视频脑电图监测对脑瘫合并癫痫发作性患儿的早期诊断及预后价值

Clinical diagnosis and prognostic value of video EEG monitoring in children with cerebral palsy complicated with seizure

目的分析视频脑电图监测对脑瘫合并癫痫发作性患儿的早期诊断及预后价值。方法回顾性分析62例脑瘫合并癫痫发作性患儿的临床资料,作为观察组;另选同期的62例脑瘫合并非癫痫发作性患儿作为对照组;所选患儿均采取视频脑电图监测,比较观察组和对照组患儿视频脑电图的痫样放电发生率,比较观察组与对照组患儿视频脑电图的同步节律放电发生率,并分析脑瘫合并癫痫发作性与视频脑电图异常放电的关系。结果观察组患儿视频脑电图的痫样放电发生率为79.03%,大于对照组(33.87%),差异具有统计学意义(P<0.05);观察组患儿视频脑电图的同步节律放电发生率为66.13%,大于对照组的4.84%;差异具有统计学意义(P<0.05);观察组视频脑电图显示发作期痫样放电发生率为64.52%,发作间期痫样放电发生率为41.94%,差异具有统计学意义(P<0.05)。结论视频脑电图监测可显著提高脑瘫合并癫痫发作性患儿的痫样放电检出率,在临床发作的同时显示脑电图,分析其特征性变化,均有利于脑瘫合并癫痫发作性的早期诊断及预后评估。

Objective To analyze the early diagnosis and prognostic value of video EEG monitoring in children with cerebral palsy and epilepsy. Methods 62 cases of cerebral palsy with seizures were retrospectively analyzed as the observation group. Sixty-two patients with cerebral palsy with non-seizure were selected as the control group. The selected children were treated with video EEG Monitoring.The epileptic discharge rate and synchronous rhythm discharge rate were compared between the observation group and the control group. The relationship of video EEG abnormal discharge with cerebral palsy and seizure was analyzed. Results The incidence of epileptiform discharges was 79. 03% in the video EEG of the observation group,which was higher than that of the conventional group（ 33. 87%）. The difference between two groups was statistically significant（ P 0. 05）; The synchronous rhythm discharge of video EEG in the observation group（ P 0. 05）. In the observation group,the frequency of EEG showed that the incidence of epileptic discharge was 64. 52%,and the epilepsy was between the two groups（ P 0. 05）,and the difference was statistically significant（ P 0. 05） The incidence of discharge was 41.94%,and the difference was statistically significant（ P 0. 05）. Conclusion Video EEG monitoring can significantly improve the detection rate of epileptiform discharges in children with cerebral palsy and seizure,and show the characteristics of EEG at the same time of clinical attack,which is helpful for cerebral palsy with seizure Early diagnosis and prognosis evaluation.