Value of video-electroencephalography for the diagnosis of children with non-epileptic seizures / 中国医师进修杂志

ABSTRACT

Objeaive To study the value ofvideo-electroencephalography(VEEG) for the diagnosis of children with non-epileptic seizures (NES).Methods A retrospective analysis was carried out in 280 patients with NES diagnosed by VEEG surveillance.All the patients underwent routine electroencephalography (EEG),VEEG,CT and MRI examination.Results Routine EEG was normal in 183 cases,and abnormal in 97 cases.VEEG recording was normal in 207 cases(73.9％,207/280),and abnormal in 73 cases(26.1％,73/280).The somatic NES was in 210 cases (75.0％,210/280),and psychogenic NES was in 70 cases (25.0％,70/280).NES combined with epilepsy were in 22 cases,MRI found 20 cases (90.9％,20/22) and head CT found 14 cases (63.6％,14/22).In the combined diagnosis,MRI was higher than CT in detecting focus (P ＜ 0.05).Conclusions VEEG is the important means of diagnosing children with NES,which is also important to differentiate with epilepsy.Combined with cranial imaging studies,it improves the identification of abnormal discharge and epilepsy,and further reveals the structural features of the epileptic discharge lesions is an important qualitative means of epilepsy etiological diagnosis.