The clinical role of computerized EEG in the evaluation and treatment of learning and attention disorders in children and adolescents

The clinical role of computerized EEG in the evaluation and treatment of learning and attention disorders in children and adolescents
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DOI:
10.1176/appi.neuropsych.13.2.171
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发表时间:
2001-03-01
影响因子:
2.9
通讯作者:
John, ER
John, ER
中科院分区:
医学4区
文献类型:
--
作者:
Chabot, RJ;di Michele, F;John, ER

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定量脑电图(QEEG)在儿童和青少年注意缺陷和学习障碍的评估和治疗中具有重要作用。有学习障碍的儿童是一个异质性人群,QEEG异常占报告病例的25%至45%。EEG减慢是最常见的异常发现,QEEG异常的性质可能与未来的学习成绩有关。注意力障碍的儿童是一个更同质的人群,QEEG异常高达80%。在这一人群中,额叶/极区最有可能显示出偏离正常发育的情况,丘脑皮质和/或隔-海马通路最有可能受到干扰。QEEG显示高灵敏度和特异性区分正常儿童和儿童学习障碍和注意力障碍,从对方,并可能提供有用的信息,以确定的可能性,儿童注意力问题将与兴奋剂药物治疗作出反应。
Quantitative EEG (QEEG) can play an important role in the evaluation and treatment of children and adolescents with attention deficit and learning disorders. Children with learning disorders are a heterogeneous population with QEEG abnormality in 25% to 45% of reported cases. EEG slowing is the most common abnormal finding, and the nature of the QEEG abnormality may be related to future academic performance. Children with attention disorders are a more homogeneous population, with QEEG abnormalities in up to 80%. In this population, frontal/polar regions are most likely to show deviations from normal development, with the thalamocortical and/or septal-hippocampal pathways most likely to be disturbed. QEEG shows high sensitivity and specificity for distinguishing normal children and children with learning disorders and attention disorders from each other and may provide useful information for determining the likelihood that children with attention problems will respond to treatment with stimulant medication.