动态脑电图对早发型和晚发型儿童枕叶癫(痫)的诊断价值及随访观察.pdf

·论著● 动态脑电图对早发型和晚发型儿童枕叶癫痫的 诊断价值及随访观察 杨玉芳，朱玉珍 [摘要]目的：探讨动态脑电图对早发型和晚发型儿童良性癫痢枕叶发作(BCEOP)的诊断价 值。方法：采用回顾性分析方法，收集早发型与晚发型BCEOP患儿资料37例，其中早发型27例，晚发 型10例。所有患儿都进行24 h动态脑电图(AEEG)检查，并对结果进行对比分析。结果：清醒期EEG 描记时早发型27例中异常放电2例(7％)，晚发型10例中异常放电7例(70o／／oo)。在睡眠描记中晚发型 h 除1例无异常放电外，其余均有异常放电。结论：24AEEG对早发型与晚发型BCEOP均有重要诊断 价值。 [关键词]儿童良性癫痫枕叶发作(BCEOP)；动态脑电图(AEEG)；诊断价值；随访观察 The valueand ofAEEGfor observation andlate-onsetchil— diagnostic follow—up early—onset drenwith lobe occipitalepilepsy YANG Yuzhen Yufang，ZHU 7S EEGRoom，theFourth PeopleHospital valueof with the A-EEGforchildren onsetor [Abstract]Objective：Toinvestigatediagnostic early lateonset lobe methodand observation occipitalepilepsy．Methods：Aretrospectiveanalysis follow-up were forthecollectionofinformationof37childrenwithof onsetandlateonset adopted early occipital lobe 27casesof and10casesoflateonset．Theresultswithcontrastedand onset epilepsy，includingearly afterallthe wereexamined24h totheEEGmonito— analyzed patients throughEEG．Results：According occurredin2 of27 with onset cases(7．4％)outpatients ring，abnormaldischarge early occipitalepilep— in7 10 withlateonset lucid the cases(70％)Outof interval；In sy，and patients occipitalepilepsy；in state，abnormaloccurredinall one hAOEEGhasim— sleep exceptcase．Conclusion：24 dis