门诊短期视频脑电图监测的产量和临床实用性：一项五年回顾性研究。
The yield and clinical utility of outpatient short-term video-electroencephalographic monitoring: a five-year retrospective study.
机构信息
Department of Neuroscience, Monash Medical Centre, Melbourne, Australia.
出版信息
Epilepsy Behav. 2012 Nov;25(3):303-6. doi: 10.1016/j.yebeh.2012.08.018. Epub 2012 Oct 24.
Outpatient short-term video-electroencephalographic monitoring (OVEM) is recognized as a useful tool in the diagnosis of epilepsy and other paroxysmal disorders. The aim of this retrospective study was to determine the diagnostic yield of OVEM. We analyzed 175 OVEM records of adults (111 females and 64 males) referred over a period of 5 years. The mean length of recording was 3.8 h. The highest yield was found in psychogenic nonepileptic seizures (PNES) (37.1%), followed by interictal epileptiform discharges (17.2%), and epileptic seizures (6.9%). The provisional diagnosis was epilepsy in 77.7% and PNES in 22.3% before the test. Outpatient short-term video-electroencephalographic monitoring changed the pre-test diagnosis in 30.9% of patients. Outpatient short-term video-electroencephalographic monitoring is a useful diagnostic test for PNES. It has a higher yield for PNES than epilepsy.
门诊短期视频脑电图监测（OVEM）被认为是癫痫和其他发作性疾病诊断的有用工具。本回顾性研究旨在确定 OVEM 的诊断效果。我们分析了 5 年内 175 例成人（111 例女性和 64 例男性）的 OVEM 记录。记录的平均长度为 3.8 小时。最高的诊断效果出现在心因性非癫痫性发作（PNES）（37.1%），其次是发作间期癫痫样放电（17.2%）和癫痫发作（6.9%）。在检查前，临时诊断为癫痫的比例为 77.7%，PNES 为 22.3%。门诊短期视频脑电图监测改变了 30.9%患者的术前诊断。门诊短期视频脑电图监测是 PNES 的一种有用的诊断测试。它对 PNES 的诊断效果高于癫痫。
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