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目的 探讨婴儿良性癫的临床特点、预后和早期诊断。方法 对 57例婴儿良性癫的临床资料进行分析。结果 发病年龄 1～ 3 0个月 ,发病前后发育正常 ,发作形式为强直 阵挛、双眼凝视和动作停止 ,64.9%呈成簇性发作 ,家族有癫、热惊厥史 6例。发作间期脑电图 (EEG)均正常 ,服用苯巴比妥 (PB)、卡马西平 (CBZ)或丙戊酸钠 (VPA)后发作很快被控制 ,51例已停药。发作终止年龄平均 12 .8个月 ,平均病程 4.1个月。结论 婴儿良性癫预后良好 ,短程服用PB、CBZ或VPA后发作很快被控制
Objective To investigate the clinical features, prognosis and early diagnosis of benign epilepsy in infants. Methods The clinical data of 57 infants with benign epilepsy were analyzed. Results The age ranged from 1 to 30 months. The onset was normal before and after the onset of the disease. The onset was tonic. The binocular gaze and movement stopped. 64.9% of the patients had a cluster attack. There were 6 cases of family history of epilepsy and febrile seizures. Epileptic EEG was normal and seizures were quickly controlled after taking phenobarbital (PB), carbamazepine (CBZ), or valproate (VPA) and 51 were discontinued. The average age of onset was 12.8 months and the average duration was 4.1 months. Conclusions Infants with benign epilepsy have a good prognosis and the onset of stroke after short-range PB, CBZ or VPA is controlled