《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (04): 363-365.

• 临床研究 • 上一篇    下一篇

脑性瘫痪合并癫痫的临床及脑电图分析

郭洪磊1,2;侯梅2;王强3;陈军2;孙殿荣2   

  1. 1. 青岛大学医学院，山东青岛市 266011;2. 青岛市妇女儿童医疗保健中心脑瘫康复中心，山东青岛市 266011;3. 青岛大学医疗集团脑科医院，山东青岛市 266011
  • 收稿日期:2008-10-27 修回日期:2008-12-09 出版日期:2009-04-01 发布日期:2009-04-01
  • 通讯作者: 王强

Clinical Aspects and EEG Analysis in Children with Cerebral Palsy and Epilepsy

GUO Hong-lei, HOU Mei, WANG Qiang, et al   

  1. Qingdao University Medical College, Qingdao 266011, Shandong, China
  • Received:2008-10-27 Revised:2008-12-09 Published:2009-04-01 Online:2009-04-01

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摘要： 目的 探讨脑瘫合并癫痫患儿的临床特征以及相关脑电图特点。方法 收集84例脑瘫合并癫痫患儿的临床资料及发作间歇期脑电图结果，与124例脑瘫不伴癫痫患儿的相关资料对比分析。结果 脑瘫合并癫痫的84例患儿中46例（54.76%）为部分性发作，其次为婴儿痉挛26例（30.95%）、强直-阵挛发作6例（7.14%），痉挛型所占比例最高，为82.14%，其中以痉挛型四肢瘫最多；脑电图异常以局灶或多灶痫样放电多见，脑电图异常率显著高于不伴癫痫的患儿（ P＜0.001）。结论 脑瘫合并癫痫患儿的癫痫类型主要为部分性发作；痉挛型脑瘫是脑瘫中伴发癫痫最多的类型；脑电图异常以局灶痫样放电和多灶痫样放电多见。

关键词: 脑性瘫痪, 癫痫, 脑电图

Abstract: Objective To explore the clinical aspects and related EEG characteristics of epilepsy (EP) in children with cerebral palsy (CP).Methods The clinical data and the EEG Results of seizure-interictal-period in 84 CP children complicated with EP were collected and compared with the data of 124 CP children without EP.Results Among 84 CP children complicated with EP, 46 cases (54.76%) were partial seizures. Followed 26 cases (30.95%) were infantile spasms, 6 cases (7.14%) were tonic-clonic seizures. Spastic CP children tended to be the most patients seizures in EP, it was 82.14%. Children with teraplegia CP were the most type among the spastic CP children compliated with EP. The abnormal rate of EEG of CP children complicated with EP was significantly higher than that of CP children without EP ( P＜0.001), and local epilptiform discharges and multilocal epileptiform discharges were main types.Conclusion Partial seizures is the most epilepsy type in CP children complicated with EP, and spastic CP is the main type. EEG abnormal ratio is obviously higher in the CP children complicated with EP than the CP children without EP. The types of abnormal EEG are mainly local epilptiform discharges and multilocal epileptiform discharges.

Key words: cerebral palsy, epilepsy, electroencephalogram (EEG)