过度通气是否会增加疑似癫痫的成人常规脑电图的诊断敏感性？

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY

Neurophysiologie Clinique/Clinical Neurophysiology Pub Date : 2025-02-18 DOI:10.1016/j.neucli.2025.103060

Seyda Erdoğan, Gökhan Pek, Canan Duman İlki, Cem Dinler, İlke Şahin, Ali Cem Ekşi, Musap Rasim Ceylan, Nijat Abbaszade, Eray Ergül, Özden Şener

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引用次数: 0

摘要

目的探讨常规脑电图记录中过度通气（HV）在成人癫痫诊断中的作用。方法在2019冠状病毒病大流行期间，由于存在传播风险，我们从常规脑电图记录中删除了HV。重新评估2019冠状病毒病大流行前后一年的常规脑电图。结果共分析HV +脑电图167例，HV -脑电图199例。为了确保两组之间在年龄和可能禁忌HV的条件方面的可比性，两组均排除年龄≥55岁且有任何禁忌HV条件的患者。在诊断为癫痫的患者中，HV +组癫痫样异常发生率为26.7%，HV -组为24.5% （p = 0.727）。结论本研究未发现任何证据表明HV可提高成人癫痫常规脑电图的诊断敏感性。在成人中，常规脑电图记录时的过度通气可能对有失神癫痫发作史或过度通气引发癫痫发作的患者最有用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Does hyperventilation increase the diagnostic sensitivity of routine electroencephalography in adults with suspected epilepsy?

Objective

We aimed to explore the role of hyperventilation (HV) during routine EEG recordings in the diagnosis of adults with epilepsy.

Methods

During the COVID-19 pandemic we removed HV from routine EEG recordings due to the transmission risks. Routine EEGs conducted in the year before and after the COVID-19 pandemic were re-evaluated.

Results

A total of 167 HV + and 199 HV - EEGs were analyzed. To ensure comparability between the two groups with respect to age and conditions that could contraindicate HV, patients ≥ 55 years and with any conditions contraindicating HV were excluded from both groups. In patients with a diagnosis of epilepsy the prevalence of epileptiform abnormalities was 26.7 % in the HV + and 24.5 % in the HV - group (p = 0.727).

Conclusions

This study did not reveal any evidence indicating that HV improves the diagnostic sensitivity of routine EEG in adults with epilepsy. In adults, hyperventilation during routine EEG recordings may be most useful in incre in patients with a history of absence seizures or seizures triggered by hyperventilation.

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来源期刊

Neurophysiologie Clinique/Clinical Neurophysiology 医学-临床神经学

CiteScore

5.20

自引率

3.30%

发文量

审稿时长

60 days

期刊介绍： Neurophysiologie Clinique / Clinical Neurophysiology (NCCN) is the official organ of the French Society of Clinical Neurophysiology (SNCLF). This journal is published 6 times a year, and is aimed at an international readership, with articles written in English. These can take the form of original research papers, comprehensive review articles, viewpoints, short communications, technical notes, editorials or letters to the Editor. The theme is the neurophysiological investigation of central or peripheral nervous system or muscle in healthy humans or patients. The journal focuses on key areas of clinical neurophysiology: electro- or magneto-encephalography, evoked potentials of all modalities, electroneuromyography, sleep, pain, posture, balance, motor control, autonomic nervous system, cognition, invasive and non-invasive neuromodulation, signal processing, bio-engineering, functional imaging.