【目的】 探讨视频脑电图(video electroencephalography, VEEG)监测对儿童非癫癎性发作疾病(video electroencephalography, NES)的诊断价值。 【方法】 本院儿科视频脑电图室于2009年9月-2011年2月期间,对来280例拟诊或需排除癫病患儿进行了视频脑电图监测,结合视频脑电图监测结果、临床症状、体征、头颅CT 、血液生化检查(包括血糖、血氨、心肌酶谱) 等病史特点得到NES确定诊断,分析VEEG检查对儿童NES的诊断价值。 【结果】 75例(26.79%)判定为非癫癎性发作,非癫癎性发作类型包括:心因性NES为13例(17.3% ):癔病样发作6例(8.0%),情绪障碍5例(6.7%),屏气发作2例(2.6%)。躯体性NES为62例(82.7%):非癫癎性强直发作16例(21.3%);睡眠障碍11例(14.7%);良性肌阵挛10例(13.3%);头痛7例(9.3%);抽动症6例(8.0%);轻度胃肠炎伴发婴幼儿良性惊厥4例(5.3%);头晕4例(5.3%);良性非癫癎性婴儿痉挛3例(4.0%);脑瘫及运动发育迟缓肌张力增高导致异常动作1例(1.3%)。 【结论】 视频脑电图对诊断与鉴别诊断非癫癎性发作有重要临床意义。

【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.