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报告经CT及(或)MRI证实的12例脑穿通畸形。12例共描记EEG13次,其中仅4次为限局性异常。5例有限局性癫痫样波,2例癫痫样波位于畸形对侧。12例QEEG均为限局性功率异常,以δ、θ频段功率增高为主。功率增高的表现形式为有一功率最高区,周围功率值逐渐下降,呈功率场分布形式。7例同时做SPM,其限局性异常部位与脑穿通畸形更相符。故QEEG尤其是SPM较EEG定位更为准确。儿童期起病的癫痫病人伴智力低下及轻偏瘫者,结合EEG和QEEG的改变,临床上应考虑到脑穿通畸形之可能。
Report of CT and / or MRI confirmed 12 cases of cerebral ptosis. EEG was traced 12 times in 12 cases, of which only 4 were abnormal. 5 cases of limited partial epilepsy-like waves, 2 cases of epileptiform waves located in the opposite side of malformations. All 12 cases of QEEG were abnormal power limitation, with the increase of δ, θ frequency band. The increase of power is in the form of the highest power area, and the power value around it gradually decreases, which is in the form of power field distribution. 7 cases of SPM at the same time, the limited site of abnormalities and brain perforating deformity more in line. Therefore, QEEG, especially SPM, is more accurate than EEG positioning. Childhood onset of epilepsy patients with mental retardation and hemiparesis, combined with the changes of EEG and QEEG, the clinical should consider the possibility of penetrating the brain deformity.