山东大学耳鼻喉眼学报 ›› 2025, Vol. 39 ›› Issue (5): 20-25.doi: 10.6040/j.issn.1673-3770.0.2024.209

• 论著 • 上一篇    

视频脑电图在儿童复发性眩晕诊断中的意义

刘南仙1,杨泽垠1,韩琳2,张爱英3,赵宇亮4,薛静1,孙怡君1,邵永良1   

  1. 1.石家庄市人民医院 耳鼻咽喉头颈外科, 河北 石家庄 050031;
    2.石家庄市中医院 耳鼻喉科, 河北 石家庄 050011;
    3.河北省儿童医院 耳鼻咽喉科, 河北 石家庄 050031;
    4.河北医科大学第二医院 耳鼻咽喉科, 河北 石家庄 050051
  • 发布日期:2025-09-19
  • 通讯作者: 邵永良. E-mai:hbshaoyl@163.com
  • 基金资助:
    河北省卫生健康委科研基金项目(20211142)

Significance of video-EEG in the diagnosis of recurrent vertigo in children

LIU Nanxian1, YANG Zeyin1, HAN Lin2, ZHANG Aiying3, ZHAO Yuliang4, XUE Jing1, SUN Yijun1, SHAO Yongliang1   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, Shijiazhuang people's Hospital, Shijiazhuang 050031, Hebei, China2. Department of Otolaryngology, Shijiazhuang Hospital of Traditional Chinese Medicine, Shijiazhuang 050011, Hebei, China3. Department of Otorhinolaryngology, Hebei Children's Hospital, Shijiazhuang 050031, Hebei, China4. Department of Otorhinolaryngology, The Second Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China
  • Published:2025-09-19

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摘要： 目的 通过对儿童复发性眩晕(recurrent vertigo of children, RVC)患儿进行视频脑电图(video-electroencephalogram, v-EEG)监测分析,探讨RVC患儿的v-EEG与疾病之间的关系。 方法 按照RVC诊断标准选取RVC 患儿50例和正常对照组儿童20例,进一步根据脉搏氧监测结果将RVC组分为缺氧组和非缺氧组。所有入组儿童均行v-EEG监测,应用SPSS 25.0统计学软件对v-EEG结果进行统计学分析。 结果 RVC组与对照组的v-EEG异常率比较差异无统计学意义(P=0.871)。缺氧组、非缺氧组和对照组的组间v-EEG异常率比较差异无统计学意义(P=0.886)。 结论 v-EEG异常情况不能作为RVC患儿的诊断依据,但对RVC患儿的鉴别具有一定的临床价值。

关键词: 眩晕, 儿童, 复发, 视频脑电图监测, 诊断

Abstract: Objective This study aimed to explore the relationship between v-EEG(video electroencephalogram, v-EEG)and disease in children with recurrent vertigo(recurrent vertigo of children, RVC)by analyzing the results of v-EEG in children with RVC. Methods According to the diagnostic criteria for RVC, 50 children with RVC and 20 healthy children were collected. The RVC group was divided into hypoxia group and nonhypoxia group based on the results of pulse oxygen monitoring. All the children in the group were monitored by v-EEG and the v-EEG results were analyzed using SPSS25.0 statistical software. Results The difference was not statistically significant in the abnormal rate of v-EEG between the RVC group and the control group. Differences were not statistically significant in the abnormal v-EEG rate between the hypoxia group, the nonhypoxia group and the control group. Conclusion The abnormality of v-EEG cannot be used as a diagnostic basis for children with RVC, but it has a certain clinical value for the differential diagnosis of children with RVC.

Key words: Vertigo, Children, Recurrence, Video EEG monitoring, Diagnosis

中图分类号: 

