Clinical Value of Video-electroencephalograph for Non-epileptic Seizures Disease in Children_West China Medical Journal

Authors：

 LIJing , YANGYan-ping

Department of Paediatrics, Sichuan Academy of Medical Sciences & People's Hospital of Sichuan Province, Chengdu, Sichuan 610072, P. R. China;

Corresponding?author：

Keywords：

Video-electroencephalogram; Non-epileptic seizures; Children

DOI：

10.7507/1002-0179.20140070

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Objective To explore the clinical value of video-electroencephalograph (VEEG) for non-epileptic seizures disease in children. Methods The clinical data of 58 children with non-epileptic seizures (NES) diagnosed by VEEG from October 2010 to November 2012 were retrospectively analyzed. Results In 50 out of 58 patients in the process of monitoring,the NES clinical onset was found while no synchronized epileptiform discharges was observed;in five patients with NES combined with epilepsy,no epileptiform discharges was found by VEEG at the clinical onset of NES;there were 3 patients with epileptiform discharges without seizures,who had no history of epilepsy,but non-synchronized clinical nonparoxysmal epileptiform discharges was found by VEEG monitoring. Conclusion VEEG is an effective diagnosis method for NES and seizures in children,which could be regarded as the gold standard for NES diagnosis.

Citation： LIJing, YANGYan-ping. Clinical Value of Video-electroencephalograph for Non-epileptic Seizures Disease in Children. West China Medical Journal, 2014, 29(2): 226-228. doi: 10.7507/1002-0179.20140070 Copy

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3.	Francis P,Baker GA.Non-epileptic attack disorder (NEAD):a comprehensive review[J].Seizure,1999,8(1):53-61.
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6.	Stroink H,van Donselaar CA,Geerts AT,et al.The accuracy of the diagnosis of paroxysmal events in children[J].Neurology,2003,60(6):979-982.
7.	李靜,黃紹平,楊琳,等.視頻腦電圖對兒童非癲癇性發作疾病的診斷價值[J].中國兒童保健雜志,2011,19(10):943-945.
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9.	劉平,胡文廣,吳懼,等.兒童期常見非癲癇性發作的臨床及腦電圖特點[J].現代電生理學雜志,2011,18(4):213-217.
10.	Wood BL,Haque S,Weinstock A,et al.Pediatric stress-related seizures:conceptualization,evaluation,and treatment of nonepileptic seizures in children and adolescents[J].Curr Opin Pediatr,2004,16(5):523-531.

1. Lelliott PT,Fenwick P.Cerebral pathology in pseudoseizures[J].Acta Neurol Scand,1991,83(2):129-132.
2. 周水珍,孫道開.兒童非癲癇發作與癲癇發作[J].中國臨床神經科學,2000,8(4):297-298.
3. Francis P,Baker GA.Non-epileptic attack disorder (NEAD):a comprehensive review[J].Seizure,1999,8(1):53-61.
4. Nieto DM.Paroxysmal disorders and episodic non-epilepticsymptoms[J].Rev Neurol,1999,28(1):73.
5. Beach R,Reading R.The importance of acknowledging clinical uncertainty in the diagnosis of epilepsy and non-epileptic events[J].Arch Dis Child,2005,90(12):1219-1222.
6. Stroink H,van Donselaar CA,Geerts AT,et al.The accuracy of the diagnosis of paroxysmal events in children[J].Neurology,2003,60(6):979-982.
7. 李靜,黃紹平,楊琳,等.視頻腦電圖對兒童非癲癇性發作疾病的診斷價值[J].中國兒童保健雜志,2011,19(10):943-945.
8. 劉智勝.兒童非癲癇性發作的鑒別診斷[J].實用兒科臨床雜志,2004,19(4):241-244.
9. 劉平,胡文廣,吳懼,等.兒童期常見非癲癇性發作的臨床及腦電圖特點[J].現代電生理學雜志,2011,18(4):213-217.
10. Wood BL,Haque S,Weinstock A,et al.Pediatric stress-related seizures:conceptualization,evaluation,and treatment of nonepileptic seizures in children and adolescents[J].Curr Opin Pediatr,2004,16(5):523-531.

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Clinical Value of Video-electroencephalograph for Non-epileptic Seizures Disease in Children

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