【摘要】 目的对脑性瘫痪合并癫痫及发作性疾病患儿进行24h动态脑电图(AEEG)监测,了解其对二者的诊断价值。方法50例脑瘫合并癫痫患儿,做常规脑电图及AEEG监测,30例脑瘫伴发作性疾病患儿为对照组,比较两组患儿同步脑电图监测符合率。探讨其临床意义。结果癫痫组,痫样放电45例(90%),40例为同步放电,符合率80%。临床下电发作发放、非癫痫性事件各5例。发作性疾病组30例,痫样放电16例(53.3%),4例(13.3%)为同步放电,避免了癫痫的漏诊。12例为发作性疾病与临床下电发作发放并存。14例背景波为落后于生理年龄的慢波,与发作无关。两组比较,癫痫组同步放电率(80%),明显高于发作性疾病组(13.3%),χ2=33.66Р<0.005。结论AEEG监测,可提高脑瘫合并癫痫及发作性疾病患儿痫样放电检出率。还可监测到发作时同步动态特征性改变,对脑瘫合并癫痫及发作性疾病的诊断、鉴别诊断,有着重要的临床价值。两组脑电图全部异常,可能与患儿多伴有脑皮层广泛病变有关。更多还原

【Abstract】 Objective:To explore the clinic value of AEEG monitoring in the diagnosis and differential diagnosis of epilepsy and proxysmal disease suffering from cerebral pralysis.Methods:AEEG and routine EEG was carried out in 80 children with cerebral pralysis(divided into epilepsy group in 50 patients and proxysmal disease group in 30 patients).Results:The positive rate of epileptiform discharges in epilepsy group was 80%,and the proxysmal disease group was 13.3%,two groups have significant differences χ2=33.66 Р<0.005.Conclusion: AEEG might increase the detection rate of epileptiform discharges.It might be important to clinic value in the diagnosis of epilepsy and proxysmal disease with cerebral pralysis.更多还原