摘要
目的 评价视频脑电图 (VEEG)在诊断儿童非癫痫性发作 (NES)中的作用。方法 对 10 5例经 1～ 4hVEEG动态监测后诊断为NES患儿的临床资料进行回顾性分析 ,探讨影响诊断的因素。结果 10 5例NES中 ,心理性NES 14例 ( 13 % ) ,躯体性NES91例 ( 87% )。 43例此前接受过普通EEG检查的患儿中 11例 ( 2 6% )曾被误诊。结论 VEEG是明确小儿非癫痫性发作的种类、鉴别非癫痫性与癫痫发作的可靠的方法 。
Objective To evaluate the value of Video-EEG for the diagnosis of children's non-epileptic seizures (NES). Methods A retrospective analysis was conducted in 105 cases of children with NES, which were diagnosed by 1 to 4 hours' video-EEG surveillance. Risk factors that interfered with the diagnosis were discussed. Results There were 91 cases (87%) of physiological NES and 14 cases (13%) of psychological NES among the total 105 NES. Misdiagnoses were made in 11 of 43 cases who received common EEG examination before. Conclusion Video-EEG was a reliable method to confirm the clinical diagnosis of non-epileptic seizures and differentiate it from epilepsy. EEG abnormality during seizure-free periods was the main risk factor for the misdiagnosis of NES.
出处
《中国医师杂志》
CAS
2004年第8期1034-1036,共3页
Journal of Chinese Physician
