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视频脑电图在癫诊断中的应用

The Application of Video Electroencephalogram in Diagnosis of Epilepsy

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【作者】 姜海燕周艳辉肖岚肖波郭伍英

【Author】 JIANG Hai-Yan, ZHOU Yan- Hui, XIAO Lan, XIAO Bo, GUO Wu-Ying Department of Neuorology, Xiangya Hospital of Central South University, Changsha 410008, China

【机构】 中南大学湘雅医院神经内科中南大学湘雅医院神经内科 410008410008

【摘要】 目的:探讨视频脑电图对癫的诊断价值及其适用性。方法:对117例发作性疾病患者进行视频脑电图监测后进行分析比较。结果:117例患者视频脑电图共诊断癫37例,诊断阳性率27.4%;60例临床未诊断癫患者中,视频脑电图比常规脑电图诊断阳性率高(11例)18.3%(P=0.04);57例临床诊断癫患者中,有5例临床诊断的癫分型与其发作时临床表现不符,不符合率为8.8%。结论:视频脑电图可以提高癫诊断率及分型的准确性,有利于指导临床合理用药。

【Abstract】 Aim: To investigate the value of video electroencephalogram in diagnosis of epilepsy. Methods: To analyze the results of 117 patients’ video electroencephalogram monitoring. Results:There are 37/117 patients can make a final diagnosis of epilepsy with a positive rate 27.4%. In the clinical undiagnosed epileptic patient(s60/117), video electroencephalogram has more higher positive rate than regular electroencephalogram by 18.3%.In the clinical diagnosed epileptic patient(s57/117), 5/57 ones’ classification are not consistent with clinical diagnosis.The difference rate is 8.8%. Conclusion: Video electroencephalogram can improve the rate of diagnosis and accurate classification of epilepsy and give a guidance in rational administration.

【关键词】 视频脑电图癫诊断价值
【Key words】 video electroencephalogramepilepsydiagnosis value
  • 【文献出处】 中国临床神经科学 ,Chinese Journal of Clinical Neurosciences , 编辑部邮箱 ,2007年01期
  • 【分类号】R742.1
  • 【被引频次】11
  • 【下载频次】168
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