|
|
|
| Application of Video EEG in Early Diagnosis and Prognosis Evaluation of Epilepsy Secondary to Cerebral Infarction |
| Wei Haiyong, Zhang Yinzhu, Du Huan |
| Neurological Disease Testing Center of Sanmenxia Central Hospital,Henan Sanmenxia 472000 |
|
|
|
|
Abstract Objective To analyze the efficacy of video EEG in the early diagnosis of epilepsy secondary to cerebral infarction and its prognostic value. Methods 110 patients with epilepsy secondary to cerebral infarction were studied,and they were followed up for one year.Routine electroencephalogram and video electroencephalogram were performed.The detection rate of abnormal electroencephalogram was compared between the two methods,and the detection rate of epileptic focus in different infarcts was counted;Then the patients were divided into groups according to whether they had relapse or not,and the initial video EEG signals and medication were observed in the two groups. Results The detection rate of abnormal EEG in video EEG was higher than that in routine EEG,and the detection rate of abnormal EEG in epilepsy without cerebral cortex infarction was higher than that in routine EEG;The detection rate of diffuse slow waves in video EEG in the epilepsy recurrence group was lower than that in the non recurrence group,and the detection rate of abnormal epileptiform discharge waveform was higher than that in the non recurrence group,with statistical significance（P<0.05）. Conclusion It is feasible to use video EEG to diagnose epilepsy secondary to cerebral infarction,especially to effectively detect the epilepsy focus formed after deep cerebral infarction,and to evaluate the prognosis of the disease according to epileptic discharges.
|
|
Received: 20 August 2023
|
|
|
|
|
|
[1] 刘星辰,吴健恒,彭慧渊,等.重型急性缺血性卒中合并癫痫发作患者的中医证型与视频脑电图表现的相关性研究[J].中国中医急症,2022,31(8):1175-1178.
[2] 胡辉华,张慧玲.视频脑电图检查在脑梗死后继发性癫痫患者中的应用价值[J].深圳中西医结合杂志,2021,31(8):100-101.
[3] 郑红丽. 脑卒中后癫痫发作的临床特征及视频脑电图特征分析[J].中国实用医刊,2018,45(20):91-93.
[4] 马建宁,沈延君,李明,等.视频脑电图检测在卒中后癫痫的分型和诊断中的应用价值[J].神经损伤与功能重建,2019,14(12):643-644.
[5] 夏敏,余佳佳,孔庆霞.卒中后癫痫的临床特征和视频脑电图分析[J].癫痫杂志,2020,6(5):410-415.
[6] 王娟,张粉霞,袁强,等.振幅整合脑电图与视频脑电图对照分析在新生儿惊厥发作中的诊断价值[J].中国小儿急救医学,2023,30(3):234-238.
[7] 庞振阳,刘一尔.脑卒中后癫痫发作的临床特点和视频脑电图分析[J].临床内科杂志,2020,37(7):515-516.
[8] Lattanzi S,Trinka E,Turcato G,et al.Latency of poststroke epilepsy can predict drug resistance[J].EUR J NEUROL,2022,29(8):2481-2485.
[9] 李曼,卓琳琅.视频脑电图监测对脑梗死后继发癫痫发作性患者的早期诊断及预后价值分析[J].医学理论与实践,2020,33(4):628-630.
[10] 肖群,赵宗友.VEEG检测在PSE临床诊断及预后评估中的应用价值分析[J].现代科学仪器,2022,39(4):145-148.
[11] 付萌萌,汪银洲,李永坤,等.缺血性卒中患者首次癫痫发作后复发的危险因素分析[J].中国脑血管病杂志,2018,15(8):398-403. |
| [1] |
. [J]. journal1, 2024, 44(4): 88-90. |
| [2] |
Cai Mingyue. Analysis of the Diagnostic Value of Low-frequency Combined with High-frequency Ultrasound in Gallbladder Polypoid Lesions[J]. journal1, 2024, 44(3): 47-49. |
| [3] |
Gao Rui, Qin Qishu. A Review of Acute Acanthamoeba Nematode Intoxication Studies[J]. journal1, 2024, 44(3): 135-138. |
| [4] |
Huang Zufeng, Li Duo, Zhai Xueyan. Application of Combined Detection of Brain Natriuretic Peptide and Urinary Microalbumin/Creatinine Ratio in the Diagnosis of Heart Failure[J]. journal1, 2024, 44(2): 5-7. |
| [5] |
Han Shuliang, Yang Jie, Guo Mengke, Xu Ke. Value of DCE-MRI Quantitative Parameters Combined with Serum VEGF and ProGRP Levels in Differential Diagnosis of Benign and Malignant Lung Lesions[J]. journal1, 2024, 44(2): 37-39. |
| [6] |
. [J]. journal1, 2024, 44(2): 62-64. |
|
|
|
|
2024, Vol. 44 