  • R764.34
[1] van de Berg R, Widdershoven J, Bisdorff A, et al. Vestibular migraine of childhood and recurrent Vertigo of childhood: diagnostic criteria consensus document of the committee for the classification of vestibular disorders of the Bárány society and the international headache society[J]. J Vestib Res, 2021, 31(1): 1-9. doi:10.3233/VES-200003
[2] Basser LS. Benign paroxysmal Vertigo of childhood.(a variety of vestibular neuronitis)[J]. Brain, 1964, 87: 141-152. doi:10.1093/brain/87.1.141
[3] Beretti T, Desnous B. Vertigo and dizziness in children: when to consider a neurological cause[J]. Arch Pediatr, 2023, 30(7): 505-509. doi:10.1016/j.arcped.2023.07.001
[4] Dunker K, Schnabel L, Grill E, et al. Recurrent Vertigo of Childhood: Clinical features and prognosis[J]. Front Neurol, 2022, 13: 1022395. doi:10.3389/fneur.2022.1022395
[5] 凌霞, 张赛, 申博, 等. 儿童前庭性偏头痛和儿童复发性眩晕: Bárány协会前庭疾病分类委员会和国际头痛协会诊断标准共识文件[J]. 神经损伤与功能重建, 2021, 16(8): 435-439. doi:10.16780/j.cnki.sjssgncj.20210756 LING Xia, ZHANG Sai, SHEN Bo, et al. Vestibular migraine and recurrent Vertigo of childhood: diagnostic criteria consensus document of the classification committee of vestibular disorders of the Bárány society and the international headache society[J]. Neural Injury and Functional Reconstruction, 2021, 16(8): 435-439. doi:10.16780/j.cnki.sjssgncj.20210756
[6] Russell G, Abu-Arafeh I. Paroxysmal Vertigo in children: an epidemiological study[J]. Int J Pediatr Otorhinolaryngol, 1999, 49(Suppl 1): S105-S107. doi:10.1016/s0165-5876(99)00143-3
[7] Salami A, Dellepiane M, Mora R, et al. Electronystagmography finding in children with peripheral and central vestibular disorders[J]. Int J Pediatr Otorhinolaryngol, 2006, 70(1): 13-18. doi:10.1016/j.ijporl.2005.05.001
[8] Zhang JF, Zhu Q, Shen JL, et al. Etiological classification and management of dizziness in children: a systematic review and meta-analysis[J]. Front Neurol, 2023, 14: 1125488. doi:10.3389/fneur.2023.1125488
[9] Gurberg J, Tomczak KK, Brodsky JR. Benign paroxysmal Vertigo of childhood[J]. Handb Clin Neurol, 2023, 198: 229-240. doi:10.1016/b978-0-12-823356-6.00004-4
[10] 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会. 良性阵发性位置性眩晕诊断和治疗指南(2017)[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(3):173-177. doi:10.3760/cma.j.issn.1673-0860.2017.03.003 Editorial Board of Chinese journal of Otorhinolaryngology Head and Neck Surgery; Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association[J]. Chin J Otorhinolaryngol Head Neck Surg, 2017, 52(3): 173-177. doi:10.3760/cma.j.issn.1673-0860.2017.03.003
[11] 黄选兆, 汪吉宝, 孔维佳, 等. 实用耳鼻咽喉头颈外科学[M]. 2版. 北京: 人民卫生出版社, 2008: 751
[12] 中华耳鼻咽喉头颈外科杂志编委会, 中华医学会耳鼻咽喉科学分会. 儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐)[J]. 中华耳鼻咽喉头颈外科杂志, 2007, 42(2): 83-84. doi:10.3760/j.issn: 1673-0860.2007.02.002
[13] 杜雅坤, 孙素真. 儿童脑电图分级诊断标准[J]. 现代电生理学杂志, 2022, 29(1): 63-64. doi:10.3969/j.issn.1672-0458.2022.01.016
[14] Mierzwiński J, Polak M, Dalke K, et al. Benign paroxysmal Vertigo of childhood[J]. Pol Otolaryngol, 2007, 61(3): 307-310. doi:10.1016/S0030-6657(07)70431-6
[15] 高帆, 龚树生. 儿童眩晕症的诊断和治疗进展[J]. 中华内科杂志, 2023, 62(7): 876-880. doi:10.3760/cma.j.cn112138-20230330-00177
[16] Balatsouras DG, Kaberos A, Assimakopoulos D, et al. Etiology of Vertigo in children[J]. Int J Pediatr Otorhinolaryngol, 2007, 71(3): 487-494. doi:10.1016/j.ijporl.2006.11.024
[17] 陈正侬, 殷善开. 儿童良性阵发性眩晕[J]. 临床耳鼻咽喉头颈外科杂志, 2007, 21(4): 187-189. doi:10.3969/j.issn.1001-1781.2007.04.021 CHEN Zhengnong, YIN Shankai. Benign paroxysmal Vertigo in children[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2007, 21(4): 187-189. doi:10.3969/j.issn.1001-1781.2007.04.021
