患儿女,6岁。主因食欲减退、精神不振1个月而来院就诊行脑电图检查,患儿既往体健,于1年前有头部外伤史,受伤前后均无神经系统疾病史。查体所见:体温36.5℃,脉搏88次/分,呼吸21次/分;神志清楚,精神不振,步态平稳。心、肺及腹部未发现异常。神经系统检查未发现阳性体征。脑电图检查提示:右侧顶枕频繁出现波幅在100uV以上、频率为80毫秒的典型棘波,且时相倒置。脑电图诊断癫痫。 Children with children, 6 years old. Mainly due to loss of appetite, lack of energy 1 month and hospital EEG examination, children with previous health, a history of head trauma 1 year ago, no history of neurological disease before and after injury. Physical examination findings: body temperature 36.5 ℃, pulse 88 beats / min, breathing 21 beats / min; conscious, sluggish, stable gait. Heart, lungs and abdomen were not found abnormalities. Neurological examination found no positive signs. EEG examination Tip: The right top of the pillow frequent occurrence of volatility in 100uV above, the frequency of 80 milliseconds typical spikes, and the phase inversion. EEG diagnosis of epilepsy.