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1、ThevalueofEEGinepilepsyresearch(浅析脑电图在癫痫病研究中的应用价值)EEGinepilepsyresearchintheapplicationofthevalueofit?Theanswerisyes.Mainlyinthefollowingaspects.脑电图在癫痫的研究中有应用价值吗?答案是肯定的。主要表现在以下几方面。 (1)Theofepilepsyetiologyofepilepsyetiologyiscomplex,buthasacloserelationship
2、withgenetic.Inthestudyofthegeneticsofepilepsy,EEGisoneoftheimportantresearchmethod.Compatriotsinthecentralbrainepilepticchildren,46%hadEEGepileptiformdysrhythmia,is3.5timesthatofthecontrolgroup,theEEGbyfamiliesofchildrenwithepilepsyandfoundthatnotonlyrelated
3、toidiopathicepilepsyandgeneticandsecondaryepilepsyalsoinfluencedbygeneticfactors. (1)癫痫的病因研究癫痫的病因很复杂,但与遗传有密切的关系。在癫痫的遗传学研究中,脑电图检查是重要的研究方法之一。在中央脑型癫痫患儿的同胞中,46%有脑电图的癫痫样节律紊乱,是对照组的3.5倍,通过癫痫患儿家系的脑电图描记,发现不仅特发性癫痫与遗传有关,而且继发性癫痫也受遗传因素的影响。 (2)EEGepilepsydiagnosisofepil
4、epsydiagnosisreliesonclinicalmanifestationsandEEG,however,doctorshavelittlechancewitnessedchildrenwithonsetafterhistorypresenterisoftendescribedinaccurateorincomplete,soaccuratetheclinicaldataaresometimesdifficulttoobtain.EEGcanberecordeddirectlytochildrenwi
5、thepileptiformdischargesbecomeanimportantbasisfordiagnosis.Accordingtoreports,morethan80%ofchildrenwithepilepsyinterictalEEGabnormalities.WiththenewEEGtechnologyapplications,thepositiverateisgettinghigherandhigher,thetheepilepsydiagnosticvaluewillkeeprising.
6、 (2)脑电图与癫痫诊断癫痫的诊断主要依靠临床表现和脑电图检查,然而医生很难有机会目睹患儿的发作经过,而病史陈述者又往往描述不准确或不完全,因此准确的临床资料有时很难得到。而脑电图可直接记录患儿的痫样放电,成为诊断的重要依据。据报道,80%以上的癫痫患儿有发作间期脑电图异常。随着新的脑电图技术的应用,阳性率会越来越高,对癫痫的诊断价值会越来越大。 (3)classificationofEEGandepilepsyepilepticbefoundinvarioustypesofepilepsy,buthasv
7、arioustypesofepilepsyEEGfeatures.SuchaspartialseizuresEEGabnormalitylimitedtoonesideofthecerebralhemispheres,abnormaldischargespreadtobothsidesofthebrainhemispheresandgeneralizedseizures;theinfantilespasmspeakimperfectly;theOtawarasyndromeshowedaburstsuppres
8、sionEEG;thetypicalabsenceshoweddiffuse,symmetry3HZ(Hz)discharge;whilelessthan3HZabnormaldischargeseenintheLennoxsyndrome,prognosisandtypicalabsenceaworldofdifference. (3)脑电图与癫痫分类尽管癫痫波可见于各型癫痫,但各