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目的:评价同步录像脑电图(VEEG)在新生儿惊厥中的应用价值。方法:应用VEEG仪,对64例胎龄28~44周的惊厥发作新生儿进行VEEG监测分析。结果:64例惊厥新生儿VEEG监测正常43例(67.2%),异常21例(32.8%)。其中发作期样放电者13例;发作间期样放电3例,其背景节律正常;发作间期背景节律改变伴有样放电2例;仅背景波异常而无样放电3例,其中低电压1例,平坦波1例,交替现象消失1例。睡眠期样放电的放电频率比清醒期明显增高,且以安静睡眠期最为多见。18例VEEG同步监测到发作期样放电,其中16例起始放电为局灶起源,以颞区为主(13/18)。46例临床发作时,VEEG监测均无样放电,临床确诊为非癫样发作。结论:VEEG监测对于新生儿惊厥性疾病的诊断和鉴别诊断具有重要价值,有利于早期治疗和改善预后。
Objective: To evaluate the value of synchronous recording electroencephalography (VEEG) in neonatal seizures. Methods: VEEG was used to monitor 64 neonates with convulsion seizures aged 28-44 weeks. Results: VEEG in 64 neonates with convulsion was normal in 43 cases (67.2%) and abnormal in 21 cases (32.8%). Among them, 13 cases were attacked in the same period; 3 cases were interictal discharges, the background rhythm was normal; the background rhythm was changed with discharge in 2 cases; only the background wave was abnormal without discharge in 3 cases, For example, flat wave in 1 case, alternating phenomenon disappeared in 1 case. The discharge frequency of sleep-like discharge was significantly higher than that of awake, and was the most common in quiet sleep. 18 cases of VEEG simultaneous monitoring of the onset of episodes of discharge, of which 16 cases of initial discharge of focal origin, mainly in the temporal region (13/18). 46 cases of clinical attack, VEEG monitoring no discharge, the clinical diagnosis of non-epileptic seizures. Conclusion: VEEG monitoring is of great value in the diagnosis and differential diagnosis of neonatal convulsion. It is beneficial to early treatment and prognosis.