1 Department of Radiology, Neuroradiology Section, Stanford University Medical Center, 300 Pasteur Dr, Grant S047, Stanford, CA 94305.
2 Department of Radiology, Duke University Medical Center, Durham, NC.
AJR Am J Roentgenol. 2019 Jan;212(1):15-25. doi: 10.2214/AJR.18.20202. Epub 2018 Oct 9.
The purpose of this study is to discuss the evidence supporting the use of neuroimaging in adult patients presenting with new-onset seizure.
Unenhanced CT should be the initial imaging examination performed for adults presenting with first unprovoked seizure in the acute setting to exclude conditions requiring urgent or emergent intervention. MRI has added benefits and should be considered for adults presenting acutely for whom the initial CT is negative and for those presenting with new-onset seizure in the nonacute setting.
本研究旨在讨论支持在新发癫痫的成年患者中使用神经影像学的证据。
对于在急性发作期新发无诱因癫痫的成人，初始检查应行平扫 CT，以排除需要紧急或即刻干预的情况。对于初始 CT 为阴性的急性发作的成人以及非急性发作新发癫痫的成人，应考虑进行 MRI，因为其有额外获益。
