视频脑电图对儿童中央沟前后的运动感觉区放电的观察研究

Investigation of rolandic discharges in children via video-assisted electroencephalogram

目的通过对儿童中央沟前后的运动感觉区(Rolandic)棘慢波进行观察分析,较为全面地诊治患儿的癫痫类型、推测患儿认知发育及预后。方法对本室2012年1月至2013年3月期间525例癫痫样放电的患儿中Rolandic区放电的患者进行回顾性观察。结果 1Rolandic放电143例,占总患儿数27.2%,其中伴中央颞区的儿童良性癫痫(BECT)111例占77.7%;2合并其他部位放电的32例占22.3%;其中广泛性3 Hz棘慢波发放,伴或不伴失神发作的4例;伴脑发育障碍14例;伴额极、额区放电的4例;伴注意力缺陷障碍(ADHD)4例;抽动障碍6例。结论 Rolandic棘波是儿童最常见的癫痫样放电之一。并非所有的Rolandic区放电都是BECT。

Objective To comprehensively diagnose the phenotype of epilepsy, and to predict the cognitive de-velopment and prognosis in children via analyses on the slow spike waves associated with Rolandic discharge. Methods We did a rertospective analysis on the characters of Rolandic discharge in children with epilepsy-like dis-charge disorders who were admitted to Shanxi Medical University between January 2012 and March 2013. Results We identified 143 cases with Rolandic discharge, accounting for 27.2% of the total cases, of whom 111 cases（77.7%） presented with the features of benign epilepsy with centrotemporal spikes （BECT） in electroencephalogram. 32 cases （22.3%） harbored discharge at other sites. Of these children, 4 casess demonstrated extensive 3 Hz spike and slow waves, with or without evidence of absence seizures; 14 cases presented with cerebral development disorders; 4 cases had concomitant frontal area and discharge; 4 cases were diagnosed as having attention deficit disorder （ADHD）; 6 cases had tic disorder. Conclusion Rolandic spikes is one of the most common forms of epilepsy children but might not be invariably accompanied by the presence of BECT.