[1]廖白军　刘立红　石先俊等.额叶癫痫脑电模式分析[J].中国临床神经外科杂志,2021,26(02):88-91.[doi:10.13798/j.issn.1009-153X.2021.02.008]
　LIAO Bai-jun,LIU Li-hong,SHI Xian-jun,et al.Analysis of characteristics of scalp video electroencephalo-graphy and stereotactic electroencephalography in patients with frontal lobe epilepsy[J].,2021,26(02):88-91.[doi:10.13798/j.issn.1009-153X.2021.02.008]
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额叶癫痫脑电模式分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年02期
页码:
88-91
栏目:
论著
出版日期:
2021-02-25

文章信息/Info

Title:
Analysis of characteristics of scalp video electroencephalo-graphy and stereotactic electroencephalography in patients with frontal lobe epilepsy
文章编号:
1009-153X（2021）02-0088-04
作者:
廖白军　刘立红　石先俊等
400037 重庆，陆军军医大学附属新桥医院神经外科/全军癫痫诊治中心（廖白军、刘立红、石先俊、杨梅华）
Author(s):
LIAO Bai-jun;  LIU Li-hong;  SHI Xian-jun;  et al
Department of Neurosurgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, China
关键词:
额叶癫痫; 脑电模式; 立体定向脑电图; 头皮视频脑电图
Keywords:
Frontal lobe epilepsy;  Scalp video electroencephalography (VEEG);  Stereotactic electroencephalography (SEEG)
分类号:
R 742.1
DOI:
10.13798/j.issn.1009-153X.2021.02.008
文献标志码:
A
摘要:
目的 探讨额叶癫痫的脑电模式特点。方法 回顾性分析2016年1月至2018年4月手术治疗的额叶有确切结构病灶或立体定向脑电图（SEEG）证实额叶起源的51例癫痫的临床资料，51例均行头皮视频脑电图（VEEG）监测，21例行SEEG监测。结果 ①VEEG表现：背景正常29例（56.86%），异常22例（43.14%）；间歇期84.31%（43/51）以棘波/棘-慢波、尖波/尖-慢波、慢波、多棘-慢波形式放电，68.63%（35/51）主要位于单侧额区、双侧额叶或与周边脑区同步放电；发作期68.63%（35/51）以快节律、棘节律、尖样节律起始放电，86.27%（44/51）位于单侧额区、双侧额叶及周边脑叶或同步。②SEEG表现：间歇期21例均有异常放电，80.95%（17/21）以棘波/棘-慢波、多棘-慢波/慢棘-慢波形式放电，部位较VEEG广泛，仍以额叶为优势，但常累及相邻深部脑区；发作期76.19%（16/21）以快活动/高频振荡（HFO）起始，均位于额叶，85.71%（18/21）来自额叶底面、深部或内侧面。结论 额叶癫痫病人VEEG表现为背景多数正常，间歇期放电以棘、尖波/棘、尖-慢波形式发放明显，常累及对侧额叶或周边脑区；SEEG较VEEG放电更频繁且广泛，发放频率更快，含棘波甚至HFO成分更高，并易累及相邻脑深部区域。
Abstract:
Objective To investigate the characteristics of scalp video electroencephalography (VEEG) and stereotactic electroencephalography (SEEG) of the patients with frontal lobe epilepsy. Methods The clinical data of 51 patients with frontal lobe epilepsy confirmed by VEEG or SEEG from January 2016 to April 2018 were analyzed retrospectively. All the 51 patients received scalp VEEG monitoring, and 21 patients received SEEG monitoring. Results Characteristics of VEEG: normal background occurred in 29 patients (56.86%) and abnormal in 22 (43.14%); in the intermittent period, 84.31% of 51 patients had spikes/spins-slow waves, sharp waves/tips-slow waves, slow waves, and more spike-slow wave, of which 68.63% were mainly located in the unilateral frontal area, bilateral frontal lobes or synchronous discharge with peripheral brain area; in the the attack period, 68.63% of 51 patients had initial discharge form of fast rhythm, spinal rhythm, and cusp, of which 86.27% were located in the unilateral frontal area, bilateral frontal lobes and peripheral lobes or synchronized. Characteristics of SEEG: in the intermittent period, abnormal discharge occurred in all the 21 patients, of whom 17 patients (80.95%) had spike wave/spine-slow wave, multi-spine-slow wave/slow spike-slow wave; the location of discharge was wider than VEEG and frontal lobe was dominant, but the adjacent deep brain regions were often involved; in the attack period, 76.19% of 21 patients had initial discharge form of fast activity/high frequency oscillations, of which 85.71% were located the bottom, deep or inside of frontal lobe. Conclusions The background of VEEG of the patients with frontal lobe epilepsy is mostly normal, majority in interictal discharge patterns is spines, sharp waves/spindles, and sharp-slow waves, and the lateral frontal lobe or adjacent brain region is often involved. Compared with the VEEG, epileptic discharge in SEEG is more frequent and extensive, and frequency is faster and the adjacent deep brain region is easy to be involved.

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备注/Memo

备注/Memo:
通讯作者：杨梅华，E-mail：18680870681@163.com
更新日期/Last Update: 2021-02-25