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Seizure disorders in children with cerebral palsy combined video-EEG monitoring of clinical significance

Author: ChenZuoZuo
Tutor: HaoQingYing
School: Shanxi Medical
Course: Pediatrics
Keywords: Cerebral palsy epilepsy video electroencephalography
CLC: R742.3
Type: Master's thesis
Year: 2011
Downloads: 25
Quote: 1
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Abstract


Objectiv:To explore the clinic value of Video-EEG monitoring in the diagnosis and differential diagnosis of epilepsy and non-epileptic seizures suffering from cerebral palsy. Methods: Video-EEG and routine EEG was carried out in 100 children with cerebral palsy,these patients were divided into 2 groups (65 patients were primarily diagnosed as epileptic seizures,35 patients were primarily diagnosed as non-epileptic seizures,who were control group), Separately comparing the detection rate of epileptiform discharges of two method, Comparing the accordance detection rate of epileptiform discharges of 2 groups and the detection rate of epileptiform discharges in Video-EEG of the interictal stage and the ictal stage. Results:The Video-EEG monitoring positive rate of epileptiform discharges in the cerebral palsy with epilepsy group was 73.8%,the routine EEG was 33.8%,χ2=20.92 P<0.005, two groups have significiant differences; the Video-EEG monitoring positive rate of epileptiform discharges in the cerebral palsy with non-epileptic seizures group was 34.2%, the routine EEG was 8.57%,χ2=6.87 P<0.05, two groups have significiant differences;Comparing the accordance detection rate of epileptiform discharges of 2 groups, the cerebral palsy with epilepsy group was 64.6%, the control group was 5.71%,χ2=5.00, P<0.05; The detection rate of epileptiform discharges in Video-EEG of interictal stage was 64.6%, the ictal stage was 43.1%,χ2=6.06 P <0.05.Conclusion:Video-EEG might increase the detection rate of epileptiform discharges. It might be important to clinic value in the diagnosis and differential diagnosis of epilepsy and non-epileptic seizures with cerebral palsy.

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CLC: > Medicine, health > Neurology and psychiatry > Neurology > Brain diseases > Cerebral palsy
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