长程视频脑电图监测对睡眠相关性癫痫的诊断价值

发布时间：2018-02-03 16:48

本文关键词： 癫痫睡眠痫样放电长程视频脑电图　出处：《南京医科大学学报(自然科学版)》2016年11期 　论文类型：期刊论文

【摘要】：目的:分析长程视频脑电图(video electroencephalogram,VEEG)监测对睡眠相关性癫痫的诊断价值。方法:对2013年7月—2014年11月收集的119例睡眠相关性癫痫患者的VEEG及常规脑电图(routine electroencephalogram,REEG)进行回顾性分析。结果:本组患者REEG监测的总异常检出率为33.61%,VEEG监测的总异常检出率为98.32%,两种方法比较差异有统计学意义(χ2=109.83,P0.001)。REEG监测的痫样放电检出率为18.49%,VEEG监测的痫样放电检出率为85.71%,两种方法比较差异有统计学意义(χ2=107.75,P0.001)。REEG监测本组患者无临床事件发生,VEEG监测中有42例患者记录到临床事件。结论:VEEG监测显著提高痫样放电的检出率,更好地监测睡眠中的痫样放电、发作期脑电及发作期临床表现,对睡眠相关性癫痫的诊断及明确发作类型具有重要价值。
[Abstract]:Objective: to analyze video electroencephalogram of long range video EEG. Methods: VEEG and routine electroencephalogram (EEG) were collected from 119 patients with sleep associated epilepsy from July 2013 to November 2014. Routine electroencephalogram. Results: the total abnormal rate of REEG monitoring in this group was 33.61% and that of VEEG was 98.32%. The difference between the two methods was statistically significant (蠂 ~ 2 + 109.83) P 0.001 路REEG was used to detect epileptiform discharges (18.49%). The detectable rate of epileptiform discharge monitored by VEEG was 85.71. The difference between the two methods was statistically significant (蠂 2 / 107.75). There were 42 cases of clinical events recorded in 42 patients in this group. Conclusion the detection rate of epileptiform discharge can be improved significantly by the monitoring of 10% VEEG. Better monitoring of epileptiform discharges during sleep, EEG during seizures and clinical manifestations during seizures is of great value in the diagnosis of sleep associated epilepsy and in the identification of seizure types.
【作者单位】：南京医科大学附属脑科医院神经内科;
【基金】：国家自然科学基金(81471324) 南京市医学科技发展项目(201108002)
【分类号】：R742.1
【正文快照】： 癫痫是常见的神经系统疾病,我国约有900万以上的癫痫患者[1]。睡眠觉醒节律对癫痫发作有明显影响。临床上约25%的癫痫患者的癫痫发作与睡眠有关。由于临床症状不典型、常规脑电图(routineelectroencephalogram,REEG)的局限性等诸多因素,睡眠相关性癫痫常被误诊为睡眠障碍、抑

【相似文献】