视频脑电图监测对发作性疾病的诊断价值

Diagnostic value of Video EEG monitoring in patients with seizures

目的探讨视频脑电图(VEEG)对发作性疾病的诊断价值。方法对62例发作性疾病患者进行VEEG监测,并与普通脑电图(REEG)进行对比分析。结果REEG正常47例(75.8%),异常15例(24.2%),其中痫样放电13例(21.0%),临床发作1例(1.6%)。而VEEG监测正常20例(32.3%),异常42例(67.7%),其中痫样放电38例(61.3%),监测到临床发作22例(35.5%)。最终诊断癫痫性发作38例,非癫痫性发作24例。结论VEEG监测对癫痫发作及非癫痫发作的诊断和鉴别有重要价值。

Objective To explore the diagnostic value of video-EEG (VEEG)in the patients with seizures.Methods Video -EEG monitoring was performed in62patients with seizures,the results were analyzed comparatively with Regular EEG(REEG).Results REEG was normal in47cases(75.8%),abnormal in15cases(24.2%),epilepti-form discharges was detected in13cases(21.0%),clinical seizures were observed in1case (1.6%).However,VEEG was normal in20cases(32.3%),abnormal in42cases(67.7%),epileptiform dis-charges was detected in38cases(61.3%),clinical seizures were observed in22case(35.5%).Epilepsy was conformed in38patients,24patients were non-epileptic seizures.Conclusion Video-EEG might have important value in the diagnosis and differential diagnosis of the patients with seizures.