Duchowny M S, Bonis I
Seizure Unit, Miami Children's Hospital, FL 33155.
Pediatr Neurol. 1985 Jan-Feb;1(1):38-41. doi: 10.1016/0887-8994(85)90007-4.
We studied the clinical efficacy of 4-channel cassette recording of the EEG for 105 children being evaluated for possible seizures or further clarification of a known seizure disorder. Compared to the conventional EEG, 24 hour cassette EEG (C-EEG) studies yielded new diagnostic electroclinical information for 21 percent of the children (22 patients). For 41 percent of cases, the C-EEG findings considerably broadened the clinical knowledge of the disorder and provided a basis for therapy modification. In the remaining 38 percent, no significant electrical or clinical events occurred so that C-EEG studies yielded no new important information. The utility of C-EEG was greatest for younger patients with generalized epilepsies whereas older children with partial epilepsies constituted the majority of diagnostic failures. These findings demonstrate that C-EEG recording may contribute useful information concerning childhood paroxysmal disorders, and underscore the importance of careful patient selection.
我们对105名因可能患有癫痫或为进一步明确已知癫痫障碍而接受评估的儿童进行了脑电图四通道盒式记录的临床疗效研究。与传统脑电图相比，24小时盒式脑电图（C-EEG）研究为21%的儿童（22例患者）提供了新的诊断性电临床信息。在41%的病例中，C-EEG结果极大地拓宽了对该疾病的临床认识，并为调整治疗提供了依据。在其余38%的病例中，未发生显著的电或临床事件，因此C-EEG研究未得出新的重要信息。C-EEG对患有全身性癫痫的年幼儿童效用最大，而患有部分性癫痫的大龄儿童构成了诊断失败的大多数。这些发现表明，C-EEG记录可能有助于提供有关儿童阵发性疾病的有用信息，并强调了仔细选择患者的重要性。
