Wu Xiaobo, Su Ying, Liu Wei, Jia Xiaoyu, Zhang Yanling, Zhang Xinyang, Wang Guilan
Department of Pediatrics, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei 066000, P.R. China.
Exp Ther Med. 2017 Sep;14(3):2527-2530. doi: 10.3892/etm.2017.4822. Epub 2017 Jul 19.
The diagnostic and prognostic value of dynamic video-electroencephalogram (V-EEG) monitoring in children with epilepsy were investigated. From February 2014 to February 2016, in total 200 children with epilepsy were selected during their stay in the First Hospital of Qinghuangdao and were randomly allocated to a dynamic and a conventional V-EEG monitoring group (n=100). The detection rate of epileptiform discharges in the two groups was evaluated. The V-EEG monitoring index was used to select treatment methods for patients with epilepsy. After 3 months, the patients were rechecked. Disease features and incidence of epilepsy were recorded. There were no significant differences in the course of disease, seizure frequency and age between the two groups (P>0.05). The detection rate of epileptiform discharges in the dynamic V-EEG was significantly higher than in the routine monitoring group (P<0.01). The accuracy and specificity of monitoring in the V-EEG were significantly higher than in the routine monitoring group (P<0.01). Seizure frequency and number of epilepsy attacks in patients in the V-EEG group were significantly lower than in the routine monitoring group (P<0.01). Dynamic V-EEG can improve epilepsy detection rate. The high accuracy and specificity of dynamic V-EEG suggest that it may be of great clinical value in the diagnosis and prognosis of epilepsy.
探讨动态视频脑电图（V-EEG）监测在癫痫患儿中的诊断及预后价值。2014年2月至2016年2月，选取秦皇岛市第一医院收治的200例癫痫患儿，随机分为动态V-EEG监测组和常规V-EEG监测组，每组100例。评估两组癫痫样放电的检出率。采用V-EEG监测指标为癫痫患者选择治疗方法。3个月后对患者进行复查，记录疾病特征及癫痫发作情况。两组患者在病程、发作频率及年龄方面比较，差异无统计学意义（P>0.05）。动态V-EEG癫痫样放电检出率显著高于常规监测组（P<0.01）。V-EEG监测的准确性及特异性显著高于常规监测组（P<0.01）。V-EEG组患者的发作频率及癫痫发作次数显著低于常规监测组（P<0.01）。动态V-EEG可提高癫痫检出率。动态V-EEG的高准确性及特异性表明其在癫痫诊断及预后方面可能具有重要临床价值。
