The Applied Study Of The Video EEG Monitoring In Diagnosis Of Epilepsy

Epilepsy is due to the nature of neuronal brain dysfunction caused by abnormalities, and EEG can detect this abnormal discharge of neurons, so the diagnosis of epilepsy, in addition to performance-related based on clinical history, the EEG figure becomes a very critical examinations. Video-EEG monitoring can provide crucial diagnosis information, it has great significance in epilepsy diagnosis, classification, differential diagnosis, clinical treatment and initiating studies.Objective This paper aims at analysis video EEG monitoring data of the patients,analyzed interictal period, the initial attack phase of the EEG characteristics of seizures in order to explore the video EEG monitoring in epilepsy diagnosis, differential diagnosis and the application of epileptic focus localization value.Methods 225 patients were using 16-channel American Bio-logic all-digital video EEG monitor for VEEG monitoring. 147 patients were divided into the epilepsy group, 78 cases of suspected epilepsy group. Comprehensive analysis of patients with interictal, attack of video EEG data, the classification of epilepsy, a clear epileptic syndrome, EEG characteristics under attack targeting of the epileptic focus.Results In 147 epileptics patients , to monitor the discharge epileptiform 121 cases (82.3%,121/147), not to monitor the discharge epileptiform of 26 cases (17.7%, 26/147), to monitor clinical and onset seizures sample discharge at the 62 cases (51.2%,62/121).â‘ Classification:59/62 cases were diagnosed with epilepsy syndrome. Benign epilepsy of children with central temporal spikes in 12 cases, 7cases of frontal lobe epilepsy, 22 patients with temporal lobe epilepsy, occipital lobe epilepsy 3 cases,8 cases of childhood absence epilepsy, 7 cases of west syndrome .62 patients to determine seizure type, 11 cases of tonic clonic seizures, absence seizures in 8 cases, simple partial seizures in 14 cases, complex partial seizures in 26 cases,partial seizures with secondary generalized seizures in 3 cases.â‘¡Location: attack of the EEG in various forms, in various forms of attack, a clearer starting position of 30 cases, 6 cases of frontal origin, temporal origin in 11 cases, 8 cases of frontotemporal area of origin, after the origin of occipitotemporal 3 cases, the amount of central origin in 2 cases. 17 cases is the origin of right side, 13 cases is the origin of the left.78 cases of suspected epilepsy group had 16 cases(20.5%,16/78) of interictal epileptiform discharges detected. Clinical manifestations observed in 13 cases(16.7%,13/78), including 4/13 cases with clinical manifestations of epileptic discharge in the same time, the last confirmed seizures. Clinical manifestations observed in 9/13 patients while no changes in EEG abnormalities, and ultimately proved a non-epileptic seizures, including 3/9 cases of hysterical seizures, sleep myoclonus in 2/9 cases, 4/9cases of tic disorder.Conclusion Video EEG monitoring in epilepsy diagnosis, differential diagnosis, to determine seizure type and epilepsy syndrome and the evaluation of EEG - Clinical aspects of the relationship between the epileptic focus can provide accurate and reliable basis, with reliable clinical application.