癫癎患者80例视频脑电图及CT分析

摘要

Objective To study the role of videc-EEG(VEEG) monitoring and CT in the diagnosis, etiology and type. Methods Eighty epilepsy patients received VEEG monitor and CT exams. Results The epileptiform discharge was found in 33(41.2%)cases taking REEG. The epileptiform discharge was found in 62(77.5%) cases taking VEEG. VEEG epileptiform discharge rate was significantly higher than conventional EEG. CT found abnor-nudity in 24 cases(30.0%), showing a significantly different abnormality rate between CT and VEEG(P <0.01). Conclusion The VEEG can greatly improve the positive rate of EEG in the patients with epilepsy, h is practical especially for suspicious patients without obvious clinical symptoms. The application of CT is an important method of finding the cause of epilepsy. CT combined with VEEG has great importance in the diagnosis and differential diagnosis of epilepsy.%目的 探讨视频脑电图(VEEG)和CT在癫癎诊断、分型、病因诊断中的作用.方法 分析VEEG监测和CT对80例癫癎患者的检查结果.结果 常规脑电图(EEG)出现瘸样放电33例(41.2%),监测到临床发作2例;VEEG癎样放电62例(77.5%),监测到临床发作15例,VEEG瘸样放电率明显高于常规EEG.CT异常24例(30.0%).VEEG与CT两种方法的异常率相比,差异有统计学意义(P<0.01).结论 VEEG的临床应用,大大提高了癫瘸EEG的瘸样放电率,特别对不典型临床发作表现和无先兆指征的可疑性癫瘸患者进行诊断和分类尤为有用.CT的应用,成为癫瘸病因研究的重要手段.VEEG与CT二者相互结合,对癫癎的病因、诊断、分型、治疗帮助很大.