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异常行为还是癫痫?对重度至极重度智障癫痫患者进行长期脑电图和视频监测的应用

Abnormal behavior or epilepsy? Use of long-term EEG and video monitoring with severely to profoundly mentally retarded patients with seizures.

作者信息

Holmes G L, McKeever M, Russman B S

出版信息

Am J Ment Defic. 1983 Jan;87(4):456-8.

PMID:6829624
Abstract

Prolonged electroencephalographic frequency modulated radio telemetry and video-tape monitoring (TEEG-VR) is widely used as a diagnostic aid in the evaluation of patients with suspected epilepsy. Use of this technique with 38 severely to profoundly mentally retarded patients to differentiate epileptic from nonepileptic behavior was reviewed. For only 2 patients was the behavior in question not recorded. Although all patients studied had abnormal EEGs and 90 percent had histories of epileptic seizures, only 38 percent of the behavior in question recorded during TEEG-VR was epileptic seizures. Criteria used for nonretarded patients to differentiate epileptic seizures from nonepileptic behavior was not helpful for this group of patients.

摘要

长时间脑电图调频无线电遥测和录像监测(TEEG-VR)被广泛用作疑似癫痫患者评估中的诊断辅助手段。回顾了对38名重度至极重度智力发育迟缓患者使用该技术以区分癫痫行为和非癫痫行为的情况。仅2名患者的相关行为未被记录。尽管所有接受研究的患者脑电图均异常,且90%有癫痫发作史,但在TEEG-VR期间记录的相关行为中,仅有38%是癫痫发作。用于非智力发育迟缓患者区分癫痫发作和非癫痫行为的标准对这组患者并无帮助。

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