关键词: 视频脑电图, 非癫癎性发作/诊断, 儿童

Abstract: 【Objective】 To explore the diagnostic value of video electroencephalography (VEEG) in children with non-epileptic seizure. 【Methods】 From Sep. 2009 to Feb. 2011, 280 children suspected to have or need to weep out the possibility of epilepsy were examined with VEEG. Then the confirmed diagnosis of non-epileptic seizures (NES) would be made by VEEG, clinical symptoms, physical signs, ECG, CT of the skull, and blood examination (such as blood sugar, blood ammonia, myocardial enzyme). Then the diagnostic value of VEEG in children were evaluated with non-epileptic seizure. 【Results】 75 children were diagnosed as NES. 13 (17.3% ) NES children were associated with psychogenic disorders, including 6 hysteria sample attacks (8.0%), 5 emotional disturbance (6.7%),and 2 breath-holding spells(2.6%). 62(82.7%) NES children were associated with somatoform disorders, including 16 non-epileptic tonic seizures (21.3%), 11 sleep disorders (14.7%), 10 benign myoclonus (13.3%), 7 headache ( 9.3%), 6 tourette syndrome (8.0%), 4 benign convulsion associated with gastroenteritis (5.3%), 4 dizziness (5.3%), 3 benign myoclonus of early infancy (4.0%), and 1 abnormal posture related to cerebral palsy(1.3%). 【Conclusion】 VEEG has important clinical significance for diagnosis and differential diagnosis of NSE.

Key words: ideo electroencephalogram, non-epileptic seizures/diagnosis, children