中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
17期
10-12
,共3页
发作性运动诱发性运动障碍%视频脑电图%抗癫痫治疗
髮作性運動誘髮性運動障礙%視頻腦電圖%抗癲癇治療
발작성운동유발성운동장애%시빈뇌전도%항전간치료
Paroxysmal exercise-induced dyskinesia%Video EEG%Antiepileptic therapy
目的探讨发作性运动诱发性运动障碍的视频脑电图检测结果及临床特点。方法选取我院2006‐03-2014‐03收治的发作性运动诱发性运动障碍患者41例,均采用视频脑电图检测技术检查,观察并总结其临床特点,同时对视频脑电图和 CT 及 MRI 诊断的准确率进行对比分析。41例患者采用适当的抗癫痫药物治疗,观察临床疗效。结果41例患者中使用视频脑电图检查的准确率为73.1%(30例),使用 CT 及 MRI 检查的准确率为36.6%(15例),2种方法准确率相比,差异有统计学意义(P<0.01)。经治疗,显效30例(73.2%),有效8例(19.5%),无效3例(7.3%),总有效率为92.7%(38/41)。结论发作性运动诱发性运动障碍应用视频脑电图检查具有较高的准确率,给予相应的抗癫痫药物治疗,可取得显著临床疗效。
目的探討髮作性運動誘髮性運動障礙的視頻腦電圖檢測結果及臨床特點。方法選取我院2006‐03-2014‐03收治的髮作性運動誘髮性運動障礙患者41例,均採用視頻腦電圖檢測技術檢查,觀察併總結其臨床特點,同時對視頻腦電圖和 CT 及 MRI 診斷的準確率進行對比分析。41例患者採用適噹的抗癲癇藥物治療,觀察臨床療效。結果41例患者中使用視頻腦電圖檢查的準確率為73.1%(30例),使用 CT 及 MRI 檢查的準確率為36.6%(15例),2種方法準確率相比,差異有統計學意義(P<0.01)。經治療,顯效30例(73.2%),有效8例(19.5%),無效3例(7.3%),總有效率為92.7%(38/41)。結論髮作性運動誘髮性運動障礙應用視頻腦電圖檢查具有較高的準確率,給予相應的抗癲癇藥物治療,可取得顯著臨床療效。
목적탐토발작성운동유발성운동장애적시빈뇌전도검측결과급림상특점。방법선취아원2006‐03-2014‐03수치적발작성운동유발성운동장애환자41례,균채용시빈뇌전도검측기술검사,관찰병총결기림상특점,동시대시빈뇌전도화 CT 급 MRI 진단적준학솔진행대비분석。41례환자채용괄당적항전간약물치료,관찰림상료효。결과41례환자중사용시빈뇌전도검사적준학솔위73.1%(30례),사용 CT 급 MRI 검사적준학솔위36.6%(15례),2충방법준학솔상비,차이유통계학의의(P<0.01)。경치료,현효30례(73.2%),유효8례(19.5%),무효3례(7.3%),총유효솔위92.7%(38/41)。결론발작성운동유발성운동장애응용시빈뇌전도검사구유교고적준학솔,급여상응적항전간약물치료,가취득현저림상료효。
Objective To explore the clinical characteristics and video electroencephalogram(EEG) detection of paroxysmal exercise‐induced dyskinesia.Methods 41 cases with paroxysmal exercise‐induced dyskinesia which were examined by video EEG technology were recruited in our hospital ,then we observed and summarized clinical characteristics. Meanwhile ,we com‐pared diagnostic accuracy rate between video EEG ,CT and MRI. And 41 cases received appropriate antiepileptic treatment , and its clinical effect was observed. Results In 41 cases ,the detection rate of paroxysmal exercise‐induced dyskinesia by video EEG was 73.1% (30 cases) ,which was significantly higher than 36.6% (15 cases) by CT and MRI (P< 0.01). After treat‐ment ,significantly improved in 30 cases(73.2% ) ,improved in 8 cases(19.5% ) ,and 3 cases(7.3% ) were inefficient ,with 92.7% (38/41) of the total effective rate.Conclusion Video EEG application has the considerately detection rate in the diagno‐sis of paroxysmal exercise‐induced dyskinesia and the antiepileptic therapy obtains markedly clinical efficacy.