Abstract: Objective To review the video electroencephalogram (VEEG) in children with cerebral palsy(CP),analyze the correlation between abnormal characteristics of VEEG and types of CP,and investigate the application value of VEEG. Methods The international 10/20 system electrode placement method was used to collect underwent VEEG examination of 60 cases of children with CP,including waking and sleep state,the results were analyzed retrospectively. Results Abnormal rate of VEEG in the 60 cases of children with CP was 76.67% (46/60).Abnormal rate of VEEG in children with spastic type of CP was the highest,up to 85.37% (35/41).The ratio of spastic CP complicated with epilepsy was 46.34% (19/41). Conclusion The abnormal rate of VEEG in children with CP is high.Abnormal characteristics of VEEG help to judge the location of lesion,determine whether complicated with epilepsy and seizure types,and reflect the functional status of nervous system.

Key words: cerebral palsy, video electroencephalogram, children

摘要： 目的 分析视频脑电图在脑瘫患儿中的应用价值。方法 采用国际10/20系统电极放置法,对60例脑瘫患儿进行清醒、睡眠等状态的视频脑电图检查,分析脑电图异常特征与患儿脑瘫类型的相关性。结果 60例脑瘫患儿的脑电图异常率为76.67%(46/60),其中痉挛型脑电图异常率最高85.37%(35/41),痉挛型脑瘫中并发癫痫的比例为46.34%(19/41)。结论 脑瘫患儿脑电图异常率高,脑电图异常特征能帮助判断脑损伤部位、是否并发癫痫及明确发作类型,有助于反映患儿神经系统的功能状况。

关键词: 脑性瘫痪, 视频脑电图, 儿童