Clinical Value of Video-electroencephalograph for Non-epileptic Seizures Disease in Children_West China Medical Journal

Authors：

 LIJing , YANGYan-ping

Department of Paediatrics, Sichuan Academy of Medical Sciences & People's Hospital of Sichuan Province, Chengdu, Sichuan 610072, P. R. China;

Corresponding author：

Keywords：

Video-electroencephalogram; Non-epileptic seizures; Children

DOI：

10.7507/1002-0179.20140070

Video：

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Objective To explore the clinical value of video-electroencephalograph (VEEG) for non-epileptic seizures disease in children. Methods The clinical data of 58 children with non-epileptic seizures (NES) diagnosed by VEEG from October 2010 to November 2012 were retrospectively analyzed. Results In 50 out of 58 patients in the process of monitoring,the NES clinical onset was found while no synchronized epileptiform discharges was observed;in five patients with NES combined with epilepsy,no epileptiform discharges was found by VEEG at the clinical onset of NES;there were 3 patients with epileptiform discharges without seizures,who had no history of epilepsy,but non-synchronized clinical nonparoxysmal epileptiform discharges was found by VEEG monitoring. Conclusion VEEG is an effective diagnosis method for NES and seizures in children,which could be regarded as the gold standard for NES diagnosis.

Citation： LIJing, YANGYan-ping. Clinical Value of Video-electroencephalograph for Non-epileptic Seizures Disease in Children. West China Medical Journal, 2014, 29(2): 226-228. doi: 10.7507/1002-0179.20140070 Copy

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1. Lelliott PT,Fenwick P.Cerebral pathology in pseudoseizures[J].Acta Neurol Scand,1991,83(2):129-132.
2. 周水珍,孙道开.儿童非癫痫发作与癫痫发作[J].中国临床神经科学,2000,8(4):297-298.
3. Francis P,Baker GA.Non-epileptic attack disorder (NEAD):a comprehensive review[J].Seizure,1999,8(1):53-61.
4. Nieto DM.Paroxysmal disorders and episodic non-epilepticsymptoms[J].Rev Neurol,1999,28(1):73.
5. Beach R,Reading R.The importance of acknowledging clinical uncertainty in the diagnosis of epilepsy and non-epileptic events[J].Arch Dis Child,2005,90(12):1219-1222.
6. Stroink H,van Donselaar CA,Geerts AT,et al.The accuracy of the diagnosis of paroxysmal events in children[J].Neurology,2003,60(6):979-982.
7. 李静,黄绍平,杨琳,等.视频脑电图对儿童非癫痫性发作疾病的诊断价值[J].中国儿童保健杂志,2011,19(10):943-945.
8. 刘智胜.儿童非癫痫性发作的鉴别诊断[J].实用儿科临床杂志,2004,19(4):241-244.
9. 刘平,胡文广,吴惧,等.儿童期常见非癫痫性发作的临床及脑电图特点[J].现代电生理学杂志,2011,18(4):213-217.
10. Wood BL,Haque S,Weinstock A,et al.Pediatric stress-related seizures:conceptualization,evaluation,and treatment of nonepileptic seizures in children and adolescents[J].Curr Opin Pediatr,2004,16(5):523-531.

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Clinical Value of Video-electroencephalograph for Non-epileptic Seizures Disease in Children

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