波幅整合脑电图对新生儿惊厥的诊断价值

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Bibliographic Details
Published in神经科学通报:英文版 Vol. 27; no. 4; pp. 251 - 257
Main Author 张炼 周艳霞 常立文 罗小平
Format Journal Article
LanguageEnglish
Published 2011
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Bibliography:31-1975/R
electroencephalography; cerebral function monitoring; amplitude-integrated electroencephalography
Lian ZHANG, Yan-Xia ZHOU, Li-Wen CHANG, Xiao-Ping LUO (1Department of Pediatrics, Tong/i Hospital, Huazhong University of Science and Technology, Wuhan 430030, China 2Department of Neonatology, Guangzhou Women and Children's Medical Center, Guangzhou 510623, China)
Objective To investigate the accuracy of amplitude-integrated electroencephalography (aEEG) in detecting full-term neonatal seizures. Methods Conventional EEG (cEEG) and aEEG were simultaneously applied to 62 full-term newborns with seizures and results were analyzed with different methods. Results Of 876 seizures confirmed by cEEG, 21% were detected by clinical observation, 44.4% by aEEG and 85.7% by aEEG plus C3/C4 raw EEG. Of 531 seizures with a frequency higher than 5 times/h, 52.5% were detected by aEEG and 96.8% by aEEG plus C3/C4 raw EEG. Of 510 seizures lasting longer than 60 s, 50.6% were diagnosed by aEEG and 84.1% by aEEG plus C3/C4 raw EEG. Of 509 seizures originating in the central region, 57.9% were detected by aEEG and 90.9% by aEEG plus C3/C4 raw EEG. Conclusion Combination of aEEG with cEEG offers more accurate diagnosis, especially for detecting high-frequency, longlasting and central region-generated seizures.
ISSN:1673-7067
1995-8218