热性惊厥脑电图记录的最佳时间。
The best time for EEG recording in febrile seizure.
作者信息
Karimzadeh Parvaneh, Rezayi Alireza, Togha Mansoureh, Ahmadabadi Farzad, Derakhshanfar Hojjat, Azargashb Eznollah, Khodaei Fatemeh
机构信息
Pediatric Neurology Research Center, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran ; Pediatric Neurology Excellence Center, Pediatric Neurology Department, Mofid Children Hospital, Faculty of Medicine, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran.
Pediatric Neurology Research Center, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran.
出版信息
Iran J Child Neurol. 2014 Winter;8(1):20-5.
OBJECTIVE
Some studies suggest that detection of epileptic discharge is unusual during the first postictal week of febrile seizure and others believe that EEGs carried out on the day of the seizure are abnormal in as many as 88% of the patients. In this study, we intend to compare early and late EEG abnormalities in febrile seizure.
MATERIALS & METHODS: EEG was recorded during daytime sleep, 24-48 hours (early EEG) and 2 weeks (late EEG) after the seizure in 36 children with febrile seizure (FS), aged between 3 months and 6 years. EEGs that showed generalized or focal spikes, sharp, spike wave complex, and slowing were considered as abnormal EEG. Abnormalities of the first EEG were compared with those of second EEG.
RESULTS
The most common abnormal epileptiform discharges recorded in the early EEG were slow waves (27.6%) and sharp waves in late EEG (36%). Distribution of abnormalities in early and late EEG showed no significant statistical difference.
CONCLUSION
The early and late EEG recording had the same results in patient with febrile seizure.
目的
一些研究表明，热性惊厥发作后的第一周内检测到癫痫放电并不常见，而另一些研究则认为，在惊厥发作当天进行脑电图检查的患者中，多达88%的患者脑电图异常。在本研究中，我们打算比较热性惊厥早期和晚期脑电图异常情况。
材料与方法
对36例年龄在3个月至6岁之间的热性惊厥（FS）患儿，在惊厥发作后24 - 48小时（早期脑电图）和2周（晚期脑电图）的白天睡眠期间进行脑电图记录。显示有广泛性或局灶性棘波、尖波、棘慢复合波以及慢波的脑电图被视为异常脑电图。将首次脑电图的异常情况与第二次脑电图的异常情况进行比较。
结果
早期脑电图记录中最常见的异常癫痫样放电是慢波（27.6%），晚期脑电图中是尖波（36%）。早期和晚期脑电图异常分布无显著统计学差异。
结论
热性惊厥患者早期和晚期脑电图记录结果相同。
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