CAJ | 학술논문

目的：通过对儿童中央沟前后的运动感觉区（Rolandic）棘慢波进行观察分析，较为全面地诊治患儿的癫痫类型、推测患儿认知发育及预后。方法对本室2012年1月至2013年3月期间525例癫痫样放电的患儿中 Rolandic 区放电的患者进行回顾性观察。结果①Rolandic 放电143例，占总患儿数27.2％，其中伴中央颞区的儿童良性癫痫（BECT）111例占77.7％；②合并其他部位放电的32例占22.3％；其中广泛性3 Hz 棘慢波发放，伴或不伴失神发作的4例；伴脑发育障碍14例；伴额极、额区放电的4例；伴注意力缺陷障碍（ADHD）4例；抽动障碍6例。结论 Rolandic 棘波是儿童最常见的癫痫样放电之一。并非所有的 Rolandic 区放电都是BECT。
목적：통과대인동중앙구전후적운동감각구（Rolandic）극만파진행관찰분석，교위전면지진치환인적전간류형、추측환인인지발육급예후。방법대본실2012년1월지2013년3월기간525례전간양방전적환인중 Rolandic 구방전적환자진행회고성관찰。결과①Rolandic 방전143례，점총환인수27.2％，기중반중앙섭구적인동량성전간（BECT）111례점77.7％；②합병기타부위방전적32례점22.3％；기중엄범성3 Hz 극만파발방，반혹불반실신발작적4례；반뇌발육장애14례；반액겁、액구방전적4례；반주의력결함장애（ADHD）4례；추동장애6례。결론 Rolandic 극파시인동최상견적전간양방전지일。병비소유적 Rolandic 구방전도시BECT。
Objective To comprehensively diagnose the phenotype of epilepsy, and to predict the cognitive de-velopment and prognosis in children via analyses on the slow spike waves associated with Rolandic discharge. Methods We did a rertospective analysis on the characters of Rolandic discharge in children with epilepsy-like dis-charge disorders who were admitted to Shanxi Medical University between January 2012 and March 2013. Results We identified 143 cases with Rolandic discharge, accounting for 27.2% of the total cases, of whom 111 cases(77.7%) presented with the features of benign epilepsy with centrotemporal spikes (BECT) in electroencephalogram. 32 cases (22.3%) harbored discharge at other sites. Of these children, 4 casess demonstrated extensive 3 Hz spike and slow waves, with or without evidence of absence seizures; 14 cases presented with cerebral development disorders; 4 cases had concomitant frontal area and discharge; 4 cases were diagnosed as having attention deficit disorder (ADHD); 6 cases had tic disorder. Conclusion Rolandic spikes is one of the most common forms of epilepsy children but might not be invariably accompanied by the presence of BECT.