[18] 邵永良, 刘南仙, 张爱英, 等. 复发性眩晕患儿连续多导睡眠监测分析[J]. 临床耳鼻咽喉头颈外科杂志, 2023, 37(4): 258-262. doi:10.13201/j.issn.2096-7993.2023.04.004 SHAO Yongliang, LIU Nanxian, ZHANG Aiying, et al. Analysis of continuous polysomnography in children with recurrent Vertigo[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2023, 37(4): 258-262. doi:10.13201/j.issn.2096-7993.2023.04.004
[19] 邵永良, 刘南仙, 张爱英, 等. 儿童复发性眩晕患者连续睡眠脉搏氧监测分析[J]. 中国耳鼻咽喉颅底外科杂志, 2023, 29(4): 35-39. doi:10.11798/j.issn.1007-1520.202322344 SHAO Yongliang, LIU Nanxian, ZHANG Aiying, et al. Analysis of continuous sleep pulse oxygen saturation monitoring in children with recurrent Vertigo[J]. Chinese Journal of Otorhinolaryngology-Skull Base Surgery, 2023, 29(4): 35-39. doi:10.11798/j.issn.1007-1520.202322344
[20] Beniczky S, Schomer DL. Electroencephalography: basic biophysical and technological aspects important for clinical applications[J]. Epileptic Disord, 2020, 22(6): 697-715. doi:10.1684/epd.2020.1217
[21] 王清勇, 黄爱文, 黄远桃, 等. 视频脑电图诊断儿童发作性疾病164例分析[J]. 中国误诊学杂志, 2011, 11(15): 3688-3689 WANG Qingyong, HUANG Aiwen, HUANG Yuantao, et al. Analysis of 164 cases of children's paroxysmal diseases diagnosed by video EEG[J]. Chinese Journal of Misdiagnostics, 2011, 11(15): 3688-3689
[22] 万鑫, 郭洪磊, 李玉堂. 视频脑电图在儿童非癫痫性发作诊断中的意义[J]. 中国实用神经疾病杂志, 2014, 17(17): 33-34. doi:10.3969/j.issn.1673-5110.2014.17.019 WAN Xin, GUO Honglei, LI Yutang. Significance of the diagnosis of video-EEG on non-epileptic seizure disorder in children[J]. Chinese Journal of Practical Neruous Diseases, 2014, 17(17): 33-34. doi:10.3969/j.issn.1673-5110.2014.17.019
[23] Gao DK, Sun XY, Shen JL, et al. Clinical characteristics of vestibular evoked myogenic potentials in children with recurrent Vertigo of childhood[J]. Int J Pediatr Otorhinolaryngol, 2022, 161: 111257. doi:10.1016/j.ijporl.2022.111257
[24] 张莉, 刘冰, 刘海红, 等. 高刺激率ABR与儿童良性阵发性眩晕的相关性[J]. 中华耳科学杂志, 2015, 13(3): 416-418. doi:10.3969/j.issn.1672-2922.2015.03.007 ZHANG Li, LIU Bing, LIU Haihong, et al. Correlation between high stimulus rate auditory brainstem responses and benign paroxysmal Vertigo in children[J]. Chinese Journal of Otology, 2015, 13(3): 416-418. doi:10.3969/j.issn.1672-2922.2015.03.007
[25] 张一彤, 李青香, 石争浩, 等. 阻塞性睡眠呼吸暂停儿童睡眠结构研究及睡眠结构判读模型建立[J]. 山东大学耳鼻喉眼学报, 2023, 37(6): 126-132. doi:10.6040/j.issn.1673-3770.0.2023.168 ZHANG Yitong, LI Qingxiang, SHI Zhenghao, et al. The sleep structure of Children with obstructive sleep apnea and the development of a sleep structure inter-pretation model[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(6): 126-132. doi:10.6040/j.issn.1673-3770.0.2023.168
[26] Ravid S, Bienkowski R, Eviatar L. A simplified diagnostic approach to dizziness in children[J]. Pediatr Neurol, 2003, 29(4): 317-320. doi:10.1016/s0887-8994(03)00278-9
[27] Golz A, Angel-Yeger B, Parush S. Evaluation of balance disturbances in children with middle ear effusion[J]. Int J Pediatr Otorhinolaryngol, 1998, 43(1): 21-26. doi:10.1016/s0165-5876(97)00150-x
[28] 蒋黎娜, 于倩如, 于杰, 等. 前庭性眩晕疾病患者焦虑和抑郁状况研究[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 1-5. doi:10.6040/j.issn.1673-3770.0.2019.444 JIANG Lina, YU Qianru, YU Jie, et al. Anxiety and depression in patients with common types of Vertigo[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(6): 1-5. doi:10.6040/j.issn.1673-3770.0.2019.444
[29] 李欣, 陈雯婧, 李娟, 等. 不同年龄眩晕患者OSAHS构成比的相关性分析[J]. 中华耳科学杂志, 2020, 18(2): 262-267. doi:10.3969/j.issn.1672-2922.2020.02.008 LI Xin, CHEN Wenjing, LI Juan, et al. Correlation between age and OSAHS composition ratio in patients with Vertigo[J]. Chinese Journal of Otology, 2020, 18(2): 262-267. doi:10.3969/j.issn.1672-2922.2020.02.008
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