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目的 探讨儿童偏头痛与癫的相关性及鉴别诊断。方法 对 32例偏头痛患儿 (其中 9例并临床癫发作 )进行脑电图及临床分析。结果 32例中脑电图异常 1 8例 ,其中 1 4例为偏头痛 ,异常率为43 .75 % ,4例枕叶癫。 3例普通型头痛伴癫发作 ,脑电图 3次复查正常 ,2例复杂型偏头痛伴临床癫发作 ,脑电图均表现异常。结论 儿童偏头痛常常表现脑电图非特异性异常 ,甚至样放电 ,但以脑电图异常不能代替临床诊断。头痛性癫的诊断必须结合临床表现和脑电图检查结果综合判定 ,并与偏头痛进行鉴别。某些偏头痛可以伴癫发作 ,两者交叉重叠 ,极易混淆。对头痛性癫的诊断应慎重
Objective To investigate the correlation between children migraine and epilepsy and their differential diagnosis. Methods EEG and clinical analysis of 32 migraine children (including 9 cases of clinical epileptic seizures) were performed. Results EEG abnormalities in 32 cases were 18 cases, of which 14 cases of migraine, abnormal rate was 43.75%, 4 cases of occipital lobe epilepsy. 3 cases of common headache with epilepsy attack, 3 times normal EEG, 2 cases of complicated migraine with clinical epileptic seizures, EEG were abnormal. Conclusion Child migraine often show nonspecific EEG abnormalities, and even discharge, but abnormal ECG can not replace clinical diagnosis. The diagnosis of headache-type epilepsy must be combined with the clinical manifestations and electroencephalogram results of comprehensive judgment, and identification with migraine. Some migraine headache can be accompanied by epileptic seizures, the two overlap, easily confused. The diagnosis of headache-type epilepsy should be cautious