Niedzielska K, Laskowska-Studniarska W, Kunicka J, Popławska W, Kuran W, Witkowska-Olearska K
Kliniki Diagnostyki i Terapii Chorób Układu Nerwowego, Instytutu Psychiatrii i Neurologii w Warszawie i z Instytutu Kardiologii, Warszawie.
Neurol Neurochir Pol. 1992 Jul-Aug;26(4):450-7.
In 24 patients with diagnostically not clear, short, recurrent episodes of consciousness disturbances and heart diseases and/or a history of arrhythmia simultaneous 24-hour recording was done of eeg and ecg. In the differential diagnosis epilepsy was considered, especially since in most cases routine eeg records demonstrated slight episodic changes. During 24-hour recording in 8 cases typical episodes of consciousness disturbances developed but in none of them these episodes were associated with arrhythmia which ruled out their cardiogenic origin. In 2 cases EEG recording served for establishing the diagnosis of partial complex seizures, 2 patients had hyperventilation syncope, one had TIA, in the remaining 3 cases absence of eeg and ecg changes during these episodes and coexistence of anxiety neurosis suggested functional origin. So the combined 24-hour eeg+ecg recording made possible establishing of diagnosis in 1/3 of these patients, enabling adequate treatment to be instituted.
对24例诊断不明确、意识障碍发作短暂且反复出现、患有心脏病和/或有心律失常病史的患者，同时进行了24小时脑电图（EEG）和心电图（ECG）记录。在鉴别诊断中考虑了癫痫，特别是因为在大多数情况下，常规脑电图记录显示有轻微的发作性变化。在24小时记录期间，8例出现了典型的意识障碍发作，但其中无一例发作与心律失常相关，这排除了其心源性起源。2例脑电图记录用于确诊部分复杂性癫痫发作，2例患者有过度换气晕厥，1例有短暂性脑缺血发作（TIA），其余3例在这些发作期间脑电图和心电图无变化且同时存在焦虑神经症，提示为功能性起源。因此，24小时脑电图加心电图联合记录使1/3的这些患者得以确诊，从而能够进行适当的治疗。
