EEG diagnosis of atypical aged 31 cases of viral encephalitis.docVIP

 PAGE \* MERGEFORMAT 8 EEG diagnosis of atypical aged 31 cases of viral encephalitis Of: Choi Jin Mei Xiang Meng Hongmei Li Lvyu Dan Lin Weihong Wang likes [Keywords:] the elderly, viral encephalitis, EEG Viral encephalitis typical manifestation include fever, headache, vomiting, seizures, varying degrees of consciousness, mental symptoms, diagnosed to be combined with EEG, MRI and lumbar puncture and cerebrospinal fluid head pathogenic examination. The elderly because of their physiological specificity of clinical symptoms are often atypical, as no significant early onset of fever, headache and rarely, vomiting, etc., but more to seizures, psychiatric symptoms, such as the onset of consciousness. There are still many basic hospital no NMR equipment, the corresponding CSF antibodies can not do so, has caused great difficulties to the diagnosis, misdiagnosis, and early treatment of viral encephalitis is important for prognosis. This study retrospectively analyzed the clinical diagnosis of viral encephalitis 31 elderly patients, viral encephalitis of EEG in early diagnosis. 1 Clinical data 1.1 General Information All cases were hospital from June 2003 to June 2009 hospitalized patients, a total of 31 patients, aged 60 to 74 years (mean age 64 + -7.59, where 16 males and 15 females. 1.2 The initial symptoms The early stages, the performance of no fever, the initial symptoms of 7 cases of disturbance of consciousness, seizures in 11 cases, headache in 5 cases, 8 cases of psychiatric symptoms. 1.3 EEG 31 patients underwent EEG, video EEG examination of ordinary, 21 patients, and 24 h dynamic EEG in 10 cases, moderate or severe abnormalities of which 23 cases, the positive incidence of EEG 74.19%, in 4 ~ 7 d after the onset of the highest positive rate. abnormal electroencephalogram mainly as @ wave reduction, slow increase, as well as the formation of generalized slow wave of EEG slow rhythms that is, wave, wave increased, can be di