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目的研究电视脑电（ＶｉｄｅｏＥＥＧ）长时间监测在癫痫诊断中的意义。方法对临床上１２４例诊断为癫痫、９２例可疑癫痫及３３例非癫痫患者行ＶｉｄｅｏＥＥＧ监测，并与临床诊断的结果进行对比。结果临床诊断为癫痫组患者中８４７％（１０５／１２４）记录到临床发作，原诊断为强直阵挛性发作（ＧＴＣＳ）中有１０例经ＶｉｄｅｏＥＥＧ监测确认为复杂部分性发作（ＣＰＳ）；９２例可疑癫痫患者中２４％（２２／９２）被确认为癫痫。可疑“头痛型癫痫“、“腹痛型癫痫”的４０例患者中，仅有１例其头痛与发作密切相关。另有６例有ＣＰＳ发作，但头痛或腹痛并非癫痫发作表现。结论ＶｉｄｅｏＥＥＧ对癫痫的诊断、鉴别及分类有重要意义。
Objective To study the significance of TV-EEG monitoring in the diagnosis of epilepsy. Methods 124 cases of clinical diagnosis of epilepsy, 92 cases of suspected epilepsy and 33 cases of non-epileptic patients were monitored by Video-EEG and compared with the results of clinical diagnosis. Results 84.7% (105/124) of the patients diagnosed as epilepsy group were clinically diagnosed. Of the 10 patients diagnosed with GTCS, 10 were confirmed by Video-EEG as complicated partial seizures CPS); 24% (22/92) of 92 patients with suspected epilepsy were identified as epilepsy. Susceptible “headache-type epilepsy,” “abdominal pain-type epilepsy,” 40 patients, only 1 case of headache and attack are closely related. Another 6 patients had episodes of CPS, but headache or abdominal pain was not a manifestation of seizures. Conclusion Video EEG of epilepsy diagnosis, identification and classification of great significance.