Kanitkar M, Purkayastha S B, Deshpande N D
Graded Specialist Paediatrics, MH Jhansi 284001.
Retd (Last appointment held CMO Eastern Naval Command), Colaba, Bombay.
Med J Armed Forces India. 1994 Jan;50(1):23-26. doi: 10.1016/S0377-1237(17)31032-8. Epub 2017 Jun 27.
50 consecutive cases of partial seizures hospitalised over a period of 2 years, were studied. CT Scans were done once at presentation and thereafter cases were followed up with repeat CT scans to evaluate treatment response wherever a treatable cause was found. CT scan diagnosis was correlated with clinical signs and other baseline investigations including an EEG. CT scan abnormality was detected in 66% cases. Single or multiple tuberculomas were noted in 24% cases, cortical atrophy in 14% cases, focal calcification in 10%, haemorrhage in 3% and subdural effusions in 2%. With positive clinical signs, 81% of CT scans were abnormal. 20% of patients with partial seizures having no clinical signs and normal base line investigations including an EEG, had a CT scan abnormality mainly a tuberculoma.
对连续两年住院的50例部分性癫痫患者进行了研究。初诊时进行一次CT扫描,此后,只要发现可治疗的病因,就对患者进行重复CT扫描以评估治疗反应。CT扫描诊断结果与临床体征以及包括脑电图在内的其他基线检查结果相关。66%的病例检测到CT扫描异常。24%的病例发现单个或多个结核瘤,14%的病例出现皮质萎缩,10%出现局灶性钙化,3%出现出血,2%出现硬膜下积液。有阳性临床体征的患者中,81%的CT扫描结果异常。20%无临床体征且包括脑电图在内的基线检查正常的部分性癫痫患者CT扫描结果异常,主要为结核瘤。