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小儿剥夺睡眠脑电监测186例临床分析

吴莉莉,高兰新,张旭光,张智香

JOURNAL OF HUAIHAI MEDICINE（2005）

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Abstract
目的探讨小儿剥夺睡眠脑电图不同时相的脑电波与小儿的惊厥、癫痫的诊断关系.方法采用剥夺睡眠后清醒到自然睡眠脑电监测小儿病人,所有患儿采用晚间禁睡后描记.结果睡眠脑电图监测186例,出现癫痫放电132例,阳性率70.9%.确诊癫痫126例,其中全身性发作52例,失神发作18例,West综合征6例,部分性发作48例,Lennox-Gastaut综合征2例.结论剥夺睡眠脑电图排除了药物的干扰,提高痫波发放率.是一种对癫痫的诊断、分型和病灶定位较为理想的诱发方法.
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