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目的:总结80例睡眠期电持续状态(ESES)患者的临床资料,提高对ESES的临床认识。方法:收集2013年1月至2015年12月由我院神经内科诊断为ESES的患者资料共80例,分析癫痫患者ESES的临床表现、脑电图特征、影像特征。结果:80例ESES患者行24h视频脑电图监测,可表现为多种形式的癫痫发作类型,不同的癫痫发作类型有着不同的预后,对于Landau-Kleffner综合征、伴有中央颞区棘波的儿童良性癫痫等临床发作及脑电异常呈良性经过预后较好,针对不同类型的发作可给予不同的抗癫痫药物。结论:24h视频脑电图监测对ESES的早期临床诊断具有一定的参考价值,为临床患者预后的判断起到一定的指导意义。
Objective: To summarize the clinical data of 80 patients with esophageal insomnia (ESES) and to improve the clinical understanding of ESES. Methods: A total of 80 patients with ESES diagnosed as ESES from January 2013 to December 2015 were enrolled in this study. The clinical manifestations, EEG features and imaging features of epileptic patients were analyzed. RESULTS: Eighty ESES patients underwent 24-h video EEG monitoring, which showed various forms of seizures. Different types of epilepsy had different prognoses. For Landau-Kleffner syndrome, patients with central temporal spikes Childhood benign epilepsy and other clinical seizures and abnormalities were benign after the prognosis is good, for different types of seizures can be given different antiepileptic drugs. Conclusion: 24-h video EEG monitoring has certain reference value for the early clinical diagnosis of ESES, which is of guiding significance for the judgment of prognosis in clinical patients.