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脑电图与发作之间的关系典型的缺席发作儿童的典型缺席发作

Susan Harvey¹, Claire Thompson², Odette O'Flaherty²

¹Department of Neurology and Clinical Neurophysiology, Children's Health Ireland at Temple Street, Dublin, Ireland; School of Medicine, University College Dublin, Dublin, Ireland.

Pediatric neurology

|September 4, 2023

概括

典型的缺席发作 (TAS) 在儿童中很常见,间隔EEG发现与较差的结果无关. 这些EEG模式,以前与青少年缺席有关,在TAS病例中不会预测更糟糕的预后.

科学领域:

儿科神经学儿科神经学
发病学 (Epileptology) 是一个专业的学科.
临床神经生理学临床神经生理学

背景情况:

典型缺席发作 (TAS) 是一种特异性普遍性的形式.
电脑电图 (EEG) 对于表征综合征至关重要.
青少年缺席 (JAE) 中的间隔EEG发现历来与较差的结果有关,这一概念在TAS.中受到质疑.

研究的目的:

评估TAS.儿童间接电脑电图发现和发作的结果之间的关联.
确定特定的EEG模式是否与儿科TAS中的自由度,复发或其他类型相关.

主要方法:

在10年内对123名TAS儿童进行了回顾性队列研究.
综合性EEG分析和医疗记录审查.
通过电话采访确定了长期的结果,对盲目EEG审查员进行了采访.

主要成果:

在59%的患者中,通过抗发作药物 (ASM) 实现了抗发作自由.
常见的间接发现包括焦点放电 (29%),尖峰波 (SW) 碎片 (82.1%),和通用放电 (63.4%).
没有发现焦点或通用间接发现与无发作,复发,其他类型的发作或对第一个ASM的反应之间有显著的关联.

结论:

在儿科TAS中,焦点和普遍的间接EEG放电是常见的.
这些EEG发现与TAS.儿童的不良发作结果无关.
这些发现与JAE和较差结果的传统关联可能不适用于TAS.

关键词:

缺席性发作缺席性发作电脑电脑电图 (EEG) 的第一个部分.互联电力 EEG 协议.儿科儿科儿科

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