腹型癫痫56例分析

Clinical Analysis of 56 Cases of Abdominal Epilepsy

目的:探讨腹型癫痫的临床和脑电图特征。方法:对56例腹型癫痫的临床和脑电图资料进行回顾性分析。结果:发现腹型癫痫主要表现为以脐周围为主的反复发作性剧烈腹痛,同时伴有恶心、呕吐、面色苍白等植物神经系统症状。脑电图异常改变以全脑或局灶性阵发性中～高或极高电位的δ波或δ、θ混合活动,伴尖波发放为特征,过度换气中可见每秒4～6次棘慢综合波。结论:临床抗痫治疗有效,预后良好。

Objective: To study the clinical and electroencephal - ogram(EEG) features of abdominal epilepsy. Methods: The clinical and EEG data of 56 patients with abdominal epilepsy were analyzed retrospectively. Results: The clinical features of abdominal epilepsy were recurrent severe abdominal pain mainly located around navel associated with nausea, vomiting, pale complexion and other vegetative nervous system symptoms. The features of EEG abnormal changes were global or focus paroxysmal middle -high or extremely high voltage delta wave or mixed delta theta activity associated with sharp wave discharge, and in hyperventilation with 4-6c/sec spike and wave complex. Conclusion: The patients with abdominal epilepsy were responsive to antiepileptics and usually had good prognoses.