18例，复杂部分发作10例，肌阵挛发作12例。结论VEEG监测对于小儿癫痫的诊断具有较高的灵敏度，可确定癫痫发作类型，为治疗提供帮助。

Objective To explore the significance of video-electroencephalography （VEEG） monitoring in the diagnosis of pediatric epilepsy. Methods One hundred and twenty patients undiagnosed pediatric epilepsy were under VEEG and conventional electroencephalography （EEG） monitoring,comparative analysis of these two results, and application of VEEG to determine the type of children with seizure. Results Conventional EEG monitoring detected the clinical onset of 21 cases （17.5% ,21/120）, epileptiform discharges of 30 cases （25.0% ,30/120）. VEEG monitoring detected the clinical onset of 55 cases （45.8% ,55/120）, epileptiform discharges of 89 cases （74.2% ,89/120）.There was significant difference in the monitoring results between two methods （P 〈 0.05）. VEEG monitoring of 120 patients undiagnosed pediatric epilepsy, final diagnosis of 87 cases with pediatric epilepsy, and the type were tonic and （or） clonic seizures 25 cases, simple partial seizures 13 cases, breath holding attacks 9 cases, absence petit mal 18 cases, complex partial seizures 10 cases, myoclonic seizures 12 cases. Conclusion VEEG has high sensitivity for the diagnosis of pediatric epilepsy, and can determine the type of seizures to provide help for the treatment.