儿童非癫痫性发作事件的临床与动态脑电监测

AEEG Monitoring and Clinical In Children With Paroxysmal Events of non-epilepsia

目的：探讨24小时动态脑电监测对儿童非癫痫性发作事件的诊断价值。方法：应用24小时动态脑电监测对133例儿童非癫痫性发作事件（惊厥、头痛、晕厥、夜惊和夜游症）进行跟踪监测，分析各时态脑电活动情况。结果：非特异性异常（25％）：惊厥12例（34％），头痛11例（33％），李厥5例（21％），夜惊4例（17％），夜游症2例（11％）。痫样放电13（10%）：惊厥5例（14），头痛2例（6％），晕厥3例（12％），夜惊2例（9％），夜游症1例（6％）。非特异性异常和痫样放电检出率以小儿惊厥最高。结论：24小时动态脑电监测有助于儿童非癫痫性发作事件的诊断和鉴别诊断。

To stady the diagnostic value of 24 - hour AEEG to children with paroxysmal events of non - epilepsia.Methods:The 24 - hour AEEG was monitored in the 133 children with paroxysmal events of non - epilepsia (Convulsion, Paroxysmal headache,Syncopic, Nightterror and Somnambulism), the brain electrical activity changes of each tense were analysed. Results:The non - specific abnormality of AEEG monitored was 34(25% ) cases: of them, 12(34% ) cases with convulsion, 11(33% ) with paroxysmal headacha, 5(21% ) with syncopic, 4(17%) with nightterror and 2(11 % ) with somnambulism; 13(10% ) cases of epileptiform discharge: It is, 5(14% ) cases with convulsion, 2(6% ) with paroxysmal headache, 3(12% ) with syncopic, 2(9% ) with nightterror and one(6% ) with somnambulism. The detection rate of non - specific abnormality and epileptiform discharge in children with paroxysmal events of non - epilepsia was significantly higher in convulsion group than in the other groups (P < 0.05). Conclusion: 24 - hour AEEG monitored is help to differential diagnosis of children with paroxysmal events.