论文部分内容阅读
目的探讨视频脑电图监测脑性瘫痪(CP)合并癫痫与非癫痫发作性疾病的鉴别诊断价值。方法 2009年7月至2010年2月在山西省儿童医院临床诊断为CP的患儿100例,行常规脑电图及视频脑电图监测,比较痫样放电发生率及同步节律放电发生率差异。结果结合临床表现及脑电图,诊断为CP合并癫痫63例,CP合并非癫痫发作性疾病36例,单纯CP1例。视频脑电图监测结果显示,出现痫样放电62例(62%),明显高于常规脑电图36例(36%),差异有统计学意义(P<0.05)。视频脑电图监测同步节律放电51例(82.2%),明显高于常规脑电图11例(30.5%),差异有统计学意义(P<0.05)。结论视频脑电图监测可提高CP患儿痫样放电检出率。将其结果与患儿发作时临床表现相结合,可作为鉴别诊断CP合并癫痫及合并非癫痫发作性疾病的重要依据。
Objective To explore the value of video EEG in the differential diagnosis of cerebral palsy (CP) with epilepsy and non-seizure disease. Methods From July 2009 to February 2010, 100 children with clinical diagnosis of CP in Children’s Hospital of Shanxi Province underwent routine electroencephalography and video-EEG monitoring. The incidence of epileptiform discharge and the incidence of synchronized rhythm discharge were compared . Results Combined with clinical manifestations and electroencephalogram, 63 cases were diagnosed as CP with epilepsy, 36 cases with CP without epileptic seizure and 1 case with CP alone. Video EEG monitoring results showed that there were 62 cases (62%) of epileptiform discharges, which was significantly higher than 36 cases (36%) of conventional EEG, the difference was statistically significant (P <0.05). Fifty-one patients (82.2%) were monitored by video-EEG in synchronized rhythm discharge, which was significantly higher than that of 11 cases (30.5%) in conventional electroencephalogram. The difference was statistically significant (P <0.05). Conclusion Video EEG monitoring can improve the detection rate of epileptiform discharge in children with CP. The results combined with the clinical manifestations of children with seizures can be used as a differential diagnosis of CP with epilepsy and consolidation of non-seizure disease an important basis.