Korwin-Piotrowska T, Nocoń D
Kliniki Neurologii PAM.
Neurol Neurochir Pol. 1999 Nov-Dec;33(6):1305-10.
Among 100 patients with MS, in 65 patients CT examination revealed cerebral atrophy (in 58 cortical and subcortical atrophy, in 7 patients only cortical). In 25 (25%) patients with cerebral atrophy EEG findings were focal type of paroxysmal activity. Only five patients with paroxysmal discharges had epileptic fits. Mean age in these 5 patients was 47 years, mean duration of the disease 17 years. This means that seizures in MS patients appeared in late period of the disease and no correlation was between cerebral atrophy and epileptic seizures. Paroxysmal discharges occurred more often in EEG examination, than clinical seizures.
在100例多发性硬化症患者中,65例患者的CT检查显示有脑萎缩(58例为皮质和皮质下萎缩,7例仅为皮质萎缩)。在25例(25%)有脑萎缩的患者中,脑电图检查结果为局灶性阵发性活动类型。仅有5例有阵发性放电的患者发生癫痫发作。这5例患者的平均年龄为47岁,平均病程为17年。这意味着多发性硬化症患者的癫痫发作出现在疾病晚期,且脑萎缩与癫痫发作之间无相关性。脑电图检查中阵发性放电比临床癫痫发作更常见。