75例儿童额叶癫痫临床特点及视频脑电图特点分析

Analysis of Clinical Characteristics and Video EEG Characteristics of 75 Cases of Frontal Lobe Epilepsy in Children

目的探究和分析75例儿童额叶癫痫的临床特点和视频脑电图特点。方法从2015年8月～2017年8月期间本院收治的所有额叶癫痫患儿当中随机选取其中的75例患儿作为本次的观察和分析对象,对这75例儿童额叶癫痫患儿的基本临床资料进行回顾性分析,分析这75例儿童额叶癫痫患儿的临床特点和视频脑电图。结果经过探究和分析发现,额叶癫痫的发作具有发作持续时间短、发作次数较为频繁的特点,在本次的75例患儿当中,一共监测到患儿额叶癫痫临床发作的次数为178次,平均每例患儿发作的次数为2.4次,其中在患儿睡眠期间发作的有130次,占总发作次数的73.03%;从额叶癫痫的发作类型来看,比较多,比如过度自动运动症、口咽自动症、全身强直阵挛、失张力发作、发声发作等。在额叶癫痫发作的间歇期,患儿的视频脑电图有时无阳性呈现,对这75例额叶癫痫患儿进行视频脑电图的监测发现,额叶癫痫的脑电图特征的放电部位主要是额区,放电部位达到80%,其发作的频率属于偶发和或者阵发的占89.33%;从额叶癫痫脑电图的节律来看,以阵发性棘波和阵发性棘慢波为主,一共占62.67%。结论额叶癫痫发作时的临床症状表现和癫痫病灶有一定的关联,采用视频脑电图对儿童额叶癫痫进行监测,能够发现患儿额叶癫痫特征性的脑电活动,并通过颅内电极记录确定致癫痫病灶的精确定位,为儿童额叶癫痫的临床诊断和治疗提供有效的参考依据。

Objective To explore and analyze the clinical characteristics and video EEG characteristics of 75 cases of frontal lobe epilepsy in children. Methods 75 cases from August 2015 to August 2017 for all children with frontal lobe epilepsy in our hospital were randomLy selected as the observation and analysis of the object, the basic clinical data of the 75 cases of children with frontal lobe epilepsy patients were retrospectively analyzed, analysis of the 75 cases of children with frontal lobe epilepsy clinical characteristics and video eeg. Results After inquiry and analysis found that the onset of frontal lobe epilepsy with short duration, seizure characteristics is frequent seizures in the 75 cases which detected a total number of attacks in children with frontal lobe epilepsy clinical for 178 times, with an average number of children with seizures for 2.4 times, which occurred during sleep in children the 130 times, the total number of episodes 73.03%; from the frontal lobe epilepsy seizure types, there are many, such as the excessive automatic movement disorder, oropharynx automatism, generalized tonic clonic seizures, atonic seizures, voice etc.. In the intermittent period of frontal lobe seizures, video EEG children sometimes showed no positive discovery, monitoring of video EEG in the 75 cases of frontal lobe in children with epilepsy, EEG characteristics of frontal lobe epilepsy discharge part is mainly frontal area discharge site reached 80%, the seizure frequency and intermittent or are sporadic and accounted for 89.33%; from frontal lobe epilepsy EEG rhythm, paroxysmal spike wave and paroxysmal spike wave, a total of 62.67%. Conclusion The clinical symptoms of frontal lobe seizures and epilepsy have certain relevance, using video EEG monitoring in children with frontal lobe epilepsy, brain activity could be found in children with frontal lobe epilepsy characteristic, and precise localization of epileptogenic foci determined by intracranial electrode recording, provide effective reference for the clinical diagnosis and treatment of children with frontal lobe epilepsy.