《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (02): 111-112.

• 专题 • 上一篇    下一篇

36例脑瘫合并癫痫的临床发作类型与脑电图分析

李润洁; 杨颖   

  1. 大连市儿童医院康复科 辽宁大连市 116012
  • 收稿日期:2005-12-14 出版日期:2006-02-25 发布日期:2006-02-25

Clinical Attack Type and Electroencephalogram Features of 36 Cerebral Palsy Children with Epilepsy

LI Run-jie, YANG Ying   

  1. The Department of Rehabilitation, Dalian Children's Hospital, Dalian 116012, Liaoning, China
  • Received:2005-12-14 Published:2006-02-25 Online:2006-02-25

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被引次数

39

摘要： 目的了解脑瘫合并癫痫的临床发作类型与脑电图的关系。方法对36例癫痫发作间歇期的脑瘫患儿采用视频脑电图仪,按国际10-20系统放置头皮电极检测脑电图。结果脑瘫合并癫痫患儿发作间歇期脑电图表现为限局性高波幅的棘慢波发放占55.6%(20/36);典型高度失律4例;高度失律改善型3例;双侧导联棘慢波发放的占25%(9/36)。结论脑瘫患儿癫痫发作类型及脑电图改变多符合部分性发作的特点。

关键词: 脑性瘫痪, 癫痫, 发作, 脑电图

Abstract: ObjectiveTo investigate the relationship between the clinical type of attack and electroencephalogram (EEG) features of cerebral palsy (CP) children with epilepsy (EP).MethodsThe EEGs of 36 CP cases with EP were recorded under natural circumstances.Results20 cases (55.6%) had focal high amplitude spikes and wave complexes; 4 cases (11.1%) had typical hypsarrhythmia; 3 cases (8.3%) had varied hypsarrhythmia. Among them, the spikes and wave complexes of 9 cases were bilateral.ConclusionThe most of the clinical attack and EEG characters of CP children with EP are partial type.

Key words: cerebral palsy, epilepsy, attack, electroencephalogram (EEG)