儿童额叶癫痫临床和长程视频脑电图特征.pdfVIP

儿童额叶癫痫临床和长程视频 脑电图特征 刘占利 黄先玫 蒋春明 陈丽琼 冯梅张艺 杜建民 【摘要】 目的通过对46例儿童额叶癫痫患儿的临床表现、长程视频脑电图(VEEG)特点进行分析，提高对儿童额叶癫痫的认 147％仅于清醒期发作，61．8％仅在睡眠期发作，23与％在清醒、睡眠中均有发作；临床发作形式包括额叶失神、局部阵挛发作、偏转性强 直、姿势性强直、过度运动性自动症、口咽自动症、发声、发笑发作、临床下放电和自主神经性发作等。73．9％患儿记录到发作间期额叶为 主的癫痫样放电，63．0％患儿记录到发作期额叶为主的癫痫样放电。结论儿童额叶癫痫临床发作频繁、短暂，以睡眠期发作为主，临 床表现复杂多样，易漏诊；长程VEEG可监测I；JJL童额叶癫痫发作期临床及异常脑电图表现。可提供明确诊断率。 【关键词l额叶癫痫儿童临床特点视频脑电图 Clinicaland videoEEGfeaturesofchildrenwithfrontallobe LIU long--term epilepsy Zhanli，HUANGXianmei，JIANGChunming，et of First a1．DepartmentPediatrics，HangzhouPeoplejsHospital．Hangzhou310006．China To theclinicaland video ofchildrenwithfrontallobe 【Abstract】Objectiveanalyze long—termEEG(VEEG)features Methods sixchildrenwithfrontallobe wereadmittedin First from Fony People’SHospital epilepsy． epilepsy Hangzhou 2008to 2014．Theclinical and VEEG were December August manifestations，neurologicalimaginglong-termfindings ResultsThe attheonsetofthese wasfrOm11 monthstO15 clinicaIseizure retrOspectiveIy analyzed． age patients years．The Iobe includedfrontaI clonic types absences，focalseizures，versionseizures，postural—tonic 46 EEG mainly sounding，gelasticseizures，feelingabnormality，autonomicseizures，etc．Amongpatients，interictaldischarges Iocatedinthefronta|lobewererecordedin abnormal infrontaIobewererecordedin63．0％ rhythm 73．9％patients．the changes seizureswere video attackedwhen attacked patients．73．9％(34／46)clinica