Paroxysmal non-epileptic events in children: A retrospective study over a period of 10 years
Paroxysmal non-epileptic events in children: A retrospective study over a period of 10 years
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DOI：
10.1046/j.1440-1754.2000.00496.x
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发表时间：
2000-06-01
影响因子：
1.7
通讯作者：
Vles, JSH
中科院分区：
文献类型：
--
作者：
Bye, AME;Kok, DJM;Vles, JSH
目的：为了确定频率，性质和临床特征的阵发性非癫痫事件诊断的儿童视频脑电图（EEG）监测在三级referral centre.Methodology：一项回顾性研究的儿童阵发性非癫痫事件，年龄2周至17岁的包容性进行。研究组由10年期间（1988-99）进行视频EEG监测的儿童组成。遥测文件，医疗图表，事件记录在视频和record sheets reviewed.Results：共666名儿童进行了分析，269例癫痫事件记录，285例非癫痫事件和112例无事件记录。在非癫痫事件的儿童中，43%的儿童发育迟缓，25%的儿童神经系统检查异常，40%的儿童患有癫痫。在研究样本中，癫痫样发作间期EEG是常见的（24%）。非癫痫事件的主要亚组为：凝视（34%）、睡眠现象-良性睡眠肌阵挛（15%）、觉醒（13%）、运动性抽搐（11%）和震颤（7%）。发育迟缓（57%）是常见的儿童谁提出了凝视法术。一个特定的非癫痫事件的诊断达到96%的cases.Conclusion：阵发性非癫痫事件可能会导致诊断混乱，特别是在儿童发育迟缓，癫痫或癫痫样脑电图。在大多数情况下，使用视频EEG监测可以达到准确的诊断。
Objective: To determine the frequency, nature and clinical characteristics of paroxysmal non-epileptic events in children diagnosed by video electroencephalogram (EEG) monitoring at a tertiary referral centre.Methodology: A retrospective study of children with paroxysmal non-epileptic events, aged 2 weeks to 17 years inclusive was undertaken. The study group consisted of children who had video EEG monitoring during a 10-year period (1988-99). Telemetry files, medical charts, events recorded on video and record sheets were reviewed.Results: A total of 666 children were analysed, 269 had epileptic events recorded, 285 had non-epileptic events and 112 had no events recorded. In children with non-epileptic events, 43% were developmentally delayed, 25% had an abnormal neurological examination and 40% had epilepsy. In the study sample an epileptiform interictal EEG was common (24%). The major subgroups of non-epileptic events were: staring (34%), sleep phenomena - benign sleep myoclonus (15%), arousals (13%), motor tics (11%) and shuddering (7%). Developmental delay (57%) was common in children who presented with staring spells. A diagnosis of a specific non-epileptic event was reached in 96% of cases.Conclusion: Paroxysmal non-epileptic events can cause diagnostic confusion, particularly in children with developmental delay, epilepsy or an epileptiform EEG. Accurate diagnosis can be reached in the majority of cases using video EEG monitoring.