Pentamethylenetetrazol, though an excellent drug for the provocation of epileptiform discharges, often causes untoward clinical seizures or ~t +. s cpilep¡©ticus. Various evaluations by many i ., stigators have been made on the clinical significance of sleep EEG as a technique of the provocation before the use of pentamethylenetetrazol. The purpose of this study is to verify the clinical value of sleep tracing in the Korean eases of convu¡©lsive disorders as compared with the results reporte( by other investigators. Of the patients refered to Seoul National University Hospital EEG laboratory during the past 5 years, 1570 cases with clinical seizures were analysed. Their EEG tracings comprised: 1) Waking spontaneous EEG, 2) Spontaneous sleep EEG and 3) Drug induced sleep EEG. The percentages of EEG abnor¡©malities by the above three methods were 50. 1%, 58.8% and 63.5% respectively. The drug-induced sleep EEG showed a higher rate ^` ?ho provocation were compared by each age brachet. :the younger age group revealed higher rate of abnormality by provocation. This result gives a significance to the clinical use of sleep EEG but the procedure has yet to be improved to show a higher rate of the provocation as recorded by Gibbs and Gibbs who had provided as much time as 3-4 hours for one tracing. Furthermore, it is necessary to investigate the provocation rates of sleep EEG of each subtypes of epileptic seizures including focal seizure disorders.
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