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睡眠中癫痫性电持续状态对儿童认知功能的损伤研究
作者:金波  赵蔚华  卢孝鹏  郑帼 
单位:南京医科大学附属南京儿童医院神经内科; 南京医科大学附属南京儿童医院儿保科;
关键词:癫痫性电持续状态  睡眠  认知功能  儿童 
分类号:
出版年·卷·期(页码):2009·28·第四期(330-332)
摘要:

目的:探讨睡眠中癫痫性电持续状态(ESES)对患儿认知功能的损害。方法:对25例儿童良性癫痫伴中央颞区棘波(BECT)合并ESES的患儿作为A组进行智力评测,以同期25例年龄、性别相匹配的BECT不伴有ESES的患儿(B组)和A组中经治疗后ESES消失的17例(C组)分别作为对照组,进行智力测定。结果:A组语言智商(VIQ)、操作智商(PIQ)和总智商(FIQ)与对照两组相比较均有显著差异(P<0.001)。结论:ESES损害患儿认知功能,应积极消除电持续状态。

Objective To investigate the cognitive function impairment from electrical status epilepticus duringsleep(ESES).Method To followup 25 benign childhood epilepsy with centro-temporal spikes(BECT)and ESES,25age and sex-matched BECTand without ESES were collected as control group.They were progressed intelligence testswith Wechsler Intelligence Scale for children-revised.Results There were significant differences on verbal intelligencequotient(VIQ) and performance intelligence quotien(PIQ) and full-scale intell...

参考文献:

[1] Scholtes FBJ,Hendriks MPH,Renier WO. Cognitive deterioration and electrical status epilepticus during slow sleep .Epilepsy Behav. 2005, (6) :167-173 .
 
[2] De Negri M, Baglietto MG, Battaglia FM,et al. Treatment of electrical status eilepticus by short diazepam (DZP) cycles after DZP rectal bolus test .Brain Dev, 1995, 17(5) :330-333 .
 
[3] Rating D. Treatment in typical and atypical rolandic epilepsy .Epileptic Disord,2000, 2(Suppl1) :S69-S72 .
 
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[6] De NEGRI M. Elecerical status epilepticus in childhood.Neuro-psychological impairment and therapeutic managent[J] .DevMed Child Neurol, 1994, 36 (2) :183-186 .
 

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