动态脑电图对儿童癫痫与非癫痫发作的诊断和鉴别诊断

Diagnosis and Differential Diagnosis Value of AEEG for Children Epilepsy and Pseudoseisure

目的 :探讨动态脑电图对小儿癫痫及非癫痫发作的诊断和鉴别诊断意义。方法 :对 10 3例临床确诊为癫痫及 47例可疑癫痫儿童进行 2 4h动态脑电监测。结果 :15 0例中脑电图总异常率为 6 8.6 %。癫痫组脑电异常率 77.7% ,痫样放电检出率 70 .9% ,可疑癫痫组脑电异常率为 40 .4% ,痫样放电检出率 19.1%。两组之间的异常率及痫样放电检出率均有显著性差异 (P<0 .0 1)。结论 :动态脑电图对小儿癫痫及非癫痫发作性疾病的诊断。

Objective To discuss the significance of AEEG for the diagnosis and differential diagnosis of kids epilepsy (EP) and pseudoseizure. Methods 103 Cases EP confirmed in clinic and 47 cases suspicious EP were made 24 hours monitoring of AEEG. Results Of 150 cases, the total abnormal rate of EEG was 68.6 %. In epilepsy group, the abnormal rate was 77.7 %, and the rate of epileptiform discharge was 70.9 %; and the relative rates were 40.4 % and 19.1 % respetively in suspicious group. Both the abnormal rate and epileptiform discharge had remarkable difference (P<0.001) between two groups. Conclusion AEEG plays an important role in the diagnosis and differential diagnosis for children epilepsy and pseudoseizure.