Zarmehri Bahram, Teimouri Ali, Ebrahimipour Navid, Foroughian Mahdi, Talebzadeh Vahid, Saeidi Morteza, Alirezaei Mehran
Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Emergency Medicine, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Open Access Emerg Med. 2020 Jun 10;12:159-162. doi: 10.2147/OAEM.S241124. eCollection 2020.
Regarding the complications and costs of CT imaging for patients, this study aimed at investigating the necessity of CT scans in patients visiting the emergency unit with first-onset seizure.
One hundred patients who had experienced their first seizure were enrolled. Their CT scan was studied, and based on the radiology report, the type of probable pathologies and their percentage were determined.
The patient's mean age was 39.78±17.43 yrs. CT scan abnormalities were reported in 27 cases as follows: nonspecific senile changes in 11 (40.7%), encephalomalacia in 3 (11.1%), acute infarct in 5 (18.5%), lacunar infarct in 3 (11.1%), mass-like lesion in 4 (14.8%) and cerebral venous thrombosis (CVT) evidence in 1 (3.7%). Acute infarct and mass-like lesions were seen together in the CT scan of one patient. In only 9 of the 27 abnormal CT scans, the findings were in accordance with seizure consisting of an acute infarct, mass-like lesion, and CVT evidence.
It seems that performing a CT scan in all patients referring to the emergency department with a first-onset seizure is not necessary.
考虑到CT成像给患者带来的并发症和费用，本研究旨在调查首次发作癫痫并前往急诊科就诊的患者进行CT扫描的必要性。
招募了100例首次发作癫痫的患者。对他们的CT扫描结果进行研究，并根据放射学报告确定可能的病变类型及其百分比。
患者的平均年龄为39.78±17.43岁。27例报告了CT扫描异常，具体如下：11例（40.7%）为非特异性老年改变，3例（11.1%）为脑软化，5例（18.5%）为急性梗死，3例（11.1%）为腔隙性梗死，4例（14.8%）为肿块样病变，1例（3.7%）有脑静脉血栓形成（CVT）证据。1例患者的CT扫描中同时出现急性梗死和肿块样病变。在27例CT扫描异常中，只有9例的检查结果与癫痫相符，包括急性梗死、肿块样病变和CVT证据。
对于所有首次发作癫痫并前往急诊科就诊的患者，似乎没有必要都进行CT扫描。
