视频脑电图与动态心动图同步监测颞叶癫21例发作时心功能变化

2017-03-27 08:01刘爱琴黄建新樊丽娟
武警医学 2017年3期
关键词:爱琴颞叶脑电图

刘爱琴,黄建新,樊丽娟

刘爱琴1,黄建新2,樊丽娟1

颞叶癫;视频脑电图;动态心动图;心功能;心率变异性

1 临床资料

1.4 结果

1.4.2 VEEG结果 21例在监测过程中共发作59次,平均发作时间为(115.3±75.6)s,其中55次发作为单侧放电(51次为右侧,4次为左侧),3次发作为双侧同步放电,1次为先右侧后移行至左侧。

指标癫组(n=21)对照组(n=16)SDNN(ms)53.60±5.35②62.36±6.95RMSSD(ms)35.16±7.15①41.13±5.95LF(ms2)13.38±3.70①11.16±3.60HF(ms2)8.05±2.56①9.32±3.11LF/HF3.10±1.83②2.45±1.37

注:与对照组比较,①P<0.05;②P<0.01

2 讨 论

[1] Zubair S, Arshad A B, Saeed B,etal. Ictal asystale-late manifestation of partial epilepsy and importance of cardiac pacemaker[J]. Seizure, 2009, 18(6): 457-461.

[2] Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised classification of Epilepsies and epileptic syndromes [J]. Epilepsia, 1989, 30:389-399.

[3] Liu Z, Mikati M, Holmes G L. Mesial temporal sclerosis: pathogenesis and significance [J]. Pediatr Neurol, 1995, 12(1):5-16.

[4] Sevcencu C, Struijk J J. Autonomic alterations and cardiac changes in epilepsy [J]. Epilepsia, 2010,51(5):725-737.

[5] 李亚军,谢 鹏,李 平,等.癫发作时心率和心电图变化及其影响因素[J]. 临床神经电生理学杂志,2005,14(4):201-201.

[6] Oppenheimer S M, Gelb A, Girvin J P,etal. Cardiovascular effect of human insular cortex stimulation [J]. Neurology, 1992, 42(9):1727-1732.

[7] Schuelu S U. Effects of seizures on function [J]. J Clin Neu- rophysiol, 2009, 26(5): 302-308.

[8] Baumgatner C, Lurger S, Leutmezer F. Autonomic symptoms during epileptic seizures [J]. Epileptic Disord, 2001, 3(3):103-106.

[9] 胡 楠,郁金泰,谭 兰. 癫痫猝死的研究进展[J]. 中华神经科杂志,2012, 45(11):815-817.

[10] Rejdak K, Rubaj A, Glowniak A,etal. Analysis of ventricular late potentials in signal-averaged ECG of people with epilepsy [J]. Epilepsia, 2011, 52(11): 2118-2124.

[11] Suorsa E, Korpelainen J T, Ansakorpi H,etal. Heart rate dynamics in temporal lobe epilepsy-A long-term follow-up study [J]. Epilepsy Res, 2011, 93(1): 80-83.

[12] Lotufo P A, Valiengo L, Bensenar I M,etal. A systematic reviewAnd meta-analysis of heart rate variability in epilepay and antiepileplic drugs [J]. Epilepsia, 2012, 53(2): 272-282.

[13] Ficker D M, So E, Shen W K,etal. Population-based study of the incidence of sudden unexplained death in epilepsy [J]. Nearology, 1998, 51(5):1270-1274.

[14] Pedley T A, Hauser W A . Sudden death in epilepsy:a wake up call for management [J]. Lancet, 2002, 359(9320):1790-1791.

(2016-09-01收稿 2016-10-12修回)

(责任编辑 武建虎)

刘爱琴,本科学历,副主任技师。

100037,武警北京总队第二医院:1. 视频脑电监测中心;2.特检科

R742.1; R540.4

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