中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (4): 427-430.DOI: 10.11852/zgetbjzz2021-0141

• 临床研究 • 上一篇    下一篇

儿童孤独症谱系障碍合并癫痫的临床和脑电图特征分析

杜雅坤, 王霞, 陈芳, 李宝广, 孙晨博, 孙素真   

  1. 河北省儿童医院神经内科,河北 石家庄 050031
  • 出版日期:2022-04-10 发布日期:2022-04-11
  • 通讯作者: 孙素真, E-mail: duyakunlove@163.com
  • 作者简介:杜雅坤(1980-),女, 副主任医师,硕士学位,主要研究方向小儿神经及电生理
  • 基金资助:
    河北省卫计委2017年医学课题研究重点课题计划(20170397)

Analysis of clinical and electroencephalogram features in children with autism spectrum disorder combined with epilepsy

DU Ya-kun, WANG Xia, CHEN Fang, LI Bao-guang, SUN Chen-bo, SUN Su-zhen   

  1. Department of Neurology,Children's Hospital of Hebei Province,Shijiazhuang,Hebei 050031,China
  • Online:2022-04-10 Published:2022-04-11
  • Contact: SUN Su-zhen,E-mail:duyakunlove@163.com

摘要: 目的 分析孤独症谱系障碍(ASD)合并癫痫患儿临床和脑电图(EEG)特征,为临床完善ASD共患癫痫的诊疗提供线索。方法 选取2017年1月-2019年12月就诊于河北省儿童医院的120例ASD合并癫痫的患儿为研究对象,对其临床特点和EEG特征进行回顾性分析。结果 ASD合并癫痫患儿癫痫发作以局灶性发作(83.3%)为主,5~7岁时达到高峰,智力水平低的患儿所占比例高。EEG放电最常出现在部位是额区(40%)和颞区(30%),患儿的智力水平与发作间期癫痫样放电指数(IEA)呈负相关(r=-0.736,P<0.001)。结论 ASD合并癫痫有其自身的临床特点,EEG作为评估脑功能的方法,在疾病的诊疗中有着很高的应用价值。

关键词: 孤独症谱系障碍, 癫痫, 脑电图, 智力水平, 儿童

Abstract: Objective To analyze the clinical and electroencephalogram(EEG)features in children with autism spectrum disorder(ASD)combined with epilepsy,in order to provide clues for optimizing the clinical treatment of these children. Methods A total of 120 children with ASD combined with seizures in Children's Hospital of Hebei Province from January 2017 to December 2019 were enrolled in this study. Their clinical features and EEG features were retrospectively analyzed. Results The features of seizures in ASD children combined with epilepsy were mainly focal seizures(83.3%),which peaked at 5 to 7 years old,and the proportion of children with low intelligence level was high.EEG discharges were most common in the frontal region(40%) and temporal area(30%).The intelligence level of the patients was negatively correlated with the interictal epileptiform activity(IEA)(r=-0.736,P<0.001). Conclusions ASD combined with epilepsy has its own clinical features.As a method to evaluate brain function,EEG has a high application value in the diagnosis and treatment of diseases.

Key words: autism spectrum disorder, epilepsy, electroencephalogram, intelligence level, children

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