Abstract:Objective To explore the clinical effect and significance of application of long-term video electroencephalogram(VEEG)monitoring in the diagnosis of epilepsy.Methods 174 patients adopting the long-term VEEG from November 2013 to December 2015 in our hospital were selected as the research group,the VEEG monitoring result at the time phase of 2,6,12,24 hourswere analyzed.The correlation of clinical attackswith abnormal epileptiform discharge was analyzed.Results For 174 patients,there were 115 cases with attacks,105 patientswere confirmed with epilepsy,56 caseswere not confirmed,13 caseswith confirmed without epilepsy.For 59 caseswithout attacks,there were 39 cases of abnormal discharge during the process,20 cases without abnormal discharge were not confirmed.For 174 patients,there were 144 cases of abnormal discharge including 12 cases in the lucid interval,50 cases in the sleep stages and 82 cases in the lucid interval and sleep stages.For 105 confirmed cases,there were abnormal EEG before attacks of epilepsy,there was significant difference in the rate of clinical attacks between the time phase of 2 hours and 6 hours(P<0.05).There was significant difference in the rate of clinical attacks between the time phase of 6 hours and 12 hours(P<0.05).There was no significant difference in the rate of clinical attacks between the time phase of 6 hours and 24 hours(P>0.05). There was no significant difference in the rate of rate of abnormal discharge at four time phases(P>0.05).Conclusion Compared with the conventional EEG monitoring,VEEG can improve the detection rate of abnormal epileptiform discharge and clinical attacks,which can make a definite diagnosis and make a clear staging of epilepsy,it is worthy of clinical promotion and application.
苻晓慧;黄慜;杨萍. 长程视频脑电监测在癫痫诊断中的应用效果分析[J]. 中国当代医药, 2016, 23(25): 48-50.
FU Xiao-hui;HUANGMin;YANG Ping. Application effect analysis of long-term VEEG monitoring in the diagnosis of epilepsy. 中国当代医药, 2016, 23(25): 48-50.