視頻腦電圖與動態(tài)心動圖同步監(jiān)測顳葉癲21例發(fā)作時心功能變化

劉愛琴，黃建新，樊麗娟

劉愛琴1，黃建新2，樊麗娟1

顳葉癲；視頻腦電圖；動態(tài)心動圖；心功能；心率變異性

1 臨床資料

1.4 結(jié)果

1.4.2 VEEG結(jié)果 21例在監(jiān)測過程中共發(fā)作59次，平均發(fā)作時間為(115.3±75.6)s，其中55次發(fā)作為單側(cè)放電(51次為右側(cè)，4次為左側(cè))，3次發(fā)作為雙側(cè)同步放電，1次為先右側(cè)后移行至左側(cè)。

指標癲組(n=21)對照組(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：與對照組比較，①P<0.05；②P<0.01

2 討 論

[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] 李亞軍，謝 鵬，李 平,等.癲發(fā)作時心率和心電圖變化及其影響因素[J]. 臨床神經(jīng)電生理學雜志，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,譚 蘭. 癲癇猝死的研究進展[J]. 中華神經(jīng)科雜志，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)

(責任編輯 武建虎)

劉愛琴，本科學歷，副主任技師。

100037，武警北京總隊第二醫(yī)院：1. 視頻腦電監(jiān)測中心；2.特檢科

R742.1; R540.4