CAJ | 학술논문

目的根据长程同步录像脑电监测（Video-EEG，VEEG）和头颅磁共振成像（MRI）的检查结果，探讨部分性发作癫痫患者的发作起源与磁共振（MR）结构异常之间的关系。方法分析78例VEEG检查中确诊的部分性发作癫痫患者的VEEG及MRI检查结果，以探索两者间关系。结果部分性发作的癫痫患者，以颞叶病变最多。其中海马硬化的发病率最高，占55％。78例患者中，46例仅在清醒状态下发作，25例仅在睡眠状态下发作，清醒和睡眠状态均发作的有7例；39例发作期VEEG能确定起源，其中24例与MR符合。发作间期VEEC78例，30例与MR符合。发作期能确定起源的脑电图与MRI符合率明显高于发作间期能确定起源的脑电图与MRI的符合率（P〈0．05）。结论部分性发作的癫痫中，影像学检查示颞叶病变最多。部分性癫痫的发作期似乎更多发生在清醒状态。发作期能确定起源的VEEG对癫痫灶的定位更准确。
목적근거장정동보록상뇌전감측（Video-EEG，VEEG）화두로자공진성상（MRI）적검사결과，탐토부분성발작전간환자적발작기원여자공진（MR）결구이상지간적관계。방법분석78례VEEG검사중학진적부분성발작전간환자적VEEG급MRI검사결과，이탐색량자간관계。결과부분성발작적전간환자，이섭협병변최다。기중해마경화적발병솔최고，점55％。78례환자중，46례부재청성상태하발작，25례부재수면상태하발작，청성화수면상태균발작적유7례；39례발작기VEEG능학정기원，기중24례여MR부합。발작간기VEEC78례，30례여MR부합。발작기능학정기원적뇌전도여MRI부합솔명현고우발작간기능학정기원적뇌전도여MRI적부합솔（P〈0．05）。결론부분성발작적전간중，영상학검사시섭협병변최다。부분성전간적발작기사호경다발생재청성상태。발작기능학정기원적VEEG대전간조적정위경준학。
Objective To investigate the relation between Video - EEG （VEEG） and MRI in patients with partial epilepsies. Method VEEG and MRI of 78 patients were examined to explore the relation VEEG and MRI in patients with partial epilepsies. Results In 78 partial epilepsies, most of them showed temporal lesions and 55% of them showed hippocampus sclerosis. Forty - three patients experienced seizures of the disease in consciousness, 25 patients in dormancy, while 7 patients in both consciousness and dormancy. Epileptic loci of the brain may be determined by VEEG in 39 patients in period of onset, in which 24 cases were in consistent with MR.I; and for 78 patients in interphase of onset, 30 cases were in consistent with MRI. The differences in consistence rate between the two groups were significant （P 〈 0. 05）. Conclusions Temporal lesions are most commonly seen in patients with partial epilepsies. The onset of partial epilepsies is prone to be seen in patients in consciousness. VEEG of patients in the period of onset is beneficial to accurate determination of the epileptic loci in the brain.