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1、临床诊断癫痫依靠哪些依据Clinical diagnosis of epilepsy on which basis正确判断癫痫的发作形式非常重要，所以癫痫发作时，病人家属不要过度慌张，要仔细 观察病人癫痫发作时的情况。那么，临床诊断癫痫依靠哪些依据？下面我们一起听听权威专 家的介绍。Correct judgement of seizures form is very important, so the family members of patients with epileptic seizures, dont panic, be careful observation of the pat
2、ient when seizures situation. Then, a clinical diagnosis of epilepsy on what basis? Below us listen to Wuhan epilepsy research institute authoritative experts.Clinical diagnosis of epilepsy on which basis一、影像学检查：除了已查明的原发性癫痫和癫痫综合征无需神经影像学检查以外，均 应做此项检查。应当指出：影像学检查本身并不能诊断癫痫，目的是为了搞清病因病位以及 进行病因治疗和估计预后。One,
3、 imaging examinations: in addition to the identified primary epilepsy and epilepsy syndrome without neuroimaging examinations, shall make this inspection. It should be pointed out: radiographic examination itself and not the diagnosis of epilepsy, the purpose is to make clear etiology and pathogenes
4、is treatment and prognosis.imaging examinations、血液化学检查：如血糖、血钙、血镁、成分等。血糖、血钙及血镁浓度的高低是引 起发作的重要条件。一方面这些因素的异常可能是引起癫痫发作的重要因素，另一方面可以 对一些伴有癫痫发作的疾病诊断提供依据，如甲状旁腺功能减退性癫痫、糖尿病癫痫等。而 成分测定的主要目的在于指导临床用，包括选择作用好的、确定准确的剂量。Two, blood chemical examination: such as glucose, serum calcium, magnesium, composition. Blood gluc
5、ose, serum calcium and serum magnesium concentration is the important condition of induced seizures. One of these factors may be abnormal cause epileptic seizures are important factors, on the other hand to some with epilepsy disease diagnosis, such as hypoparathyroidism, diabetes, epilepsy and epil
6、epsy. The determination of the composition of the main purpose is to guide the clinical use, including the choice of role well, to determine the exact dose.三、尿液检查：主要是针对一些遗传代谢性疾病，如苯丙酮尿症。In three, a urine test: is mainly directed against a number of inherited metabolic diseases, such as phenylketonuri
7、a.EEG四、脑电图：原则上讲发作期脑电图是最有价值的一项辅助检查。不论任何一种癫痫， 在发作时均伴有脑部的痫性放电，但目前临床上所使用的常规头皮脑电图不一定都能记录 到,而在发作间歇期既使再结合诱发试验、24小时连续描记等，其总的阳性率也只在80% 90%左右，临床上诊断时一定要结合病史，体检和其他方面的内容进行综合分析，不能因为 脑电图呈阴性就否认是癫痫，当然没有临床表现而脑电图呈阳性者，也是不能确诊的。只要 临床表现是典型的，一般都可予以诊断，同时注意加强对脑电图的检查。Four: in principle, EEG ictal EEG is the most valuable one
8、auxiliary examination. Regardless of any kind of epilepsy, in the episodes were accompanied by brain of epileptic discharge, but currently used in clinical routine scalp EEG is not always recorded in intermittent period, and even combined with induced test, 24 hours of continuous plethysmography, th
9、e total positive rate of only 80% 90%, clinical diagnosis must be combined with the clinical history, physical examination and other aspects of comprehensive analysis, not because of an EEG showed negative deny is epilepsy, of course no clinical manifestations and electroencephalographic positive, i
10、s not confirmed. As long as the clinical presentation is typical, usually can be diagnosed, and paidattention to the EEG examination.临床诊断癫痫依靠哪些依据？看了上面文中的解答，相信大家对这个问题有了一定的了 解，专家指出，视频脑电图、动态脑电图等不断问世，对癫痫的诊断更具有准确性和科学性, 另外脑电图对癞痫的分类、鉴别诊断及指导癫痫的治疗具有重要意义。Clinical diagnosis of epilepsy on what basis? Read the
11、answer to this question, I believe we have a certain understanding of epilepsy, Wuhan Institute of the experts pointed out, video EEG, EEG dynamics and constantly available, the diagnosis of epilepsy is more accurate and scientific, in addition to the classification of EEG seizures, differential diagnosis and guiding treatment of epilepsy with important significance.文章来源：
