Value of video EEG monitoring and magnetic resonance imaging in the localization and diagnosis of children with epilepsy
Objective:To explore the value of Video Electroencephalography(VEEG)and Magnetic Resonance Imaging(MRI)in the localization diagnosis of children with epilepsy.Methods:100 cases of pediatric epilepsy patients who underwent focal resection in our hospital from December 2021 to December 2022 were retrospectively analyzed.VEEG and MRI were performed in all patients.Using the intraoperative results of lesion resection(pathological examination)as the gold standard,the results of abnormal detection and epileptogenic focus location of the two examination methods were compared with the intraoperative results.The anomaly detection rate and consistency rate were calculated,and the diagnostic efficiency was compared.Results:79 abnormal patients were detected by VEEG,of which 75 were focal discharges.There were 53 abnormalities detected by MRI,of which 50 were focal abnormalities.The abnormal detection rate of VEEG(79.00%)was higher than that of MRI(53.00%)(P<0.05).The overall concordance rate of VEEG and combined diagnosis was significantly higher than that of MRI(P<0.05)when compared with the epileptogenic focus found by VEEG and MRI.Conclusion:VEEG has good diagnostic efficacy in the localization diagnosis of children with epilepsy,and can significantly improve the detection rate of brain abnormalities and the accuracy of focal localization in children with epilepsy.