Abstract: The correlation between small spikes in Rolandic area and epileptic seizures was investigated. In this thesis, small spikes in Rolandic area were found in 118 cases recorded by video electroencephalogram (VEEG) monitoring. And the 118 patients were chose to be studied in our research. Among the 118 cases, 62 were male and 56 were female. The youngest was only 3-month-old, and the eldest was 4 years and 5 months old. Eighty-five cases were between 3 months and 2 years old which accounted for 72.03%. There were 101 patients (85.59%) having seizures: 42 cases (35.59%) of febrile convulsion, 35 (29.66%) of benign infantile convulsions with mild gastroenteritis (BICG) and 24 (20.34%) of epilepsy; 17 cases (14.41%) of non-epileptic seizures. Hence, there is high correlation between infantile small spikes in Rolandic area and epileptic seizures. But it does not indicate any specificity. Whether small spikes in Rolandic area can be used as certain evidence to diagnose epilepsy and locate the onset of lesions requires further study to confirm.

Key words: Epilepsy, Electroencephalography, Child, preschool

摘要： 探讨Rolandic 区小棘波与癫痫发作间的关系。选择118 例视频脑电图监测过程中记录到Rolandic 区小棘波患儿，男性62 例，女性56 例；年龄3 个月至4 岁5 个月（3 个月至2 岁者85 例，约占72.03%）。其中101 例（85.59%）存在癫痫发作，包括热性惊厥42 例（35.59%）、轻度胃肠炎伴良性婴幼儿惊厥35 例（29.66%）和癫痫24 例（20.34%），17 例（14.41%）为非癫痫发作。婴幼儿Rolandic 区小棘波与癫痫发作具有高度相关性，但不具高度特异性，Rolandic 区小棘波是否能够作为诊断癫痫和确定癫痫灶的依据，仍待进一步研究证实。

关键词: 癫痫, 脑电描记术, 儿童, 学龄前