Application of video-electroencephalography monitoring in the diagnosis of pediatric epilepsy / 中国医师进修杂志

ABSTRACT

Objective To explore the significance of video-electroencephalography (VEEG)monitoring in the diagnosis of pediatric epilepsy.Methods One hundred and twenty patients undiagnosed pediatric epilepsy were under VEEG and conventional electroencephalography (EEG) monitoring,comparative analysis of these two results,and application of VEEG to determine the type of children with seizure.Results Conventional EEG monitoring detected the clinical onset of 21 cases (17.5％,21/120),epileptiform discharges of 30 cases (25.0％,30/120).VEEG monitoring detected the clinical onset of 55 cases (45.8％,55/120),epileptiform discharges of 89 cases (74.2％,89/120).There was significant difference in the monitoring results between two methods (P ＜0.05).VEEG monitoring of 120 patients undiagnosed pediatric epilepsy,final diagnosis of 87 cases with pediatric epilepsy,and the type were tonic and (or) clonic seizures 25 cases,simple partial seizures 13 cases,breath holding attacks 9 cases,absence petit mal 18 cases,complex partial seizures 10 cases,myoclonic seizures 12 cases.Conclusion VEEG has high sensitivity for the diagnosis of pediatric epilepsy,and can determine the type of seizures to provide help for the treatment.