[摘要]目的 评价电视录像脑电图(VEEG)监测在小儿发作性疾病临床诊断中的应用价值。方法 对656例具有发作性症状的病儿进行3～4 h包括清醒、睡眠及诱发试验的VEEG监测。结果 656例病儿中，132例( 20.1% )监测到临床发作，其中86例(65.2%)伴有发作期痫样放电，证实为癫痫性发作;46例(34.8%)发作期无痫样放电，为非癫痫性发作。656例病儿中共监测到痫样放电398例，检出率60.7%。210例(52.8%)确定了癫痫发作类型，74例监测后发作分类得到修正。痫样放电多见于NREMⅠ～Ⅱ期。结论 VEEG监测可提高痫样放电的检出率，有助于癫痫发作与非癫痫发作的鉴别及癫痫的分型。

    [关键词] 癫痫;发作;脑电描记术;电视

    APPLICATION OF VIDEO-EEG FOR PAROXYSMAL EVENTS IN CHILDREN

    LI YU-FEN

    (Department of Pediatrics， Linyi People's Hospital， Linyi 276003， China)

    [ABSTRACT]ObjectiveTo evaluate the clinical significance of video-EEG in the diagnosis of paroxysmal events in children. MethodsVideo-EEG on the state of awaking， sleeping and challenge testing was done for 3-4 hours in 656 children with parox-ysmal events. ResultsClinical episodes were captured in 132 children (20.1%)， in which， 86 (65.2%) with epileptic discharge were identified as epileptic attacks; 46 (34.8%) without epileptic discharge during the episode were identified as non-epileptic at-tacks. Epileptic discharge was detected in 398 patients. Seizure types were defined in 210 patients ......