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[1000例有癫痫发作史的连续患者的断层扫描结果]

[Tomographic findings in 1000 consecutive patients with antecedents of epileptic seizures].

作者信息

Trentin Ana Paula, Teive Hélio A G, Tsubouchi Mario H, de Paola Luciano, Minguetti Guilberto

机构信息

Universidade Federal do Paraná.

出版信息

Arq Neuropsiquiatr. 2002 Jun;60(2-B):416-9.

Abstract

We analyzed the cranial computerized tomography scans (CT) of 1000 consecutive patients with the history of seizures. The seizures were classified in generalized tonic-clonic seizures (GS) and partial seizures (PS) on the basis of the clinical semiology, as it was described by the patients and family members. Seizure types were correlated with age group, sex and CT findings. GS were observed in 70.7% of the patients and PS in 29.3 %. An increased incidence of GS was noted among the age groups 0 to 10 yrs (31%) and 11 to 20 yrs (21.8%). For PS the 0 to 10 yrs (24.5 %), 21 to 30 yrs (16.7%) and 31 tp 40 yrs (18.5%) age groups were the most prevalent groups. The CT scan findings for the GS group were the following: normal studies 48.8 % of the patients, calcifications/cysticercosis (14.0%), neurocysticercosis/cysts (9.6 %), hydrocephalus (4.3%), ischemia (4.2 %), non-definite lesions (4.1 %), tumor (2.5%), and others (12.5%). In the PS group we found 37.4% of normal studies, calcifications/cysticercosis (11.2%), neurocysticercosis/cysts (12.2%), tumor (10.5%), ischemia (5.4%), hydrocephalus (3.7%), non-definite lesions (8.1%) and others (11.6%). We emphasize the importance of CT scan imaging in patients presenting with seizures, particularly in the diagnosis of cysticercosis.

摘要

我们分析了1000例连续的有癫痫病史患者的头颅计算机断层扫描(CT)。根据患者及其家属描述的临床症状学,癫痫发作被分为全身强直阵挛性发作(GS)和部分性发作(PS)。癫痫发作类型与年龄组、性别和CT检查结果相关。70.7%的患者为GS,29.3%为PS。在0至10岁(31%)和11至20岁(21.8%)年龄组中,GS的发病率有所增加。对于PS,0至10岁(24.5%)、21至30岁(16.7%)和31至40岁(18.5%)年龄组是最常见的组。GS组的CT扫描结果如下:48.8%的患者检查正常,钙化/囊尾蚴病(14.0%)、神经囊尾蚴病/囊肿(9.6%)、脑积水(4.3%)、缺血(4.2%)、非明确病变(4.1%)、肿瘤(2.5%)以及其他(12.5%)。在PS组中,我们发现37.4%的检查正常,钙化/囊尾蚴病(11.2%)、神经囊尾蚴病/囊肿(12.2%)、肿瘤(10.5%)、缺血(5.4%)、脑积水(3.7%)、非明确病变(8.1%)以及其他(11.6%)。我们强调CT扫描成像在癫痫发作患者中的重要性,尤其是在囊尾蚴病的诊断中。

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