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癫痫患者的脑电图检查

[Electroencephalography for patient with epilepsy].

作者信息

Shigeto Hiroshi

出版信息

Nihon Rinsho. 2014 May;72(5):809-17.

Abstract

Electroencephalography (EEG) is the primary means by which epileptic activity in the brain is measured. The frequency of epileptic discharges is influenced by vigilance and biological rhythms. When checking for epileptic activity using EEG, measurements must be repeated and recordings made during sleep are recommended if epileptic discharges do not readily appear. Epileptic discharges must be classified as generalized or focal discharges, and discriminated from non-epileptic discharges such as vertex sharp transients, positive occipital sharp transients, 14 & 6 positive spike discharge, and artifacts. Attention should be paid to small sharp spikes, 6Hz spike and slow wave, focal slow waves, and generalized rhythmic slow waves, which should all be considered variants of epileptic activity. EEG provides information regarding focal and generalized brain dysfunction in addition to epileptic activity. Because the misreading of EEG may negatively affect the lives of patients, reading the EEG correctly is quite important.

摘要

脑电图(EEG)是测量大脑癫痫活动的主要手段。癫痫放电的频率受警觉性和生物节律的影响。在使用脑电图检查癫痫活动时,必须重复测量,若癫痫放电不易出现,建议在睡眠期间进行记录。癫痫放电必须分类为全身性或局灶性放电,并与非癫痫性放电(如顶点锐波、枕部正相锐波、14和6正相棘波放电以及伪迹)相鉴别。应注意小棘波、6Hz棘波和慢波、局灶性慢波以及全身性节律性慢波,这些都应被视为癫痫活动的变体。脑电图除了提供癫痫活动的信息外,还能提供有关局灶性和全身性脑功能障碍的信息。由于脑电图误读可能对患者生活产生负面影响,因此正确解读脑电图非常重要。

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