Millner M, Scheer P, Körner E, Lechner H
Univ.-Kinderklinik.
Klin Padiatr. 1988 Sep-Oct;200(5):404-9. doi: 10.1055/s-2008-1033742.
36 children aged 7 +/- 4 years with suspected seizure disorders had insufficient routine EEGs. After 54 long term EEG registrations the diagnosis and therapy had to be changed in 12 children, in 7 of them the frequency of epileptiform attacks therefore decreased. In 3 children with marked attention deficit in history during daytime and nighttime bedwetting the long term EEG showed mainly very short 3/sec spike and wave discharges (duration 0.5-2 sec). It is discussed that these bursts are EEG equivalents of attention deficit and bedwetting respectively, which disappeared by anticonvulsive treatment. Because the application of this method is very tedious we recommend the use of long term EEG recordings in children only under the following circumstances: 1. suspected attacks of seizures or episodic disturbances of behaviour and/or attention and/or enuresis at least twice a week; 2. lack of three conclusive routine EEG recordings despite of provocation procedures with full cooperation of the patient; 3. follow-up when initially abnormal. Our results are in favour of the more frequent use of a long term EEG in children having the above mentioned episodic disturbances.
36名年龄在7±4岁、疑似患有癫痫症的儿童常规脑电图检查结果不充分。在进行了54次长期脑电图记录后，12名儿童的诊断和治疗方案不得不做出改变，其中7名儿童的癫痫样发作频率因此降低。在3名白天有明显注意力缺陷且夜间尿床的儿童中，长期脑电图主要显示出非常短暂的3次/秒棘慢波放电（持续时间0.5 - 2秒）。据讨论，这些爆发分别是注意力缺陷和尿床的脑电图等效表现，通过抗惊厥治疗后消失。由于这种方法的应用非常繁琐，我们建议仅在以下情况下对儿童使用长期脑电图记录：1. 疑似癫痫发作或行为和/或注意力和/或遗尿的发作性障碍每周至少两次；2. 尽管在患者充分配合下进行了激发程序，但仍缺乏三次确定性的常规脑电图记录；3. 最初脑电图异常时进行随访。我们的结果支持在患有上述发作性障碍的儿童中更频繁地使用长期脑电图。
