发作性运动诱发性运动障碍的视频脑电图及临床特点

摘要

Objective To explore the clinical characteristics and video electroencephalogram(EEG) detection of paroxysmal exercise‐induced dyskinesia.Methods 41 cases with paroxysmal exercise‐induced dyskinesia which were examined by video EEG technology were recruited in our hospital ,then we observed and summarized clinical characteristics. Meanwhile ,we com‐pared diagnostic accuracy rate between video EEG ,CT and MRI. And 41 cases received appropriate antiepileptic treatment , and its clinical effect was observed. Results In 41 cases ,the detection rate of paroxysmal exercise‐induced dyskinesia by video EEG was 73.1% (30 cases) ,which was significantly higher than 36.6% (15 cases) by CT and MRI (P< 0.01). After treat‐ment ,significantly improved in 30 cases(73.2% ) ,improved in 8 cases(19.5% ) ,and 3 cases(7.3% ) were inefficient ,with 92.7% (38/41) of the total effective rate.Conclusion Video EEG application has the considerately detection rate in the diagno‐sis of paroxysmal exercise‐induced dyskinesia and the antiepileptic therapy obtains markedly clinical efficacy.%目的探讨发作性运动诱发性运动障碍的视频脑电图检测结果及临床特点。方法选取我院2006‐03－2014‐03收治的发作性运动诱发性运动障碍患者41例，均采用视频脑电图检测技术检查，观察并总结其临床特点，同时对视频脑电图和 CT 及 MRI 诊断的准确率进行对比分析。41例患者采用适当的抗癫痫药物治疗，观察临床疗效。结果41例患者中使用视频脑电图检查的准确率为73.1％（30例），使用 CT 及 MRI 检查的准确率为36.6％（15例），2种方法准确率相比，差异有统计学意义（P＜0.01）。经治疗，显效30例（73.2％），有效8例（19.5％），无效3例（7.3％），总有效率为92.7％（38／41）。结论发作性运动诱发性运动障碍应用视频脑电图检查具有较高的准确率，给予相应的抗癫痫药物治疗，可取得显著临床疗效。