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| The value of AEEG combined with MRI in the early diagnosis of viral encephalitis in children |
| WANG Wei LI Jia WANG Lili LI Xiaoya ZHENG Wei DONG Yan ZHANG Shumin GAO Jingyun |
| Department of Pediatrics, Maternal and Child Health Hospital Tangshan, Heibei Province, Tangshan 063000, China |
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Abstract Objective To explore the value of ambulatory electroencephalography (AEEG) combined with magnetic resonance imaging (MRI) in the early diagnosis and prognosis of viral encephalitis in children. Methods Retrospective analysis was conducted on the clinical data, AEEG and MRI imaging data of 54 cases of viral encephalitis admitted to Tangshan Maternal and Child Health Hospital in Hebei Province from May 2015 to May 2017. The diagnostic accuracy of AEEG combined MRI and single MRI were observed, and the respective diagnostic results of AEEG and MRI were analyzed. Results In 54 childrens with viral encephalitis, the diagnostic accuracy of AEEG combined with MRI was 96.30%, which was significantly higher than 81.48% of the MRI single diagnostic accuracy rate, and the difference was statistically significant (P ＜ 0.05); AEEG examination showed that 12 cases were severe abnormality in 54 cases of childrens, 17 cases were moderate abnormality, 20 cases were mild abnormality, and the abnormal rate was 90.74%; in the 54 cases, 8 cases had no abnormal signal in MRI brain parenchyma, 2 cases were misdiagnosed, and 44 cases showed lesions by MRI examination, the abnormal rate was 81.48%. Conclusion AEEG combined with MRI has great value in early diagnosis of viral encephalitis in childrens. It can provide reliable diagnostic basis for doctors, early detection and treatment, so it has certain reference significance for clinical diagnosis.
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[1] 胡文静，杨理明，廖红梅，等.小儿重症病毒性脑炎临床特点、预后及其相关因素分析[J].中国感染控制杂志，2018，17（3）：241-246.
[2] Lima-De Armas B，Dorta-Contreras AJ. Viral encephalitis in childhood [J]. Rev Neurol，2016，62（5）：239.
[3] 范跃星，任建政，王峰，等.磁共振DWI与FLAIR成像早期诊断病毒性脑炎价值比较[J].陕西医学杂志，2017，46（10）：1442-1444.
[4] 胡亚美，江载芳.诸福棠实用儿科学[M].7版.北京：人民卫生出版社，2005：766.
[5] 王珺，范玮，李尔珍，等.脑电图监测对儿童病毒性脑炎急性期病情及预后的评估意义[J].北京医学，2014（6）：440-443.
[6] 黄远桂，吴声伶.临床脑电图学[M].西安：陕西科学技术出版社，1984：243-246.
[7] Bravar G，Liguoro I，Morassutti FR，et al. Viral encephalitis：A controversies diagnosis [J]. Eur J Paediatr Neurol，2017，21（1）：e207.
[8] 王欣，王丽辉，岳玲，等.2014-2015年石家庄地区儿童病毒性脑炎临床流行病学及临床表现[J].脑与神经疾病杂志，2016，24（8）：480-484.
[9] 隋英，郭静.病毒性脑炎患儿的临床特点及预后影响因素研究[J].实用心脑肺血管病杂志，2016，24（12）：202-206.
[10] 于盼辉，王佶，李静洁，等.2015年～2016年石家庄地区儿童病毒性脑炎病原学研究[J].病毒学报，2017，33（2）：180-185.
[11] 郭育英，廖海燕，谢彩云，等.脑电图监测在病毒性脑炎诊断及预后中的应用价值[J].海南医学，2018，29（09）：1303-1304.
[12] 黄日荷，汪渊，吴巧云，等.感染性脑炎患儿脑电图对预后评价的临床研究[J].中华医院感染学杂志，2016，26（11）：2599-2601.
[13] 张百佳.病毒性脑炎患者动态脑电图及常规脑电图对比分析[J].中国医学创新，2017，14（3）：129-131.
[14] 崔虹，杨静，郭武玲，等.动态脑电图与常规脑电图应用于病毒性脑炎诊断的效果分析[J].现代生物医学进展，2017，17（13）：2553-2555.
[15] Bruns N，Dransfeld F，Hüning B，et al. Comparison of two common aEEG classifications for the prediction of neurodevelopmental outcome in preterm infants [J]. Eur J Pediatr，2017，176（2）：163-171.
[16] 宁书尧，杨思达，陈文雄，等.振幅整合脑电图对儿童重症病毒性脑炎继发非惊厥型癫（痫）持续状态的诊断意义[J].中国临床神经科学，2017，25（4）：368-375.
[17] 艾英，赖力，杨靖逸，等.CT与磁共振在中枢神经系统感染的诊断价值[J].中华医院感染学杂志，2016，26（4）：807-809.
[18] 洪莲，任鸿萍，刘华，等.病毒性脑炎患者头部MRI影像学特点及其对预后的诊断价值[J].检验医学与临床，2017，14（16）：2361-2363.
[19] 孔延亮，黄勇，胡重灵，等.病毒性脑炎的CT和MRI诊断价值研究及对比分析[J].中国CT和MRI杂志，2016， 14（12）：7-9.
[20] 宁建东.小儿病毒性脑炎MRI诊断及应用价值评定[J].中国CT和MRI杂志，2017，15（8）：50-51.
[21] 钟亚敏，朱焰.MRI和EEG对病毒性脑炎合并惊厥患儿预后的评估价值[J].中国妇幼健康研究，2018（1）：70-73. |
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