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目的探讨儿童非癫痫性发作(non-epileptic seizures,NES)的临床特征及视频脑电图(vid-eo-EEG)对其诊断意义。方法对129例经video-EEG监测后诊断为NES的患儿临床资料进行回顾性分析。结果 129例NES中,非癫痫性强直发作38例,良性肌阵挛31例,多发性抽动症20例,屏气发作9例,偏头痛7例,情感性交叉擦腿动作7例,睡眠障碍5例,轻度胃肠炎半婴幼儿良性癫痫4例,癔病3例,良性非癫痫性婴儿痉挛2例,其他3例,其中NES合并癫痫3例,NES合并亚临床发作2例。结论 video-EEG对NES的诊断有重要意义。
Objective To investigate the clinical features of children with non-epileptic seizures (NES) and the significance of video-electroencephalogram (EEG-EEG). Methods The clinical data of 129 children with NES diagnosed by video-EEG monitoring were retrospectively analyzed. Results Among 129 cases of NES, 38 cases were non-epileptic tonic seizure, 31 cases were benign myoclonus, 20 cases were complicated by Tourette syndrome, 9 were breathlessness, 7 were migraine, 7 cases were afferent cross-leg cleavage, 5 were sleep disorder Cases, mild gastroenteritis in infants with benign epilepsy in 4 cases, 3 cases of hysteria, 2 cases of benign non-epileptic infantile spasms, and 3 cases in the other, including NES with epilepsy in 3 cases, NES with subclinical episodes in 2 cases. Conclusion video-EEG is of great significance in the diagnosis of NES.