Daras M, Tuchman A J, Zisfein J
Department of Neurology, New York Medical College, Metropolitan Hospital, N.Y.
Eur Neurol. 1991;31(6):428-9. doi: 10.1159/000116710.
Computer tomography (CT) of the brain is of value for finding potentially correctable lesions in adult patients with new onset seizures. The value of CT is unknown, however, for finding such lesions in adult chronic epileptic patients without prior CT. We compared a group of 177 adult patients who had CT within a year from the onset of seizures to a group of 93 patients who had a history of seizures for more than a year before CT was performed. In the first group, 33 potentially correctable lesions (19%) were found including 17 tumors. The group with chronic epilepsy had 4 (4%) potentially correctable lesions: 3 arteriovenous malformations and 1 meningioma. It seems that CT is of value in discovering potentially removable lesions in chronic epileptic patients, but the likelihood is relatively small. The incidence of stable structural lesions seems to be similar in the two groups.
计算机断层扫描（CT）对于发现新发癫痫成年患者中潜在可纠正的病变具有重要价值。然而，对于未进行过CT检查的成年慢性癫痫患者而言，CT在发现此类病变方面的价值尚不清楚。我们将一组在癫痫发作后一年内接受CT检查的177例成年患者与另一组在进行CT检查前有一年以上癫痫病史的93例患者进行了比较。在第一组中，发现了33个潜在可纠正的病变（19%），其中包括17个肿瘤。慢性癫痫组有4个（4%）潜在可纠正的病变：3个动静脉畸形和1个脑膜瘤。似乎CT在发现慢性癫痫患者潜在可切除病变方面具有一定价值，但可能性相对较小。两组中稳定结构性病变的发生率似乎相似。
