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在常规临床实践中使用动态脑电图的实用性:批判性评价。

The utility of ambulatory electroencephalography in routine clinical practice: a critical review.

机构信息

Department of Medicine, St. Vincent's Hospital, University of Melbourne, Victoria Parade, Fitzroy 3065, Australia.

出版信息

Epilepsy Res. 2013 Jul;105(1-2):1-12. doi: 10.1016/j.eplepsyres.2013.02.004. Epub 2013 Mar 13.

DOI:10.1016/j.eplepsyres.2013.02.004
PMID:23490658
Abstract

Over the last four decades, ambulatory electroencephalography (EEG) has evolved to be a useful tool in the diagnosis of epilepsy and certain nonepileptic paroxysmal disorders. Most of the initial technological drawbacks of ambulatory EEG have been circumvented by incorporating digital and computer technology. It appears superior to routine EEG in capturing interictal abnormalities particularly in relation to natural sleep, circadian variations and the patient's typical daily lifestyle. The role of ambulatory EEG in studying seizures and nonepileptic paroxysmal events remains to be defined by targeted research. It perhaps is an underutilized tool and more research is needed to expand the horizon of ambulatory EEG applications in clinical practice.

摘要

在过去的四十年中,动态脑电图(EEG)已经发展成为诊断癫痫和某些非癫痫性阵发性疾病的有用工具。通过结合数字和计算机技术,动态脑电图的大部分初始技术缺陷已经得到规避。与常规脑电图相比,它在捕捉发作间期异常方面具有优势,特别是在与自然睡眠、昼夜节律变化和患者典型的日常活动方式相关的情况下。动态脑电图在研究癫痫发作和非癫痫性阵发性事件中的作用仍有待有针对性的研究来确定。它可能是一种未充分利用的工具,需要进行更多的研究来扩大动态脑电图在临床实践中的应用范围。

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