Objective: To improve the acquaintance of clinician in childhood with non-epileptic seizures. Methods: From January 2009 to August 2010, 299 children of 49 days to 5 years suspected to have or need to weep out the possibility of epilepsy were examined with 24 h AEEG in our clinics. Non-epileptic seizures 150 cases, epileptic seizures 125 cases, febrile convulsion 24 cases according to the diagnostic criteria of epilepsy was proposed by the International League Against Epilepsy (ILAE) in 1989. Results: Non-epileptic seizures 150 cases, including non-epileptic tonic seizures, benign nocturnal myoclonus, cerebral palsy, breath-holding spell, hysteria, paroxysmal kinesigenic movement disorder, electrolyte turbulence, syncope, night terrors et al. Inspecting the interictal of AEEG in 150 non-epileptic patients, normal in 99 cases, epileptiform abnormal discharges were observed in 37 cases, non-specific abnormal in 14 cases. Conclusion: The results indicate that the 24 h AEEG is not only the most efficient way to diagnose the non-epileptic seizures, but also can improve the acquaintance of clinician in childhood with non-epileptic seizures.%目的:提高临床医师对小儿非癫痫性发作性疾病的认识.方法:对2009年1月～2010年8月我院就诊的299例年龄在49 d～5岁之间拟诊或需排除癫痫的患儿进行动态脑电图(AEEG)监测,依据国际抗癫痫联盟(ILAE)关于癫痫和癫痫综合征的分类标准,分为非癫痫性发作性疾病150例,癫痫125例,热性惊厥24例.结果:299例中非癫痫性发作性疾病150例,其中主要为非癫痫性强直样发作、睡眠肌阵挛、脑发育不良及脑损伤引起的发作性抖动、小儿屏气发作、心因性发作、触觉或情绪诱发性运动障碍、电解质紊乱、晕厥、小儿夜惊等;AEEG监测到发作问期正常99例,癫痫样放电37例,非特异性改变14例;同期监测到60例有临床发作的病例均不伴异常放电.结论:动态脑电图能有效地诊断非癫痫性发作,可提高临床医师对该疾病的认识.
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