《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (07): 574-574.

• 临床研究 • 上一篇    下一篇

120例癫痫及可疑癫痫患者临床与动态脑电图分析

王义刚1; 黄绍娴2; 戚怡2; 陈军1; 黄贯中2   

  1. 1.广东医学院附属医院神经内科 广东湛江市 524001;2.广东医学院附属医院脑电图室 广东湛江市 524001
  • 收稿日期:2005-03-23 出版日期:2005-07-25 发布日期:2005-07-25

Analysis of ambulatory EEG in 120 patients with epilepsy or atypical epilepsy

WANG Yi-gang, HUANG Shao-xian, QI-yi, et al   

  1. Department of Neurology, Hospital Affiliated to Guangdong Medical College, Zhanjiang 524001,Guangdong,China
  • Received:2005-03-23 Published:2005-07-25 Online:2005-07-25

PDF (PC)

被引次数

2

摘要： 目的探讨动态脑电图对癫痫及可疑癫痫患者临床诊断价值。方法对67例癫痫患者和53例可疑癫痫患者行24h动态脑电图监测,结合临床进行分析。结果癫痫组痫样放电阳性率65.7%,可疑癫痫组痫样放电阳性率34.0%。85.5%的痫样放电出现在睡眠期,睡眠中又以非快速眼球运动(NREM)期明显。痫样放电以尖波为主,部位以多灶为主。结论动态脑电图监测可对癫痫及可疑癫痫的诊断提供重要依据,但对癫痫发作的分型、癫痫源的定位作用有限。

关键词: 癫痫, 诊断, 动态脑电图

Abstract: ObjectiveTo explore the clinical diagnostic value of ambulatory EEG (AEEG) in epilepsy and atypical epilepsy.MethodsThe monitoring of 24-hour AEEG were performed in 67 epileptic and 53 atypical epileptic.Results65.7% of epileptic cases presented abnormality, and 34.0% of atypical epilepsy. The 85.5% of epileptic form discharges were found in the stage of sleep, especially in the Ⅰor Ⅱstage of NREM. The main epileptic form discharges was sharp waves.ConclusionThe monitoring of 24-hour AEEG may play important role in the diagnosis of epilepsy or atypical epilepsy, but can do little in the classification and detecting the focus of epilepsy.

Key words: epilepsy, diagnosis, ambulatory electroencephalogram