Minford A M, Forsythe W I
Department of Paediatrics, St Luke's Hospital, Bradford.
Arch Dis Child. 1992 Jun;67(6):693-6. doi: 10.1136/adc.67.6.693.
The computed tomography findings in 82 children with partial seizures of unknown aetiology were reviewed. All had seizures with predominantly focal motor phenomena and none had abnormality on neurological examination. Findings on computed tomography were normal in 64 children (78%) and abnormal in 18 children (22%). Fourteen children had changes representing static pathology (mainly cerebral atrophy) which did not influence patient management but four had potentially correctable lesions (two tumours and two arteriovenous malformations). There were no correlations between seizure control, seizure duration, intellectual handicap, postictal weakness, electroencephalographic findings, and abnormality on the computed tomogram. In particular, none of these features were useful in predicting the presence of a tumour or arteriovenous malformation. It is concluded that a computed tomogram is indicated in every child with partial seizures.
回顾了82例病因不明的部分性癫痫患儿的计算机断层扫描结果。所有患儿均以局灶性运动现象为主的癫痫发作，且神经系统检查均无异常。计算机断层扫描结果显示，64例患儿（78%）正常，18例患儿（22%）异常。14例患儿有代表静态病变（主要为脑萎缩）的改变，这些改变不影响患者的治疗，但有4例患儿有潜在可纠正的病变（2例肿瘤和2例动静脉畸形）。癫痫控制情况、癫痫发作持续时间、智力障碍、发作后无力、脑电图结果与计算机断层扫描异常之间均无相关性。特别是，这些特征均无助于预测肿瘤或动静脉畸形的存在。结论是，每例部分性癫痫患儿均应进行计算机断层扫描。
