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[脑电图研究在儿童癫痫鉴别诊断中的价值]

[Value of EEG studies in the differential diagnosis of seizures in children].

作者信息

Majkowski J

出版信息

Neurol Neurochir Pol. 1975 May-Jun;9(3):343-8.

PMID:807865
Abstract

The importance of various morphotic elements of EEG tracings in the diagnosis of seizures in children is discussed with particular reference to seizures connected with fever. The common neurophysiological mechanism of epileptic discharges in various epileptic seizures in children and adults is stressed calling attention to the fact that EEG investigation in only one of the elements on which the diagnostic process should be based. Attention is called also to the prognostic significance of duration of post-seizure slowing down of the background activity and occurrence of focal spike discharges at the site of greatest slowing of the activity - the greater is this slowing (above one week) the worse is the prognosis. In view of a considerable range of the concept of electroencephalographic normality in children it is stressed that EEG investigations should be repeated after the seizure to study the dynamics of bioelectric changes: the duration and type of EEG abnormalities.

摘要

本文讨论了脑电图描记图的各种形态学要素在儿童癫痫诊断中的重要性,特别提及了与发热相关的癫痫。强调了儿童和成人各种癫痫发作中癫痫放电的共同神经生理机制,提请注意脑电图检查只是诊断过程应依据的要素之一。还提请注意发作后背景活动减慢的持续时间以及在活动减慢最明显部位出现局灶性棘波放电的预后意义——这种减慢越明显(超过一周),预后越差。鉴于儿童脑电图正常概念的范围相当广泛,强调癫痫发作后应重复进行脑电图检查,以研究生物电变化的动态情况:脑电图异常的持续时间和类型。

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